{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:43:16Z","timestamp":1761007396101,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine outcomes of pediatric thyroidectomy in the context of training background, institution, and experience of the surgeon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A tertiary academic medical center and a pediatric hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Eighty\u2010one thyroidectomy patients younger than 18 years. Outcomes were major complications (recurrent laryngeal nerve injury, permanent hypocalcemia, and wound infection), length of stay (LOS), and need for repeat surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010one patients, 39 from the University of Nebraska Medical Center and 42 from the Children\u2019s Hospital and Medical Center\u2013Omaha, were identified over a 12\u2010year time period. No difference was found in surgeon training (otolaryngology\/head and neck surgery vs general\/pediatric surgery) for complications (1 vs 1, odds ratio [OR] = 0.76, 95% confidence interval [CI] = [0.05, 13.1]), LOS &gt;1\u00a0day (5 vs 13, OR = 0.39, 95% CI = [0.13, 1.24]), or need for second surgery (4 vs 7, OR = 1.47, 95% CI = [0.39, 5.49]). Higher surgeon volume (\u226512 surgeries) was found to be significant for decreased need for second surgery (3 vs 8, OR = 6.67, 95% CI = [1.57, 27.17]). Patients of higher\u2010volume surgeons were 4.2 times more likely to stay in the hospital 1\u00a0day or less compared with those patients operated on by surgeons with less experience (7 vs 11, 95% CI = [1.59, 15.0]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Need for second surgery in pediatric thyroidectomy may be predicted by surgical volume.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2473974x17728257","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T16:27:46Z","timestamp":1503592066000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Does Surgical Volume Influence the Need for Second Surgery? A Pilot Study"],"prefix":"10.1002","volume":"1","author":[{"given":"Paul D.","family":"Judge","sequence":"first","affiliation":[{"name":"Otolaryngology\/Head and Neck Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Menousek","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center School of Medicine Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan C.","family":"Schramm","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology University of Utah Primary Children\u2019s Hospital Utah Valley Hospital Provo Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Cusick","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Children\u2019s Hospital and Medical Center\u2013Omaha Omaha Nebraska 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