Date:3/21/2008

drite for the first national audit (paper-based), and this informed improvements to the design of the web-based audit. Members have taken to the web-based data entry system like a duck to water, he revealed. It has been so successful that there are very few questions generated to the support staff.

This latest report covers the period from January 1^st 2005 to December 31^st 2006 and covers the four key surgical areas of endocrine disease; thyroid, parathyroid, adrenal and pancreatic surgery. The 144-page document examines existing surgical practice and reports on current clinical quality, which can be compared with standards set by national guidelines. The ability to record pathology also allows an examination of current surgical practice in benign and malignant disease, as well as participation in modern multidisciplinary management for thyroid cancer.

Key results from the Audit

Included in the publication are the outcomes from 3,804 thyroid operations (approximately one-fifth of the total number performed each year in the UK) submitted by over 70 BAETS members and the report highlights that there is a wide range of workload for thyroid disease. According to the Audit, some 22.5% of surgeons perform five or less thyroid operations per year. Another finding is that thyroid surgery is consultant-led. In relation to clinical data and outcomes, the report records that thyroid malignancy accounted for 20% of all thyroid operations. No fewer than 80% of patients with thyroid cancer underwent pre-operative fine needle aspiration biopsy. Areas for improvement include the fact that only 79% cases of thyroid cancer were discussed at a multidisciplinary team meeting and that the rate of pre-operative vocal cord check for redo thyroid surgery was only 79%.

The analysis for parathyroid surgery includes data from 1,896 procedures submitted from over 50 BAETS members. Again, the reports notes that there was a wide range in workl
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Press Contact: Owen Haskins Email: publishing@e-dendrite.com

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