{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:16:14Z","timestamp":1773116174012,"version":"3.50.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Surgery is, next to medical and radiation therapy, the mainstay\n                    therapy for pituitary adenomas. While scientific consensus regarding the key\n                    aspects of pituitary surgery exists among neurosurgeons, procedures are not\n                    standardized and might vary significantly between hospitals and surgeons.<\/jats:p><jats:p>\n          Objective To provide an overview of how neurosurgical departments in\n                    Germany manage pituitary surgery.<\/jats:p><jats:p>\n          Methods Responses from the European Pituitary Adenoma Surgery Survey were\n                    analyzed. The survey contained 60 questions regarding demographics, training,\n                    surgical and endocrinological aspects, and patient management.<\/jats:p><jats:p>\n          Results Sixty neurosurgical centers from Germany responded to the survey.\n                    Among the centers, 35.3% (n=18) exclusively use the microscopic\n                    and 31.1% (n=14) the endoscopic technique; all other centers\n                    (n=28) use both approaches. Of responding centers, 20%\n                    (n=12) perform less than 10 transsphenoidal pituitary surgeries per\n                    year, and 1.7% (n=1), more than 100 operations. The number of\n                    transcranial pituitary operations is significantly smaller, with 53.3%\n                    of centers performing only 0\u20132 per year, 35% performing\n                    3\u20135, and only one center (1.7%) performing more than 15\n                    transcranial operations per year. In 8 centers (13.3%), surgeries are\n                    always performed together with an ENT surgeon; in 29 centers (48.4%) ENT\n                    surgeons are never involved. In most centers (n=54, 90%)\n                    intraoperative MRI is not available. Image guidance (with preoperative CT\n                    and\/or MRI data) is used by 91.7% of respondents (n=55).\n                    Forty-two centers (72.4%) routinely prescribe hydrocortisone after\n                    pituitary surgery, and 75% (n=45) have pituitary board meetings\n                    with endocrinologists, radiologists, and radiosurgeons. Fifty-two\n                    (86.7%) respondents perform the first follow-up scan by MRI 3\u20134\n                    months after surgery.<\/jats:p><jats:p>\n          Conclusions The data showed differences as well as similarities between\n                    centers and could help to discuss the standardization of methods and the\n                    formation of networks and certification to improve patient care.<\/jats:p>","DOI":"10.1055\/a-2061-1284","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T23:45:20Z","timestamp":1679615120000},"page":"362-366","source":"Crossref","is-referenced-by-count":5,"title":["Pituitary Surgery in Germany \u2013 Findings from the European\n                    Pituitary Adenoma Surgery Survey"],"prefix":"10.1055","volume":"131","author":[{"given":"Malte","family":"Ottenhausen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Mainz, Mainz,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Conrad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Mainz, Mainz,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darius","family":"Kalasauskas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Mainz, Mainz,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Netuka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Neurooncology, First Faculty of\n                    Medicine, Charles University and Military Hospital, Prague, Czech\n                    Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Ringel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Mainz, Mainz,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3171\/2012.5.FOCUS12129","article-title":"Hermann Schloffer and the origin of transsphenoidal pituitary surgery","volume":"33","author":"R F Schmidt","year":"2012","journal-title":"Neurosurg Focus"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1001\/jama.1910.04330090046014","article-title":"Endonasal method of removal of hypophyseal tumors with report of two successful\n                    cases","volume":"55","author":"O Hirsch","year":"1910","journal-title":"JAMA"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3171\/2014.2.FOCUS13547","article-title":"Expanding the borders: The evolution of neurosurgical approaches","volume":"36","author":"M 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fusion","volume":"116","author":"M Ottenhausen","year":"2018","journal-title":"World Neurosurg"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.wneu.2014.03.032","article-title":"Endoscopic endonasal resection of suprasellar meningiomas: The importance of\n                    case selection and experience in determining extent of resection, visual\n                    improvement, and complications","volume":"82","author":"M Ottenhausen","year":"2014","journal-title":"World Neurosurg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.clineuro.2013.11.006","article-title":"Low-dose intrathecal fluorescein and etiology-based graft choice in endoscopic\n                    endonasal closure of CSF leaks","volume":"116","author":"M A Banu","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jocn.2022.02.006","article-title":"The effects of cerebrospinal fluid (CSF) diversion on post-operative CSF leak\n                    following extended endoscopic anterior skull base surgery","volume":"98","author":"C W Huo","year":"2022","journal-title":"J Clin Neurosci"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.wneu.2018.06.090","article-title":"The role of the lumbar drain in endoscopic endonasal skull base surgery: A\n                    retrospective analysis of 811 cases","volume":"117","author":"C Caggiano","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2061-1284.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T23:34:38Z","timestamp":1686785678000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2061-1284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,23]]},"references-count":26,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2023,6,14]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2061-1284","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"value":"0947-7349","type":"print"},{"value":"1439-3646","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,3,23]]},"published":{"date-parts":[[2023,3,23]]}}}