Quality assurance study for thyroid surgery. First comparing results of the quality assurance study

In 1998 the East German Association for Quality Securing of Surgery perform ed a study to evaluate the standard of performance of surgical treatment fo r benign goiter. In total, 46 hospitals participated and 6029 operations co uld be analysed. The documentation was based on a detailed registration she et and recorded items of preoperative complaints, diagnostic procedures, in traoperative findings with operative strategy, postoperative complications and definitive histology. All hospitals were divided into three groups rega rding their number of surgical performances for benign goiter (< 50 operati ons, 50-150 operations, > 150 operations) to assess their training and expe rtise. Indications for surgical treatment were similar in all three groups with 78 % for multinodular goiter and 19 % for uninodular goiter. There was no statistical difference in distribution for M. Basedow, recurrent goiter or thyroid carcinoma. Hospitals with more than 150 operations per year for benign goiter performed statistical significant more extended procedures w ith routinely preparation of the laryngeal recurrent nerve and parathyroid glands. There was no statistical significant difference regarding postopera tive complications. Because of the not finished check up (follow up 6 month s postoperative), results for temporary nerve palsies (3.9 %) and temporary hypoparathyroidism (6.3 %) could only be stated.