{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T02:20:31Z","timestamp":1793845231112,"version":"4.6.1"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T00:00:00Z","timestamp":1394496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32 CA009614\u201023"],"award-info":[{"award-number":["T32 CA009614\u201023"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate a new thyroidectomy difficulty scale (TDS) for its inter\u2010rater agreement, correspondence with operative times, and correlation with complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We developed a four item, 20\u2010point TDS. Following cases where two board\u2010certified surgeons participated, each surgeon completed a TDS, blinded to the other\u2019s responses. Paired sets of TDS scores were compared. The relationship between operative time and TDS scores was analyzed with linear regression. Multiple regression evaluated the association of TDS scores and other clinical data with operative times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 119 patients were scored using TDS. In this cohort, 22.7 % suffered from hyperthyroidism, 37.8 % experienced compressive symptoms, and 58.8 % had cancer. The median total TDS score was 8, and both surgeons\u2019 total scores exhibited a high degree of correlation. Overall, 87.4 % of the two raters\u2019 total scores were within one point of each other. Patients with hyperthyroidism received higher median scores than euthyroid patients (10 vs. 8, <jats:italic>p<\/jats:italic> &lt; 0.01). Similarly, patients who suffered a complication had higher scores than those without complications (10 vs. 8, <jats:italic>p<\/jats:italic> = 0.04). TDS scores demonstrated a linear relation with operative times (R<jats:sup>2<\/jats:sup> = 0.36, <jats:italic>p<\/jats:italic> &lt; 0.01). Cases with a score of \u226514 took 41.0 % longer compared to cases with scores of \u22645 (<jats:italic>p<\/jats:italic> &lt; 0.01). In the multiple regression analysis, TDS scores independently predicted the operative time (<jats:italic>p<\/jats:italic> &lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TDS is an accurate tool whose scores correlate with more difficult thyroidectomies as measured by complications and operative times.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2489-z","type":"journal-article","created":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T17:27:06Z","timestamp":1394472426000},"page":"1984-1989","source":"Crossref","is-referenced-by-count":36,"title":["Novel Thyroidectomy Difficulty Scale Correlates with Operative Times"],"prefix":"10.1002","volume":"38","author":[{"given":"David F.","family":"Schneider","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Endocrine Surgery University of Wisconsin K3\/738, Clinical Science Center, 600 Highland Avenue 53792 Madison WI 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