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The optimal numerosity of the referral population of pituitary tumors centers of excellence (PTCOE): A surgical perspective.
Mortini, Pietro; Nocera, Gianluca; Roncelli, Francesca; Losa, Marco; Formenti, Anna Maria; Giustina, Andrea.
Afiliação
  • Mortini P; Division of Neurosurgery and Gamma-Knife Radiosurgery, San Raffaele Scientific Insitute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy. mortini.pietro@hsr.it.
  • Nocera G; Division of Neurosurgery and Gamma-Knife Radiosurgery, San Raffaele Scientific Insitute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
  • Roncelli F; Division of Neurosurgery and Gamma-Knife Radiosurgery, San Raffaele Scientific Insitute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
  • Losa M; Division of Neurosurgery and Gamma-Knife Radiosurgery, San Raffaele Scientific Insitute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
  • Formenti AM; Division of Endocrinology, San Raffaele Scientific Institute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
  • Giustina A; Division of Endocrinology, San Raffaele Scientific Institute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
Rev Endocr Metab Disord ; 21(4): 527-536, 2020 Dec.
Article em En | MEDLINE | ID: mdl-32488741
ABSTRACT
Surgical experience is of paramount importance to reach therapeutic success and minimize operative complications. In the field of pituitary surgery, this led to the concept of Pituitary Center of Excellence (PTCOE) defined as a center where an interdisciplinary team works in collaboration and where surgeons can be trained appropriately to reach and keep excellence in daily practice. To review the literature to define the optimal referral population size to establish a PTCOE to optimize both training and specific field research. A review of the literature was performed about epidemiology. The time needed to observe 200 cases of PAs in a single PTCOE and to reach the minimal surgical experience threshold (MSET) was calculated for different referral population groups. The time needed to reach MSET decreased as population size increased. We defined a population as the optimal one to be served by a single PTCOE with a single dedicated neurosurgeon. PTCOEs should be established after an analysis of the referral population, number of cases suitable for surgical treatment and number of dedicated neurosurgeons.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Hipofisárias / Encaminhamento e Consulta / Competência Clínica / Procedimentos Neurocirúrgicos / Centros de Atenção Terciária / Neurocirurgiões Idioma: En Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Hipofisárias / Encaminhamento e Consulta / Competência Clínica / Procedimentos Neurocirúrgicos / Centros de Atenção Terciária / Neurocirurgiões Idioma: En Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Itália