{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:42:11Z","timestamp":1790656931437,"version":"4.1.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,10,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This study investigated the indications, procedures and outcomes for adrenal surgery from the UK Registry of Endocrine and Thyroid Surgery database from 2005 to 2017, and compared outcomes between benign and malignant disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data on adrenalectomies were extracted from a national surgeon-reported registry. Preoperative diagnosis, surgical technique, length of hospital stay, morbidity and in-hospital mortality were examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 3994 adrenalectomies were registered among patients with a median age of 54 (i.q.r. 43\u201365) years (55\u00b79 per cent female). Surgery was performed for benign disease in 81\u00b75 per cent. Tumour size was significantly greater in malignant disease: 60 (i.q.r. 34\u2013100) versus 40 (24\u201355) mm (P &amp;lt; 0\u00b7001). A minimally invasive approach was employed in 90\u00b72 per cent of operations for benign disease and 48\u00b72 per cent for cancer (P &amp;lt; 0\u00b7001). The conversion rate was 3\u00b75-fold higher in malignant disease (17\u00b73 versus 4\u00b77 per cent; P &amp;lt; 0\u00b7001). The length of hospital stay was 3 (i.q.r. 2\u20135) days for benign disease and 5 (3\u20138) days for malignant disease (P &amp;lt; 0\u00b7050). In multivariable analysis, risk factors for morbidity were malignant disease (odds ratio (OR) 1\u00b769, 1\u00b722 to 2\u00b736; P\u00a0=\u00a00\u00b7002), tumour size larger than 60 mm (OR 1\u00b743, 1\u00b704 to 1\u00b798; P =\u00a00\u00b7028) and conversion to open surgery (OR 3\u00b748, 2\u00b716 to 5\u00b761; P &amp;lt; 0\u00b7001). The in-hospital mortality rate was below 0\u00b75 per cent overall, but significantly higher in the setting of malignant disease (1\u00b72 versus 0\u00b72 per cent; P &amp;lt; 0\u00b7001). Malignant disease (OR 4\u00b788, 1\u00b717 to 20\u00b734; P =\u00a00\u00b7029) and tumour size (OR 7\u00b747, 1\u00b752 to 39\u00b761; P =\u00a00\u00b7014) were independently associated with mortality in multivariable analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Adrenalectomy is a safe procedure but the higher incidence of open surgery for malignant disease appears to influence postoperative outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.11297","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T12:58:57Z","timestamp":1566219537000},"page":"1495-1503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Outcomes of surgery for benign and malignant adrenal disease from the British Association of Endocrine and Thyroid Surgeons' national registry"],"prefix":"10.1093","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-1489","authenticated-orcid":false,"given":"N","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Endocrine and General Surgery, University Hospital of Wales , Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8895-6717","authenticated-orcid":false,"given":"R J","family":"Egan","sequence":"additional","affiliation":[{"name":"Department of Endocrine and General Surgery, University Hospital of Wales , Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0318-8865","authenticated-orcid":false,"given":"B R","family":"Carter","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London , London, 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