Pituitary Surgery in Germany – Findings from the European Pituitary Adenoma Surgery Survey

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F23%3A00001313" target="_blank" >RIV/61383082:_____/23:00001313 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/23:10465961

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/36958349/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/36958349/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1055/a-2061-1284" target="_blank" >10.1055/a-2061-1284</a>

Result language

angličtina

Original language name

Pituitary Surgery in Germany – Findings from the European Pituitary Adenoma Surgery Survey

Original language description

Surgery is, next to medical and radiation therapy, the mainstay therapy for pituitary adenomas. While scientific consensus regarding the key aspects of pituitary surgery exists among neurosurgeons, procedures are not standardized and might vary significantly between hospitals and surgeons.Objective To provide an overview of how neurosurgical departments in Germany manage pituitary surgery.Methods Responses from the European Pituitary Adenoma Surgery Survey were analyzed. The survey contained 60 questions regarding demographics, training, surgical and endocrinological aspects, and patient management.Results Sixty neurosurgical centers from Germany responded to the survey. Among the centers, 35.3% (n=18) exclusively use the microscopic and 31.1% (n=14) the endoscopic technique; all other centers (n=28) use both approaches. Of responding centers, 20% (n=12) perform less than 10 transsphenoidal pituitary surgeries per year, and 1.7% (n=1), more than 100 operations. The number of transcranial pituitary operations is significantly smaller, with 53.3% of centers performing only 0-2 per year, 35% performing 3-5, and only one center (1.7%) performing more than 15 transcranial operations per year. In 8 centers (13.3%), surgeries are always performed together with an ENT surgeon; in 29 centers (48.4%) ENT surgeons are never involved. In most centers (n=54, 90%) intraoperative MRI is not available. Image guidance (with preoperative CT and/or MRI data) is used by 91.7% of respondents (n=55). Forty-two centers (72.4%) routinely prescribe hydrocortisone after pituitary surgery, and 75% (n=45) have pituitary board meetings with endocrinologists, radiologists, and radiosurgeons. Fifty-two (86.7%) respondents perform the first follow-up scan by MRI 3-4 months after surgery.Conclusions The data showed differences as well as similarities between centers and could help to discuss the standardization of methods and the formation of networks and certification to improve patient care.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30202 - Endocrinology and metabolism (including diabetes, hormones)

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES

ISSN

0947-7349

e-ISSN

—

Volume of the periodical

131

Issue of the periodical within the volume

6

Country of publishing house

DE - GERMANY

Number of pages

5

Pages from-to

362-366

UT code for WoS article

000988202800001

EID of the result in the Scopus database

2-s2.0-85161038682