{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T19:49:53Z","timestamp":1778528993716,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T00:00:00Z","timestamp":1454976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Engagement with improving the quality of clinical care is a key component of medical professionalism. Central to Quality Improvement (<jats:styled-content style=\"fixed-case\">QI<\/jats:styled-content>) agenda are the development of valid, reliable and accurate quality metrics. We cannot improve what we do not measure. Pituitary surgery, which in the 21st century usually means trans\u2010sphenoidal surgery (<jats:styled-content style=\"fixed-case\">TSS<\/jats:styled-content>), is unusual; it is a neurosurgical procedure in which complex outcomes can be measured precisely. We have clear guidelines for establishing remission\/cure in functional endocrine disease and precise diagnostic tools with which to investigate our patients. Visual recovery can be equally precisely measured with standardised equipment. Moreover, <jats:styled-content style=\"fixed-case\">TSS<\/jats:styled-content> is one of the commonest major surgical procedures carried out in the 34 <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> individual neurosurgical units. Most will carry out about 30\u201340 procedures each year, with four or five units notably higher with numbers in excess of one hundred cases. There are, potentially, plenty of data out there. Given this background, how best should we measure quality in this important area of clinical practice?<\/jats:p>","DOI":"10.1111\/cen.13007","type":"journal-article","created":{"date-parts":[[2015,12,28]],"date-time":"2015-12-28T04:18:41Z","timestamp":1451276321000},"page":"485-488","source":"Crossref","is-referenced-by-count":9,"title":["Quality indicators in pituitary surgery: a need for reliable and valid assessments. What should be measured?"],"prefix":"10.1111","volume":"84","author":[{"given":"Michael","family":"Powell","sequence":"first","affiliation":[{"name":"The National Hospital for Neurology and Neurosurgery Queen Square London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Grossman","sequence":"additional","affiliation":[{"name":"Oxford Centre for Diabetes, Endocrinology and Metabolism Churchill Hospital Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199702000-00001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e31826d5d06"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-1036"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2011.04193.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199310000-00008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2007.03012.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2012-3604"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.80.11.3114"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.86.12.5695"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1993.tb00976.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.2002.01369.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2003-030751"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.2002.01511.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1530\/eje.1.01921"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1993.tb00975.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0300-0664.2001.01444.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1530\/eje.1.02133"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-12-0921"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198509000-00008"},{"key":"e_1_2_8_21_1","first-page":"41","article-title":"The time course of visual field recovery following transsphenoidal surgery for pituitary adenomas: predictive factors for a good outcome","volume":"76","author":"Gnanalingham K.K.","year":"2004","journal-title":"Journal of Neurology, Neurosurgery and Psychiatry"}],"container-title":["Clinical Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcen.13007","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cen.13007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T22:32:16Z","timestamp":1695508336000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cen.13007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,9]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1111\/cen.13007"],"URL":"https:\/\/doi.org\/10.1111\/cen.13007","archive":["Portico"],"relation":{},"ISSN":["0300-0664","1365-2265"],"issn-type":[{"value":"0300-0664","type":"print"},{"value":"1365-2265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,9]]}}}