{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:05:20Z","timestamp":1767139520191,"version":"build-2238731810"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010operative management after phaeochromocytoma resection includes monitoring of blood pressure and blood sugar, and vigilance for haemorrhage. Guidelines recommend 24 h of continuous blood pressure monitoring, usually necessitating HDU\/ICU admission. We hypothesised that most patients undergoing phaeochromocytoma resection do not require post\u2010operative HDU\/ICU admission. We aim to describe current Australian and New Zealand perioperative management of phaeochromocytoma and determine whether it is safe to omit HDU\/ICU care for most patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We collected retrospective data on patients undergoing excision of phaeochromocytoma in 12 centres around Australia and New Zealand between 2007 and 2019. Data collected included preoperative medical management, anaesthetic management, vasopressor support, HDU\/ICU admission and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 223 patients were included in the study, 173 (77%) of whom were admitted to HDU\/ICU post\u2010operatively. The group of patients treated in ICU was similar to the group of patients treated on the ward in terms of demographic and tumour characteristics, and there were significant differences in the proportion of patients admitted to HDU\/ICU between centres. Of patients admitted to ICU, 71 (41%) received vasopressor support. This was weaned within 24 h in 55 (77%) patients. Patients with larger tumours (&gt;\u20096\u00a0cm) and a transfusion requirement are more likely to require prolonged inotropic support. Among patients admitted to the ward, there were no complications that required escalation of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although not widespread practice in Australia and New Zealand, it appears safe for the majority of patients undergoing minimally invasive resection of phaeochromocytoma to be admitted to the ward post\u2010operatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-020-05866-8","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T13:03:31Z","timestamp":1605877411000},"page":"790-796","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Bi\u2010national Review of Phaeochromocytoma Care: Is ICU Admission Always Necessary?"],"prefix":"10.1002","volume":"45","author":[{"given":"Alexander J.","family":"Papachristos","sequence":"first","affiliation":[{"name":"Endocrine Surgery Unit Royal Melbourne Hospital, Grattan St. Parkville 3050 Melbourne VIC Australia"},{"name":"Endocrine Surgery Unit University of Sydney, Royal North Shore Hospital Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany J.","family":"Cherry","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit Royal Melbourne Hospital, Grattan St. Parkville 3050 Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munyaradzi G.","family":"Nyandoro","sequence":"additional","affiliation":[{"name":"Department of General Surgery Fiona Stanley Hospital Melville WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Lisewski","sequence":"additional","affiliation":[{"name":"Department of General Surgery Fiona Stanley Hospital Melville WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah\u2010Jayne","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Christchurch Hospital, Canterbury DHB Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"Mercer","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Christchurch Hospital, Canterbury DHB Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suren","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit University of Sydney, Royal North Shore Hospital Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stan B.","family":"Sidhu","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit University of Sydney, Royal North Shore Hospital Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S.","family":"Sywak","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit University of Sydney, Royal North Shore Hospital Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas D. A.","family":"Blefari","sequence":"additional","affiliation":[{"name":"Division of Surgery John Hunter Hospital Newcastle NSW Australia"},{"name":"School of Medicine and Public Health University of Newcastle Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine J.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Division of Surgery John Hunter Hospital Newcastle NSW Australia"},{"name":"School of Medicine and Public Health University of Newcastle Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin S.","family":"Gundara","sequence":"additional","affiliation":[{"name":"Department of General and Endocrine Surgery Logan Hospital Logan QLD Australia"},{"name":"School of Medicine Griffith University Gold Coast QLD Australia"},{"name":"Faculty of Medicine University of Queensland Herston QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie 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Following is the corrected table.","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was obtained by each of the participating sites.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}