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Reviews in Endocrine and Metabolic Disorders

Erschienen in:

02.06.2020

The optimal numerosity of the referral population of pituitary tumors centers of excellence (PTCOE): A surgical perspective

verfasst von: Pietro Mortini, Gianluca Nocera, Francesca Roncelli, Marco Losa, Anna Maria Formenti, Andrea Giustina

Erschienen in: Reviews in Endocrine and Metabolic Disorders | Ausgabe 4/2020

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Abstract

Surgical experience is of paramount importance to reach therapeutic success and minimize operative complications. In the field of pituitary surgery, this led to the concept of Pituitary Center of Excellence (PTCOE) defined as a center where an interdisciplinary team works in collaboration and where surgeons can be trained appropriately to reach and keep excellence in daily practice. To review the literature to define the optimal referral population size to establish a PTCOE to optimize both training and specific field research. A review of the literature was performed about epidemiology. The time needed to observe 200 cases of PAs in a single PTCOE and to reach the minimal surgical experience threshold (MSET) was calculated for different referral population groups. The time needed to reach MSET decreased as population size increased. We defined a population as the optimal one to be served by a single PTCOE with a single dedicated neurosurgeon. PTCOEs should be established after an analysis of the referral population, number of cases suitable for surgical treatment and number of dedicated neurosurgeons.

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Titel: The optimal numerosity of the referral population of pituitary tumors centers of excellence (PTCOE): A surgical perspective
verfasst von: Pietro Mortini
Gianluca Nocera
Francesca Roncelli
Marco Losa
Anna Maria Formenti
Andrea Giustina
Publikationsdatum: 02.06.2020
Verlag: Springer US
Erschienen in: Reviews in Endocrine and Metabolic Disorders / Ausgabe 4/2020
Print ISSN: 1389-9155
Elektronische ISSN: 1573-2606
DOI: https://doi.org/10.1007/s11154-020-09564-7

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The optimal numerosity of the referral population of pituitary tumors centers of excellence (PTCOE): A surgical perspective

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