Table 6.
Hospital volume and outcome for post-thyroidectomy hemorrhage
| Author, year | Patients/departments/procedures; disease (n) | Revision for hematoma/conservative (n/n) all over bleeding rate | Bleeding rate (%) HV | Outcome | EL/RG | Hospital volume criteria | Suggested hospital volume |
|---|---|---|---|---|---|---|---|
| Sosa [4] et al., 1998 | 5860 | NA | NA | NA | III/C |
Thyroidectomy/year 1–99 100–199 200–300 > 300 |
Hosp vol no consistent correl with outcome |
| Sosa3 [37] et al., 2008 | 1199 pat. TT+PTX in pat. < 17 years | NA |
Overall compl low 11.1% high 7.7% p = 0.05 |
NA | IV/D |
Low high |
No minimum number |
| Godballe [44] et al., 2009 |
5490 12 departments (3 with > 100/a) performed 63% of study |
230/5422 |
Overall 4.2 median 4.7 (1.9–14.3%) 4.6 only benign histology no minimum number |
NA | IV/D | Not detailed | No minimum number |
| Weiss [39] et al., 2010 | 150,012 | 1.34% |
LV 2.3% IV 1.6% HV 1% |
III/C | HV decreased risk; mortality in bleeding increased | No minimum number | |
| Tuggle [35]et al., 2011 |
6762 thyroidectomy same day discharge |
NA | NA | NA | IV/D | Same day disch. more often high vol hosp. (p > 0.001) | No minimum number |
| Loyo [7] et al., 2013 | 871,644 pat. | NA | NA |
All over postop surg. complication OR 0.83 p = 0.12 specific postop complic. high vol hosp OR 0.72 p = 0.031 |
III/C |
Proc./annum ≤ 25/a very low 26–42/a low 43–76 intermediate > 76/a high |
No minimum number |
| Kandil [9]et al., 2013 | 46,261 proc | NA | NA | NA | IV/D |
Total thyroidectomy > 75 percentile TT/year |
Hosp vol inconsistent and marginal effect all over outcome |
| Dehal [45] et al., 2014 | 147,344 | 1.5% | HV no effect; mortality in bleeding increased | No minimum number | |||
| Hauch [42] et al., 2014 | 62,722 | 1.2% |
LV 1.54% HV 1.24% |
III/C | NA | No minimum number | |
| Liang [12] et al., 2016 | NA | NA | NA | II/C |
1–200 proc/a low > 200 proc/a high |
No minimum number | |
| Maneck [46] et al., 2017 | 66,902 | NA |
I 1.5% II 1.8% III 1.8% IV 1.9% V 1.9% |
NA | IV/D |
I 1–49 II 50–89 III 90–180 IV 181–384 V 385–2052 |
No minimum number |
| Thomusch [19] et al., 2018 | 22,011, benign and AIT | NA | NA | NA | III/C | NA | No minimum number |
| Bartsch [43] et al., 2019 | 12,888 benign goiter | 180 | 1.4% benign goiter vs. 1.7 Graves‘ | III/C | All over rate, no volume correlation prov.; hosp. vol. range < 50 proc/a-> 300 proc/a | No minimum number |