The efficacy of a visiting surgical service versus that of a hospital-based surgical service in providing endoscopic endonasal surgery to remove nonfunctioning pituitary adenomas in rural communities
Authors' conclusion
Pituitary surgeries performed via the mobile EEA system for nonfunctioning PAs may help maintain local community healthcare. Furthermore, this system can also contribute to the efficient training of surgeons by the same experienced pituitary surgeon using the same protocol.
Study context
- Population
- Patients with new-onset nonfunctioning pituitary adenoma undergoing endoscopic endonasal surgery, Shinshu University Hospital and affiliated hospitals, May 2018–May 2022of 225 consecutive endoscopic endonasal approach (EEA) cases
- Participants
- 105 patients
- Exposure
- Visiting surgical service vs hospital-based surgical service
- Away EEAn = 64
- Home EEAn = 41reference
- Outcome
- Postoperative clinical outcomes
Methodological detailsconsecutive cases
- Consecutive cases
Main finding
As reported in the abstract
- Postoperative clinical outcomes comparable between the groups
- Away EEA vs Home EEA: P = 0.39
- Away EEA vs Home EEA: P = 0.80
- Away EEA vs Home EEA: P = 0.54
Observational data: associations, not effects.
Safety
| Outcome | P value |
|---|---|
| Surgical complications and visiting service-related adverse eventsComparable between the groups | P = 0.53 |
Surgical complications and visiting service-related adverse events
- No visiting surgical service-related adverse events or accidents caused by physicians' driving to away hospitals
Original publication
The efficacy of a visiting surgical service versus that of a hospital-based surgical service in providing endoscopic endonasal surgery to remove nonfunctioning pituitary adenomas in rural communities. Pituitary. Published 21 July 2023. doi:10.
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