Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas
Objective. Pituitary adenoma surgery has evolved rapidly in recent decades. This study aims to determine current practice across a wide range of European neurosurgical centers. Methods. A list of eligible departments performing pituitary adenoma surgery was created. The survey consisted of 58 questi...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2022/7206713 |
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| author | David Netuka Andre Grotenhuis Nicolas Foroglou Francesco Zenga Sebastien Froehlich Florian Ringel Nicolas Sampron Nick Thomas Martin Komarc Martin Majovsky |
| author_facet | David Netuka Andre Grotenhuis Nicolas Foroglou Francesco Zenga Sebastien Froehlich Florian Ringel Nicolas Sampron Nick Thomas Martin Komarc Martin Majovsky |
| author_sort | David Netuka |
| collection | DOAJ |
| description | Objective. Pituitary adenoma surgery has evolved rapidly in recent decades. This study aims to determine current practice across a wide range of European neurosurgical centers. Methods. A list of eligible departments performing pituitary adenoma surgery was created. The survey consisted of 58 questions. For analysis, the departments were divided into four subgroups: academic/nonacademic, high-volume/low-volume, “mainly endoscopic/mainly microscopic practice,” and geographical regions. Results. Data from 254 departments from 34 countries were obtained. In 108 centers (42.5%), <30 pituitary adenomas were operated per year. Twenty (7.9%) centers performed >100 adenoma surgeries per year. Number of neurosurgeons performing endonasal surgeries are as follows: 1 in 24.9% of centers and 2 in 49.8% of centers. All residents assisted endonasal surgeries in 126 centers (49.8%). In 28 centers (21.1%), all residents performed endonasal surgery under supervision during residency. In 141 centers (56.8%), the endoscopic approach was used in >90% of the surgeries. Regular pituitary board (either weekly or once a month) meetings were held in 147 centers (56.3%). Nonfunctioning adenomas represent >70% of pituitary caseload in 149 centers (58.7%). Conclusions. In our survey, most centers perform less than 100 surgeries for pituitary adenomas. In most centers, pituitary surgeries are performed by one or two neurosurgeons. Residents have a limited exposure to this type of surgery, and the formal pituitary board is not a standard. Nonfunctioning adenomas make up most of surgically treated adenomas. This study can serve as a benchmark for further analyses of pituitary adenoma centers in Europe. |
| format | Article |
| id | doaj-art-aac8fb5a8d914e9398a0964e7ecc44a8 |
| institution | Kabale University |
| issn | 1687-8345 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-aac8fb5a8d914e9398a0964e7ecc44a82025-08-20T03:39:40ZengWileyInternational Journal of Endocrinology1687-83452022-01-01202210.1155/2022/7206713Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary AdenomasDavid Netuka0Andre Grotenhuis1Nicolas Foroglou2Francesco Zenga3Sebastien Froehlich4Florian Ringel5Nicolas Sampron6Nick Thomas7Martin Komarc8Martin Majovsky9Department of Neurosurgery and NeurooncologyDepartment of Neurosurgery1st Department of NeurosurgeryDepartment of Neuroscience “Rita Levi Montalcini”Department of NeurosurgeryDepartment of NeurosurgeryNeurosurgery DepartmentDepartment of NeurosurgeryDepartment of MethodologyDepartment of Neurosurgery and NeurooncologyObjective. Pituitary adenoma surgery has evolved rapidly in recent decades. This study aims to determine current practice across a wide range of European neurosurgical centers. Methods. A list of eligible departments performing pituitary adenoma surgery was created. The survey consisted of 58 questions. For analysis, the departments were divided into four subgroups: academic/nonacademic, high-volume/low-volume, “mainly endoscopic/mainly microscopic practice,” and geographical regions. Results. Data from 254 departments from 34 countries were obtained. In 108 centers (42.5%), <30 pituitary adenomas were operated per year. Twenty (7.9%) centers performed >100 adenoma surgeries per year. Number of neurosurgeons performing endonasal surgeries are as follows: 1 in 24.9% of centers and 2 in 49.8% of centers. All residents assisted endonasal surgeries in 126 centers (49.8%). In 28 centers (21.1%), all residents performed endonasal surgery under supervision during residency. In 141 centers (56.8%), the endoscopic approach was used in >90% of the surgeries. Regular pituitary board (either weekly or once a month) meetings were held in 147 centers (56.3%). Nonfunctioning adenomas represent >70% of pituitary caseload in 149 centers (58.7%). Conclusions. In our survey, most centers perform less than 100 surgeries for pituitary adenomas. In most centers, pituitary surgeries are performed by one or two neurosurgeons. Residents have a limited exposure to this type of surgery, and the formal pituitary board is not a standard. Nonfunctioning adenomas make up most of surgically treated adenomas. This study can serve as a benchmark for further analyses of pituitary adenoma centers in Europe.http://dx.doi.org/10.1155/2022/7206713 |
| spellingShingle | David Netuka Andre Grotenhuis Nicolas Foroglou Francesco Zenga Sebastien Froehlich Florian Ringel Nicolas Sampron Nick Thomas Martin Komarc Martin Majovsky Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas International Journal of Endocrinology |
| title | Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas |
| title_full | Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas |
| title_fullStr | Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas |
| title_full_unstemmed | Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas |
| title_short | Pituitary Adenoma Surgery Survey: Neurosurgical Centers and Pituitary Adenomas |
| title_sort | pituitary adenoma surgery survey neurosurgical centers and pituitary adenomas |
| url | http://dx.doi.org/10.1155/2022/7206713 |
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