The Cost Effectiveness of Implementation of a Postoperative Endocrinopathy Management Protocol after Resection of Pituitary Adenomas Article Swipe
Carolina Benjamin
,
Yosef Dastagirzada
,
Julia Bevilacqua
,
David B. Kurland
,
Kevin Fujita
,
Chandranath Sen
,
John G. Golfinos
,
Dimitris G. Placantonakis
,
Jafar J. Jafar
,
Seth Lieberman
,
Richard A. Lebowitz
,
Ariane Lewis
,
Nidhi Agrawal
,
Donato Pacione
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1055/s-0042-1750718
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1055/s-0042-1750718
Purpose After developing a protocol for evaluating, diagnosing, and treating postoperative endocrinopathy both during the hospitalization and during the immediate discharge period following resection of pituitary adenomas, we sought to assess the impact of this protocol on quality outcomes. Methods An IRB-exempt, quality improvement initiated, Health Insurance Portability and Accountability Act (HIPAA)-compliant retrospective comparison of a pre-and-post-protocol cohort of all patients undergoing endoscopic endonasal resection of pituitary adenomas at NYU Langone Medical Center from January 2013 to December 2018. Demographic characteristics of the patients and their tumors with their postoperative outcomes were recorded. Quality outcomes regarding number of laboratory studies sent, rate of diabetes insipidus, length of stay, and readmission rate were also recorded. Statistical analysis was performed between the pre- and post-protocol groups. Results There was a significant reduction in laboratory studies sent per patient (55.66 vs. 18.82, p <0.001). This corresponded with an overall cost reduction in laboratory studies of $255.95 per patient. There was a decrease in the overall number of patients treated with DDAVP (21.4% in the pre-protocol group vs. 8.9% in the post-protocol group, p = 0.04). All post-protocol patients requiring DDAVP at discharge were identified by 48 hours. There was no significant change in length of stay or need for hydrocortisone supplementation postoperatively between the two groups. Length of stay was driven mostly by need for reoperation during initial hospitalization. There was no significant change in the rate of 30-day readmission. Conclusion Implementation of a postoperative management protocol results in a more efficient diagnosis and management of endocrinopathy after pituitary adenoma surgery which translates to decreased cost.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0042-1750718
- OA Status
- green
- Cited By
- 8
- References
- 21
- Related Works
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- OpenAlex ID
- https://openalex.org/W4283732081
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283732081Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/s-0042-1750718Digital Object Identifier
- Title
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The Cost Effectiveness of Implementation of a Postoperative Endocrinopathy Management Protocol after Resection of Pituitary AdenomasWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-06-29Full publication date if available
- Authors
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Carolina Benjamin, Yosef Dastagirzada, Julia Bevilacqua, David B. Kurland, Kevin Fujita, Chandranath Sen, John G. Golfinos, Dimitris G. Placantonakis, Jafar J. Jafar, Seth Lieberman, Richard A. Lebowitz, Ariane Lewis, Nidhi Agrawal, Donato PacioneList of authors in order
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https://doi.org/10.1055/s-0042-1750718Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/9653289Direct OA link when available
- Concepts
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Resection, Medicine, Protocol (science), General surgery, Surgery, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
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8Total citation count in OpenAlex
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2025: 5, 2024: 3Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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