Journal article
Endoscopic pituitary surgery: A national database review
Head & neck, Vol.44(12), pp.2678-2685
08/30/2022
DOI: 10.1002/hed.27179
Abstract
Background
Pituitary tumors surgery is increasingly performed via endoscopic transsphenoidal approach (TSP). This study describes outcomes of TSP surgery in the United States.
Methods
A retrospective cross-sectional analysis of adult patients with pituitary adenoma was performed using the Nationwide Readmissions Database, 2010–2015.
Results
A total of 5891 patients were identified. The average age was 51.29 ± 0.29 years. The risk of postoperative epistaxis, diabetes insipidus, cerebrospinal fluid (CSF) leak, and other general postoperative complications was 0.71%, 10.20%, 8.35%, and 2.37%, respectively. Independent risk factors of CSF leak included: age <65-year, male, body mass index ≥25, and multiple comorbidities (p < 0.001 each). The prevalence of CSF leak was not associated with hospital TSP volume and teaching status.
Conclusion
This study provides a national epidemiological perspective on TSP in the United States. The risk of postoperative CSF leak appears to be associated with intrinsic patient factors rather than resource and expertise availability.
Details
- Title: Subtitle
- Endoscopic pituitary surgery: A national database review
- Creators
- Zaid Al-Qurayshi - University of Iowa Hospitals and ClinicsDouglas M Bennion - University of Iowa Hospitals and ClinicsJeremy D W Greenlee - University of IowaScott M Graham - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.44(12), pp.2678-2685
- DOI
- 10.1002/hed.27179
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Language
- English
- Date published
- 08/30/2022
- Academic Unit
- Neurosurgery; Otolaryngology; Iowa Neuroscience Institute; Stead Family Department of Pediatrics
- Record Identifier
- 9984296993902771
Metrics
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