Does PGY Level Equate Entrustment Level? Variability in Faculty Entrustment Ratings.

Objective: Data regarding faculty behavior in selecting entrustment within the Entrustable Professional Activities (EPAs) framework is sparse. This study aimed to assess faculty variability in entrustment level ratings by general surgery resident postgraduate year (PGY).

Design, Setting, And Participants: Intra-operative EPA assessments were collected from November 2023 to October 2024 in a single institution.

Diagnosis and Management Gaps in Tertiary Hyperparathyroidism Following Renal Transplant.

BackgroundTertiary hyperparathyroidism (3HPT) occurs when hypercalcemia and elevated parathyroid hormone (PTH) persist after renal transplantation. Our study aims to identify gaps in the diagnosis and treatment of patients with 3HPT.MethodsIn a single-center retrospective analysis, we identified renal transplant patients with 3HPT based on the history of secondary hyperparathyroidism, preserved renal allograft function, and persistent serum PTH elevations (12-88 pg/mL) during postoperative follow-up.

Bibliometric review of journal articles on pancreatic cancer: insights into productivity and impact.

Background: Bibliometric review offers a comprehensive and quantitative evaluation of pancreatic cancer research, focusing on journal and author productivity. Despite significant efforts to improve pancreatic cancer outcomes and expand the literature on the topic, there is still insufficient data on influential journals and article impact measures to guide researchers through journal submissions. This article aims to evaluate research productivity and identify influential journals and authors within the field.

Risk of Cardiovascular Complications in Thyrotoxicosis: Thyroidectomy Versus Nonoperative Management.

Introduction: Thyrotoxicosis is a hypermetabolic state that can be managed with antithyroid drugs, radioactive iodine (RAI), or thyroidectomy. However, the long-term cardiovascular effects of these treatments remain unclear. This study evaluates surgical versus nonsurgical approaches on new-onset cardiovascular complications in thyrotoxicosis patients.

Evaluating Thyroid Cancer Risk in Glucagon-like Peptide-1 Analog Users With Thyroid Nodules.

Introduction: Thyroid nodules are common and require vigilant monitoring due to malignancy potential. They become particularly concerning in patients using glucagon-like peptide (GLP-1) analogs, which are associated with a proposed increased risk of medullary thyroid cancer. This study aims to evaluate the incidence of thyroid cancer in patients with thyroid nodules treated with GLP-1 analogues.

Outcomes in Pediatric Thyroid Surgery Across Multiple Institutions.

Introduction: Surgical management plays a crucial role in managing thyroid disease in the pediatric population as evidenced by the increasing volume of such cases over the years. This study aims to evaluate the outcomes of thyroid surgery in children, adolescents, and young adults by meta-analyzing outcomes across several institutions.

Methods: A comprehensive literature search for single institutional studies was performed across PubMed, Science Direct, Embase, Scopus, and Google Scholar.

Normocalcemic Hyperparathyroidism: Bridging the Gap in Parathyroid Research.

Introduction: Previous studies from single-institution cohorts have shown that patients with normocalcemic primary hyperparathyroidism (ncPHPT) are just as symptomatic as patients with classic PHPT. There is currently no large-scale database analysis of ncPHPT, so with the TriNetX database, a large international database, trends on ncPHPT can be studied over a large cohort of patients. The aim of this project is to characterize the diagnostic and treatment paradigm for ncPHPT in the TriNetX database.

Using ex vivo radioactivity measurement to differentiate parathyroid single-gland and multigland disease.

Background: Radioguided parathyroidectomy is based on the principle that hyperfunctioning parathyroid glands have increased radiotracer uptake, which can be measured instantaneously. We sought to determine if ex vivo radioactivity measurement could be used to predict parathyroid pathology and guide surgical decision-making in a time-efficient manner. Materials and Methods: We retrospectively reviewed patients with primary hyperparathyroidism who underwent parathyroidectomy at our institution (2000-2022).

Beyond the Scale: Exploring Parathyroidectomy Outcomes in Super Obesity (BMI ≥ 50).

Introduction: Super obesity (body mass index ≥50) poses unique surgical challenges; however, its impact on parathyroidectomy outcomes is unexplored. This study examines surgical risks, recovery, and success rates in super-obese patients undergoing parathyroidectomy.

Methods: A retrospective cohort of 3206 patients (84 super-obese, 3076 nonsuper-obese) who underwent parathyroidectomy from 2000 to 2024 was analyzed.

Beyond the Neck: When Is Thoracic Operation Needed for Thyroidectomy?

Background: Although most patients with intrathoracic thyroid glands can undergo thyroidectomy via a cervical incision, some cases necessitate intraoperative thoracic surgery assistance. This study aimed to identify CT findings that predict the need for thoracic surgery assistance during thyroidectomy.

Study Design: We reviewed administrative data at our institution (2012 to 2023), encompassing 7,370 thyroidectomies, to identify patients who underwent thyroidectomy for intrathoracic thyroid glands, defined as thyroid glands that extended below the sternal notch.

Changes in Bone Mineral Density After Parathyroidectomy in Patients With Primary Hyperparathyroidism.

Introduction: Patients with primary hyperparathyroidism (PHPT) are prone to low bone mineral density (BMD). This study aimed to explore factors associated with improved bone health after parathyroidectomy (PTx).

Methods: We conducted a retrospective analysis of patients who underwent PTx for PHPT at our institution between 2016 and 2020.

Does Parathyroid Autotransplantation Prevent Hypoparathyroidism after Thyroid Surgery?

Objective: To assess the impact of parathyroid gland autotransplantation on the restoration of parathyroid function in patients who are hypoparathyroid after thyroidectomy.

Background Data: Hypoparathyroidism post-thyroidectomy arises when all parathyroid glands are devascularized or injured. Autotransplantation of compromised parathyroids aims to preserve their function and prevent permanent hypoparathyroidism.

A Postanesthesia Care Unit Parathyroid Hormone-Based Protocol for Managing Postthyroidectomy Hypocalcemia.

Introduction: Hypocalcemia occurs in 20%-40% of total thyroidectomy cases, traditionally requires 1-2 ds of hospitalization for management. This study examines the extent of hypocalcemia following a postanesthesia care unit (PACU) parathyroid hormone (PTH)-based protocol after outpatient thyroidectomy.

Methods: Patients who underwent total or completion thyroidectomy for non-Graves' disease at a single institution between December 2015 and September 2023 were included.

Loss of Follow-up for Thyroid Nodules in Patients Living in Poverty.

Introduction: Inadequate surveillance of thyroid nodules can lead to cancer progression. This study examines patient characteristics that correlate with failure to follow up after thyroid nodule detection.

Methods: We performed a retrospective analysis of patients who underwent fine needle aspiration for thyroid nodules and studied subsequent thyroid ultrasounds, clinic visits, and thyroidectomies longitudinally.

Incidental Thyroid Nodules on Computed Tomography: A Systematic Review and Meta-Analysis Examining Prevalence, Follow-Up, and Risk of Malignancy.

The increased utilization of computed tomography (CT) has led to a higher detection rate of thyroid incidentalomas. Currently, there are no widely agreed-upon guidelines for managing these incidentalomas. This study aims to investigate the prevalence, follow-up practices, and malignancy rates of thyroid incidentalomas detected by CT.

Effect of Delayed Parathyroidectomy on Risk of Future Cardiovascular and Nephrolithiasis Interventions in Adults with Primary Hyperparathyroidism [Original Study].

Objective: To determine whether the timing of parathyroid surgery impacts the risk of renal stone retreatment and cardiovascular interventions.

Summary Background Data: Long-term, untreated primary hyperparathyroidism is associated with significant morbidity including nephrolithiasis and cardiovascular disease.

Methods: We conducted a Population-based Cohort study of New York and California state-wide data from 2000-2020.

From routine to rescue: Thyroidectomy for life-threatening thyrotoxicosis.

Background: Thyroidectomies are routinely same-day elective procedures. The aim of this study was to investigate outcomes in patients who underwent uncommon urgent thyroidectomy.

Methods: We retrospectively reviewed patients diagnosed with thyrotoxicosis at a quaternary medical center between 2011 and 2023.

Risk of neuropsychiatric disorders in primary hyperparathyroidism: Parathyroidectomy versus nonoperative management.

Background: Neuropsychiatric disorders frequently manifest in primary hyperparathyroidism (PHPT), yet evidence of parathyroidectomy's benefit remains mixed. We sought to compare the incidence of neuropsychiatric disorders among patients treated with parathyroidectomy versus nonoperative management.

Methods: We retrospectively reviewed our institutional administrative database for patients with PHPT.

Charting the Course: Insights into Neuroendocrine Tumor Dynamics in the United States.

Objective: To explore changing trends and characteristics in neuroendocrine tumors (NETs) epidemiology, focusing on demographics, clinical aspects, and survival, including the impact of social determinants of health (SDOH) on outcomes.

Background: The escalating incidence and prevalence of NETs underscore the pressing need for updated epidemiologic data to reveal the evolving landscape of this condition. Access to current information is imperative for informing clinical strategies and public health initiatives targeting NETs.

The Effects of Parathyroidectomy vs Medical Treatments for Secondary Hyperparathyroidism in Patients Undergoing Dialysis: A Meta-Analysis.

Objective: The management of secondary hyperparathyroidism in patients undergoing dialysis is debated, with uncontrolled parathyroid hormone (PTH) levels becoming more common despite the expanded use of medical treatments like cinacalcet. This study examines the clinical benefits of parathyroidectomy vs medical treatment in reducing mortality and managing key laboratory parameters in patients undergoing dialysis.

Methods: PubMed, Embase, Cochrane, Scopus, and Web of Science databases were searched for cohort studies or randomized controlled trials published before August 18, 2023.