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Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas

D. Netuka, A. Grotenhuis, N. Foroglou, F. Zenga, S. Froehlich, F. Ringel, N. Sampron, N. Thomas, M. Komarc, M. Majovsky

. 2022 ; 2022 (-) : 7206713. [pub] 20220411

Jazyk angličtina Země Egypt

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22017392

Objective: Pituitary adenoma surgery has evolved rapidly in recent decades. This study aims to determine current practice across a wide range of European neurosurgical centers. Methods: A list of eligible departments performing pituitary adenoma surgery was created. The survey consisted of 58 questions. For analysis, the departments were divided into four subgroups: academic/nonacademic, high-volume/low-volume, "mainly endoscopic/mainly microscopic practice," and geographical regions. Results: Data from 254 departments from 34 countries were obtained. In 108 centers (42.5%), <30 pituitary adenomas were operated per year. Twenty (7.9%) centers performed >100 adenoma surgeries per year. Number of neurosurgeons performing endonasal surgeries are as follows: 1 in 24.9% of centers and 2 in 49.8% of centers. All residents assisted endonasal surgeries in 126 centers (49.8%). In 28 centers (21.1%), all residents performed endonasal surgery under supervision during residency. In 141 centers (56.8%), the endoscopic approach was used in >90% of the surgeries. Regular pituitary board (either weekly or once a month) meetings were held in 147 centers (56.3%). Nonfunctioning adenomas represent >70% of pituitary caseload in 149 centers (58.7%). Conclusions: In our survey, most centers perform less than 100 surgeries for pituitary adenomas. In most centers, pituitary surgeries are performed by one or two neurosurgeons. Residents have a limited exposure to this type of surgery, and the formal pituitary board is not a standard. Nonfunctioning adenomas make up most of surgically treated adenomas. This study can serve as a benchmark for further analyses of pituitary adenoma centers in Europe.

Citace poskytuje Crossref.org

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$a Netuka, David $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic $1 https://orcid.org/0000000186094789 $7 xx0061783
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$a Grotenhuis, Andre $u Department of Neurosurgery, Radboud University Medical Centre Nijmegen, Nijmegen, Netherlands
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$a Sampron, Nicolas $u Neurosurgery Department, University Hospital Donostia, San Sebastian, Donostia, Spain
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$a Thomas, Nick $u Department of Neurosurgery, Kings College, London, UK
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$a Komarc, Martin $u Institute of Biophysics and Informatics, First Faculty of Medicine, Charles University, Prague, Czech Republic $u Department of Methodology, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
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$a Majovsky, Martin $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic
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