PMID- 22230962
OWN - NLM
STAT- MEDLINE
DCOM- 20120612
LR  - 20211021
IS  - 1435-2451 (Electronic)
IS  - 1435-2443 (Linking)
VI  - 397
IP  - 3
DP  - 2012 Mar
TI  - Thyroid cancer surgery in Germany: an analysis of the nationwide DRG statistics 
      2005-2006.
PG  - 421-8
LID - 10.1007/s00423-011-0897-1 [doi]
AB  - PURPOSE: In 2004, a Diagnosis Related Groups (DRG)-based hospital reimbursement 
      system became mandatory in Germany. The aim of this study was to provide 
      nationwide data on the surgery of thyroid cancer by analyzing DRG statistics of 
      the years 2005 and 2006. METHODS: The unit of analysis was hospital admission 
      with a diagnosis of thyroid cancer. We assessed the influence of age, sex and 
      region on the relative frequency of thyroid cancer-related hospitalisations with 
      surgery of the thyroid and we measured the association between hospitalisation 
      rates and incidence rates of thyroid cancer among the Federal States of Germany. 
      RESULTS: Over the period 2005 to 2006, 11,107 thyroid cancer-associated 
      hospitalisations included surgical treatment of the thyroid. The age-standardised 
      DRG-based hospitalisation rates and the corresponding cancer registry-based 
      incidences of thyroid cancer were positively associated. Overall, 68% of the 
      hospitalisations with thyroid surgery included a total thyroidectomy. The 
      percentage of surgery of the thyroid with a total thyroidectomy was nearly 
      identical among men and women, decreased among men aged over 60 and varied 
      considerably by region (minimum, 48% in Saarland; maximum, 78% in Saxony-Anhalt). 
      CONCLUSIONS: Our analyses of DRG statistics provide for the first time 
      representative population-based data of the surgical management of thyroid cancer 
      patients in Germany. Despite an identical health care system all over Germany and 
      existing guidelines for surgical treatment of thyroid cancer, we observed a 
      considerable regional variation in the proportion of total thyroidectomies 
      performed in Germany.
FAU - Trocchi, Pietro
AU  - Trocchi P
AD  - Institute of Clinical Epidemiology, Medical Faculty, Martin-Luther-University of 
      Halle-Wittenberg, Magdeburger Str. 8, 06097, Halle (Saale), Germany. 
      trocchi.pietro@medizin.uni-halle.de
FAU - Kluttig, Alexander
AU  - Kluttig A
FAU - Dralle, Henning
AU  - Dralle H
FAU - Sekulla, Carsten
AU  - Sekulla C
FAU - Biermann, Martin
AU  - Biermann M
FAU - Stang, Andreas
AU  - Stang A
LA  - eng
PT  - Journal Article
DEP - 20120110
PL  - Germany
TA  - Langenbecks Arch Surg
JT  - Langenbeck's archives of surgery
JID - 9808285
SB  - IM
MH  - Aged
MH  - Cost of Illness
MH  - Diagnosis-Related Groups/*statistics & numerical data
MH  - Female
MH  - Germany
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Thyroid Neoplasms/economics/epidemiology/*surgery
MH  - Thyroidectomy/economics/*statistics & numerical data
EDAT- 2012/01/11 06:00
MHDA- 2012/06/13 06:00
CRDT- 2012/01/11 06:00
PHST- 2011/10/06 00:00 [received]
PHST- 2011/12/14 00:00 [accepted]
PHST- 2012/01/11 06:00 [entrez]
PHST- 2012/01/11 06:00 [pubmed]
PHST- 2012/06/13 06:00 [medline]
AID - 10.1007/s00423-011-0897-1 [doi]
PST - ppublish
SO  - Langenbecks Arch Surg. 2012 Mar;397(3):421-8. doi: 10.1007/s00423-011-0897-1. 
      Epub 2012 Jan 10.