{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:06:47Z","timestamp":1789787207131,"version":"4.0.1"},"reference-count":14,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1016\/j.surg.2023.07.028","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T16:59:50Z","timestamp":1695747590000},"page":"782-787","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["High-volume endocrine surgeons perform thyroid surgery at decreased cost despite increased case relative value units"],"prefix":"10.1016","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9762-3698","authenticated-orcid":false,"given":"Gustavo","family":"Romero-Velez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4442-8944","authenticated-orcid":false,"given":"Salem I.","family":"Noureldine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talia","family":"Burneikis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4691-1080","authenticated-orcid":false,"given":"Allan","family":"Siperstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2023.07.028_bib1","first-page":"e4127","article-title":"Epidemiology of thyroid cancer: a review of the National Cancer Database, 2000-2013","volume":"11","author":"Olson","year":"2019","journal-title":"Cureus"},{"key":"10.1016\/j.surg.2023.07.028_bib2","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1089\/thy.2020.0643","article-title":"Trends in thyroid surgery and guideline-concordant care in the United States, 2007-2018","volume":"31","author":"Toumi","year":"2021","journal-title":"Thyroid"},{"key":"10.1016\/j.surg.2023.07.028_bib3","series-title":"Redefining Health Care: Creating Value-Based Competition on Results","author":"Porter","year":"2006"},{"key":"10.1016\/j.surg.2023.07.028_bib4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-066568","article-title":"Cost measurement in value-based healthcare: a systematic review","volume":"12","author":"Leusder","year":"2022","journal-title":"BMJ Open"},{"key":"10.1016\/j.surg.2023.07.028_bib5","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1001\/jamaoto.2019.1752","article-title":"Association between annual surgeon total thyroidectomy volume and transient and permanent complications","volume":"145","author":"Meltzer","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib6","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/00000658-199809000-00005","article-title":"The importance of surgeon experience for clinical and economic outcomes from thyroidectomy","volume":"228","author":"Sosa","year":"1998","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib7","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1007\/s00423-021-02223-8","article-title":"The volume and outcome relationship for thyroidectomy in England","volume":"406","author":"Gray","year":"2021","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib8","doi-asserted-by":"crossref","first-page":"3844","DOI":"10.1245\/s10434-014-3846-8","article-title":"Total thyroidectomy is associated with increased risk of complications for low- and high-volume surgeons","volume":"21","author":"Hauch","year":"2014","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2023.07.028_bib9","doi-asserted-by":"crossref","first-page":"5","DOI":"10.11138\/gchir\/2018.39.1.005","article-title":"Surgeon volume and hospital volume in endocrine neck surgery: how many procedures are needed for reaching a safety level and acceptable costs? A systematic narrative review","volume":"39","author":"Melfa","year":"2018","journal-title":"GHIR"},{"key":"10.1016\/j.surg.2023.07.028_bib10","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/0194599816634627","article-title":"Associations of volume and thyroidectomy outcomes: a nationwide study with systematic review and meta-analysis","volume":"155","author":"Liang","year":"2016","journal-title":"Head Otolaryngol Neck Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib11","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1001\/jamaoto.2015.2503","article-title":"Association of surgeon volume with outcomes and cost savings following thyroidectomy: a national forecast","volume":"142","author":"Al-Qurayshi","year":"2016","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-072234","article-title":"Protocol for a realist and social return on investment evaluation of the use of patient-reported outcomes in four value-based healthcare programmes","volume":"13","author":"Roberts","year":"2023","journal-title":"BMJ Open"},{"key":"10.1016\/j.surg.2023.07.028_bib13","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1097\/SLA.0000000000005595","article-title":"Do individual surgeon preferences affect procedural outcomes?","volume":"276","author":"Mohamadipanah","year":"2022","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.07.028_bib14","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1377\/hlthaff.2017.0385","article-title":"Low-cost, high-volume health services contribute the most to unnecessary health spending","volume":"36","author":"Mafi","year":"2017","journal-title":"health affairs"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606023005068?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606023005068?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:09:02Z","timestamp":1758539342000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606023005068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["S0039606023005068"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2023.07.028","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"High-volume endocrine surgeons perform thyroid surgery at decreased cost despite increased case relative value units","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2023.07.028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}