Early observations with an ERAS pathway for thyroid and parathyroid surgery: Moving the goalposts forward
CONCLUSION: This study demonstrates a significant benefit from Enhanced recovery after surgery pathways for thyroidectomies and parathyroidectomies, even with initial data and a staggered roll-out plan. Further directions include a follow-up study once we reach a higher level of institutional compliance with all components of the Enhanced Recovery After Surgery pathway and a prospective trial to identify the relative significance of different portions of the Enhanced Recovery after Surgery pathway, particularly the superficial cervical plexus block.PMID:37973430 | DOI:10.1016/j.surg.2023.06.052 (Source: Pain Physician)
Source: Pain Physician - November 16, 2023 Category: Anesthesiology Authors: Nikita Machado Ryland Mortlock Richard Maduka Ana Eliza Souza Cunha Ethan Dyer Anne Long Joseph K Canner Anthony Tanella Courtney Gibson Jaime Hyman Jennifer Ogilvie Source Type: research
Discussion
Dr Janice Pasieka (Calgary, Canada): The Pasieka Parathyroidectomy Assessment Score (PAS) was designed as a disease-specific tool. It measures meaningful change, defined as having some impact on the patients themselves. I was very curious to see that, unlike the original studies where we demonstrated that the PAS showed an improvement in their quality of life and their wellness, you did not find that. Does that mean it ’s not meaningful anymore to the patients? Or are you thinking that they are not as symptomatic as they used to be? (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Source Type: research
Objectively measured cognitive dysfunction in patients with primary hyperparathyroidism improves after parathyroidectomy
A relationship between primary hyperparathyroidism (PHPT) and decreased quality of life has been shown using patient-reported outcome measures, including Pasieka ’s Parathyroid Assessment of Symptoms, SF-36, and PROMIS. Despite this, there remains a paucity of objectively measured data demonstrating cognitive dysfunction in patients with PHPT. We assessed whether parathyroidectomy resulted in quantifiable cognitive improvement. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: William R. Lightle, Feibi Zheng, Konstantinos I. Makris, Raymon Grogan, James Suliburk Source Type: research
Sex differences in patients with primary hyperparathyroidism
Differences in presenting symptoms of primary hyperparathyroidism and outcomes of parathyroidectomy between sexes have been described, but whether these can be assessed by perioperative use of a validated tool, such as the Pasieka Parathyroidectomy Assessment Score, is unknown. (Source: Surgery)
Source: Surgery - November 16, 2023 Category: Surgery Authors: Katherine A. Baugh, Jason B. Liu, Linwah Yip, Kelly L. McCoy, Sally E. Carty, Kimberly M. Ramonell Source Type: research
Improved sexual function after parathyroidectomy in women with primary hyperparathyroidism
CONCLUSIONS: The current study indicates that women with PHPT may experience improved sexual function after parathyroidectomy.PMID:37940438 | DOI:10.1016/j.amjsurg.2023.11.002 (Source: Cancer Control)
Source: Cancer Control - November 8, 2023 Category: Cancer & Oncology Authors: Hui Zheng Victoria Lai Jana Lu Kenneth D Burman Leonard Wartofsky Jennifer E Rosen Source Type: research
