{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:31:12Z","timestamp":1761006672596,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T00:00:00Z","timestamp":1692921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to quantify trends in operative volumes and complications of endoscopic sellar surgery before and after the COVID\u201019 pandemic onset.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We performed a retrospective analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>TriNetX database analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All adults undergoing neuroendoscopy for resection of pituitary tumor (Current Procedural Terminology code 62165) with diagnosis of benign\/malignant neoplasm of pituitary gland (D35.2\/C75.1) or benign\/malignant neoplasm of craniopharyngeal duct (D35.3\/C75.2) were included using the TriNetX database for 2 years before (pre\u2010COVID group) and 2 years after (post\u2010COVID group) February 17, 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1238 patients in the pre\u2010COVID group and 1186 patients in the post\u2010COVID group were compared. Age, gender, and race were statistically similar between the groups (<jats:italic>P<\/jats:italic>\u2009&gt;\u2009.05). Surgical volume decreased by 6% in the post\u2010COVID group. In 2020 Q2, operative volume decreased by 19%, and in 2021 Q4 (peak COVID\u201019 caseload in the United States), operative volumes decreased by 29% compared to 2 years prior. Postoperative complications including meningitis (<jats:italic>P<\/jats:italic>\u2009=\u2009.49), cerebrospinal fluid leak (<jats:italic>P<\/jats:italic>\u2009=\u2009.36), visual field deficits (<jats:italic>P<\/jats:italic>\u2009=\u2009.07), postoperative pneumonia or respiratory failure (<jats:italic>P<\/jats:italic>\u2009=\u2009.42), and 30\u2010day readmission rates (<jats:italic>P<\/jats:italic>\u2009=\u2009.89) were similar between the 2 groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, endoscopic sellar surgery may continue to fluctuate with increased COVID\u201019 outbreaks. Patient outcomes do not appear to be worsened by decreased operative volumes or delays in nonurgent surgeries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.505","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T07:24:10Z","timestamp":1692948250000},"page":"260-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Multi\u2010institutional Analysis of Endoscopic Sellar Surgical Volumes During the COVID\u201019 Pandemic"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2534-3272","authenticated-orcid":false,"given":"Mandy K.","family":"Salmon","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3727-8287","authenticated-orcid":false,"given":"Jacob G.","family":"Eide","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3113-2685","authenticated-orcid":false,"given":"Rijul S.","family":"Kshirsagar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6419-7373","authenticated-orcid":false,"given":"Rachel","family":"Blue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6309-5153","authenticated-orcid":false,"given":"Daniel","family":"Yoshor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sean Grady","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Y.K.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James N.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nithin D.","family":"Adappa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22326"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21511"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-12-94"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/2020.9.FOCUS20569"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyaa125"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102569"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40618-020-01354-x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11670"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110806"},{"key":"e_1_2_9_11_1","unstructured":"TriNetX.\u00a0Publication guidelines.2023. Accessed April 17 \u00a02022.https:\/\/trinetx.com\/real-world-resources\/publications\/trinetx-publication-guidelines\/"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001191"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract11040093"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.38038"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26260"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420927178"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00424-7"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP-2020-0308"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-020-04396-5"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2018.0153"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-020-04497-1"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:45:12Z","timestamp":1760953512000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,25]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ohn.505"],"URL":"https:\/\/doi.org\/10.1002\/ohn.505","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2023,8,25]]},"assertion":[{"value":"2023-04-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}