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Submission: On September 26 via manual from US — Scanned from IT
Submission: On September 26 via manual from US — Scanned from IT
Form analysis 2 forms found in the DOM
POST /
<form id="surgeon-form" action="/" method="post" accept-charset="UTF-8">
<div>
<div id="cg_dendrite_bomms_surgeons">
<div class="form-item form-type-select form-item-surgeon">
<label for="edit-surgeon">Search by Surgeon </label>
<select autocomplete="off" id="edit-surgeon" name="surgeon" class="form-select ajax-processed chosen-processed" style="display: none;">
<option value="Selectasurgeon">Select a Surgeon</option>
<option value="Tarek Abdel-Aziz">Abdel-Aziz, Tarek</option>
<option value="Ahmed Abida">Abida, Ahmed</option>
<option value="Richard Adamson">Adamson, Richard</option>
<option value="Anna Aertssen">Aertssen, Anna</option>
<option value="Frank Agada">Agada, Frank</option>
<option value="Avi Agrawal">Agrawal, Avi</option>
<option value="Ijaz Ahmad">Ahmad, Ijaz</option>
<option value="Orabi Ahmad">Ahmad, Orabi</option>
<option value="Mr Ibrahim Ahmed">Ahmed, Ibrahim</option>
<option value="Irfan Akhtar">Akhtar, Irfan</option>
<option value="Murat Akyol">Akyol, Murat</option>
<option value="Peyman Alam">Alam, Peyman</option>
<option value="David Allen">Allen, David</option>
<option value="Mr Furrat Amen">Amen, Furrat</option>
<option value="Iain Anderson">Anderson, Iain</option>
<option value="Shayan Ansari">Ansari, Shayan</option>
<option value="Arvind Arya">Arya, Arvind</option>
<option value="Sebastian Aspinall">Aspinall, Sebastian</option>
<option value="Chris Ayshford">Ayshford, Chris</option>
<option value="Christopher Backhouse">Backhouse, Christopher</option>
<option value="Atul Bagul">Bagul, Atul</option>
<option value="Saba Balasubramanian">Balasubramanian, Saba</option>
<option value="Alistair Balfour">Balfour, Alistair</option>
<option value="Neal Banga">Banga, Neal</option>
<option value="Ludger Barthelmes">Barthelmes, Ludger</option>
<option value="Srinivasalu Bathala">Bathala, Srinivasalu</option>
<option value="Mr Antonio Belloso">Belloso, Antonio</option>
<option value="Chris Bem">Bem, Chris</option>
<option value="Mr Jonathan Bernstein">Bernstein, Jonathan</option>
<option value="Mr Nazir Bhat">Bhat, Nazir</option>
<option value="Mr Yogesh Bhatt">Bhatt, Yogesh</option>
<option value="Mr Tahir Bhatti">Bhatti, Tahir</option>
<option value="Debabrata Biswas">Biswas, Debabrata</option>
<option value="Ian Black">Black, Ian</option>
<option value="Stephen Blair">Blair, Stephen</option>
<option value="Richard Bliss">Bliss, Richard</option>
<option value="Farzad Borumandi">Borumandi, Farzad</option>
<option value="Mrs Rachel Brindle">Brindle, Rachel</option>
<option value="Victoria Brown">Brown, Victoria</option>
<option value="Christopher Burgess">Burgess, Christopher</option>
<option value="Michael Carr">Carr, Michael</option>
<option value="Andrew Carswell">Carswell, Andrew</option>
<option value="David Chadwick">Chadwick, David</option>
<option value="Habib Charfare">Charfare, Habib</option>
<option value="Leo Cheng">Cheng, Leo</option>
<option value="Mr Dennis-Wayne Chicken">Chicken, Dennis-Wayne</option>
<option value="Mr Andy Chin">Chin, Andy</option>
<option value="Edward Chisholm">Chisholm, Edward</option>
<option value="Natasha Choudhury">Choudhury, Natasha</option>
<option value="Louise Clark">Clark, Louise</option>
<option value="Peter Clarke">Clarke, Peter</option>
<option value="Helen Cocks">Cocks, Helen</option>
<option value="Peter Conboy">Conboy, Peter</option>
<option value="Luke Condon">Condon, Luke</option>
<option value="Rogan Corbridge">Corbridge, Rogan</option>
<option value="Paul Counter">Counter, Paul</option>
<option value="Stephen Courtney">Courtney, Stephen</option>
<option value="Mr Hugh Cox">Cox, Hugh</option>
<option value="Wendy Craig">Craig, Wendy</option>
<option value="David Cunliffe">Cunliffe, David</option>
<option value="Titus Cvasciuc">Cvasciuc, Titus</option>
<option value="Jeremy Davis">Davis, Jeremy</option>
<option value="Carmen de Casso Moxo">de Casso Moxo, Carmen</option>
<option value="Neil De Zoysa">De Zoysa, Neil</option>
<option value="Stuart Denholm">Denholm, Stuart</option>
<option value="Mr Paul C Dent">Dent, Paul C</option>
<option value="Mr Stephen Derbyshire">Derbyshire, Stephen</option>
<option value="Ganapathy Dhanasekar">Dhanasekar, Ganapathy</option>
<option value="Vikram Dhar">Dhar, Vikram</option>
<option value="Ekambaram Dinakara Babu">Dinakara Babu, Ekambaram</option>
<option value="Ann Dingle">Dingle, Ann</option>
<option value="Helen Doran">Doran, Helen</option>
<option value="Julie Dunn">Dunn, Julie</option>
<option value="Fiona Eatock">Eatock, Fiona</option>
<option value="Richard Egan">Egan, Richard</option>
<option value="Wael El-Saify">El-Saify, Wael</option>
<option value="James England">England, James</option>
<option value="Abigail Evans">Evans, Abigail</option>
<option value="Callum Faris">Faris, Callum</option>
<option value="Roy Farrell">Farrell, Roy</option>
<option value="Brian Fish">Fish, Brian</option>
<option value="Bence Forgacs">Forgacs, Bence</option>
<option value="Clare Fowler">Fowler, Clare</option>
<option value="Mrs Hannah Fox">Fox, Hannah</option>
<option value="Georgios Fragkiadakis">Fragkiadakis, Georgios</option>
<option value="Sheila Fraser">Fraser, Sheila</option>
<option value="Gabriele Galata">Galata, Gabriele</option>
<option value="Polycarp Gana">Gana, Polycarp</option>
<option value="Ashu Gandhi">Gandhi, Ashu</option>
<option value="Richard Garth">Garth, Richard</option>
<option value="Ajith George">George, Ajith</option>
<option value="Nicholas Gibbins">Gibbins, Nicholas</option>
<option value="Thomasz Graja">Graja, Thomasz</option>
<option value="Thomas Groot-Wassink">Groot-Wassink, Thomas</option>
<option value="Wayne Halfpenny">Halfpenny, Wayne</option>
<option value="Charles Hall">Hall, Charles</option>
<option value="Julian Hamann">Hamann, Julian</option>
<option value="Robert Hardy">Hardy, Robert</option>
<option value="Simon Hargreaves">Hargreaves, Simon</option>
<option value="Churunal Hari">Hari, Churunal</option>
<option value="Barney Harrison">Harrison, Barney</option>
<option value="Michael Harron">Harron, Michael</option>
<option value="Simon Hickey">Hickey, Simon</option>
<option value="Omar Hilmi">Hilmi, Omar</option>
<option value="Tim Hoare">Hoare, Tim</option>
<option value="Jonathan Hobson">Hobson, Jonathan</option>
<option value="Philip Holland">Holland, Philip</option>
<option value="David Howe">Howe, David</option>
<option value="Johnathan Hubbard">Hubbard, Johnathan</option>
<option value="Jonathan Hughes">Hughes, Jonathan</option>
<option value="Richard Hughes">Hughes, Richard</option>
<option value="Paul Hurley">Hurley, Paul</option>
<option value="Andrew Husband">Husband, Andrew</option>
<option value="Ekpemi Irune">Irune, Ekpemi</option>
<option value="Aidah Isa">Isa, Aidah</option>
<option value="Shaun Jackson">Jackson, Shaun</option>
<option value="Tony Jacob">Jacob, Tony</option>
<option value="Karim Jamal">Jamal, Karim</option>
<option value="Sharan Chakkyath Jayaram">Jayaram, Sharan Chakkyath</option>
<option value="Jean-Pierre Jeannon">Jeannon, Jean-Pierre</option>
<option value="Taleb Jeddy">Jeddy, Taleb</option>
<option value="Stephanie Jenkins">Jenkins, Stephanie</option>
<option value="Bethan Jones">Jones, Bethan</option>
<option value="Anton Joseph">Joseph, Anton</option>
<option value="Bengt Kald">Kald, Bengt</option>
<option value="Vivek Kaushik">Kaushik, Vivek</option>
<option value="Robert Kennedy">Kennedy, Robert</option>
<option value="Mr Shahab Khan">Khan, Shahab</option>
<option value="Dae Kim">Kim, Dae</option>
<option value="James Kirkby-Bott">Kirkby-Bott, James</option>
<option value="Paul Kirkland">Kirkland, Paul</option>
<option value="Ursula Kirkpatrick">Kirkpatrick, Ursula</option>
<option value="Mr Xenofon Kochilas">Kochilas, Xenofon</option>
<option value="Prasad Kothari">Kothari, Prasad</option>
<option value="Zygmunt Krukowski">Krukowski, Zygmunt</option>
<option value="Nirmal Kumar">Kumar, Nirmal</option>
<option value="Vijayakumar Kurup">Kurup, Vijayakumar</option>
<option value="Tom Kurzawinski">Kurzawinski, Tom</option>
<option value="Mark Lansdown">Lansdown, Mark</option>
<option value="Nicholas Law">Law, Nicholas</option>
<option value="Tim Leontsinis">Leontsinis, Tim</option>
<option value="Peter Lewis">Lewis, Peter</option>
<option value="Beverly Lim">Lim, Beverly</option>
<option value="Mr Christopher Loh">Loh, Christopher</option>
<option value="Sean Loughran">Loughran, Sean</option>
<option value="Michele Lucarotti">Lucarotti, Michele</option>
<option value="John Lynn">Lynn, John</option>
<option value="Alasdair Mace">Mace, Alasdair</option>
<option value="Fiona MacGregor">MacGregor, Fiona</option>
<option value="Mr Ian MacKay">MacKay, Ian</option>
<option value="Paul Maddox">Maddox, Paul</option>
<option value="Arcot Maheshwar">Maheshwar, Arcot</option>
<option value="Kishore Makam">Makam, Kishore</option>
<option value="Zvoru Makura">Makura, Zvoru</option>
<option value="Tass Malik">Malik, Tass</option>
<option value="Jaiganesh Manickavasagam">Manickavasagam, Jaiganesh</option>
<option value="Ms Deborah Markham">Markham, Deborah</option>
<option value="Dominic Martin-Hirsch">Martin-Hirsch, Dominic</option>
<option value="Andrew McCombe">McCombe, Andrew</option>
<option value="Julian McGlashan">McGlashan, Julian</option>
<option value="Andrew McIrvine">McIrvine, Andrew</option>
<option value="Andrew McLaren">McLaren, Andrew</option>
<option value="Hesham Mehanna">Mehanna, Hesham</option>
<option value="Radu Mihai">Mihai, Radu</option>
<option value="Tedla Miroslav">Miroslav, Tedla</option>
<option value="George Mochloulis">Mochloulis, George</option>
<option value="James Moor">Moor, James</option>
<option value="Ram Moorthy">Moorthy, Ram</option>
<option value="Pradeep Morar">Morar, Pradeep</option>
<option value="Justin Morgan">Morgan, Justin</option>
<option value="Iain Muir">Muir, Iain</option>
<option value="Mr Justin Murphy">Murphy, Justin</option>
<option value="Keshav Nigam">Nigam, Keshav</option>
<option value="Iain Nixon">Nixon, Iain</option>
<option value="Janet O'Connell">O'Connell, Janet</option>
<option value="Mr Enyinnaya Ofo">Ofo, Enyinnaya</option>
<option value="Olawale Olarinde">Olarinde, Olawale</option>
<option value="Fausto Palazzo">Palazzo, Fausto</option>
<option value="Vinidh Paleri">Paleri, Vinidh</option>
<option value="Michael Papesch">Papesch, Michael</option>
<option value="Neil Parrott">Parrott, Neil</option>
<option value="Laila Parvanta">Parvanta, Laila</option>
<option value="Nimesh Patel">Patel, Nimesh</option>
<option value="Susannah Penney">Penney, Susannah</option>
<option value="Andrew Pfleiderer">Pfleiderer, Andrew</option>
<option value="Jonathan Philpott">Philpott, Jonathan</option>
<option value="Lisa Pitkin">Pitkin, Lisa</option>
<option value="Mark Puvanendran">Puvanendran, Mark</option>
<option value="Isabel Quiroga">Quiroga, Isabel</option>
<option value="Rajashekhar Rao">Rao, Rajashekhar</option>
<option value="David Ratliff">Ratliff, David</option>
<option value="Duraisamy Ravichandran">Ravichandran, Duraisamy</option>
<option value="Venkat Reddy">Reddy, Venkat</option>
<option value="Costa Repanos">Repanos, Costa</option>
<option value="David Rew">Rew, David</option>
<option value="Keith Rigg">Rigg, Keith</option>
<option value="Nick Roland">Roland, Nick</option>
<option value="Alasdair Ross">Ross, Alasdair</option>
<option value="Tom Rourke">Rourke, Tom</option>
<option value="Gavin Royle">Royle, Gavin</option>
<option value="Sarwat Sadek">Sadek, Sarwat</option>
<option value="Mrinal Saharay">Saharay, Mrinal</option>
<option value="Swairaj Sandhu">Sandhu, Swairaj</option>
<option value="Professor Klaus-Martin Schulte">Schulte, Klaus-Martin</option>
<option value="David Scott-Coombes">Scott-Coombes, David</option>
<option value="Bareen Shah">Shah, Bareen</option>
<option value="Vivek Shanker">Shanker, Vivek</option>
<option value="Anup Sharma">Sharma, Anup</option>
<option value="Steve Shering">Shering, Steve</option>
<option value="Susannah Shore">Shore, Susannah</option>
<option value="John Shotton">Shotton, John</option>
<option value="Richard Sim">Sim, Richard</option>
<option value="Ricard Simo">Simo, Ricard</option>
<option value="Prakash Sinha">Sinha, Prakash</option>
<option value="Gunasekaran Sinnappa">Sinnappa, Gunasekaran</option>
<option value="Anthony Skene">Skene, Anthony</option>
<option value="James Smellie">Smellie, James</option>
<option value="David Smith">Smith, David</option>
<option value="Ian Smith">Smith, Ian</option>
<option value="Simon Smith">Smith, Simon</option>
<option value="Anita Sonsale">Sonsale, Anita</option>
<option value="Paul Spraggs">Spraggs, Paul</option>
<option value="Adam Stacey-Clear">Stacey-Clear, Adam</option>
<option value="Frank Stafford">Stafford, Frank</option>
<option value="Michael Stearns">Stearns, Michael</option>
<option value="Michael Stechman">Stechman, Michael</option>
<option value="Paul Stimpson">Stimpson, Paul</option>
<option value="Robert Sudderick">Sudderick, Robert</option>
<option value="MRINAL SUPRIYA">SUPRIYA, MRINAL</option>
<option value="Mr Ahmed Sweed">Sweed, Ahmed</option>
<option value="Peter Tassone">Tassone, Peter</option>
<option value="Taranjit Tatla">Tatla, Taranjit</option>
<option value="Mr Christopher Theokli">Theokli, Christopher</option>
<option value="Paul Thomas">Thomas, Paul</option>
<option value="Adrian Thompson">Thompson, Adrian</option>
<option value="Simon Thomson">Thomson, Simon</option>
<option value="Steven Thrush">Thrush, Steven</option>
<option value="Paul Tierney">Tierney, Paul</option>
<option value="Augustine Titus">Titus, Augustine</option>
<option value="Professor Neil Tolley">Tolley, Neil</option>
<option value="Mark Tomlinson">Tomlinson, Mark</option>
<option value="Peter Truran">Truran, Peter</option>
<option value="Paul Turner">Turner, Paul</option>
<option value="Charanjeit Ubhi">Ubhi, Charanjeit</option>
<option value="Harpreet Uppal">Uppal, Harpreet</option>
<option value="Srinivasan Venkat">Venkat, Srinivasan</option>
<option value="Richard Vowles">Vowles, Richard</option>
<option value="Alison Waghorn">Waghorn, Alison</option>
<option value="Sonia Wakelin">Wakelin, Sonia</option>
<option value="Ashley Walden">Walden, Ashley</option>
<option value="Gerard Walls">Walls, Gerard</option>
<option value="Nienke Warnaar">Warnaar, Nienke</option>
<option value="Mr John Watkinson">Watkinson, John</option>
<option value="Gavin Watters">Watters, Gavin</option>
<option value="John Weighill">Weighill, John</option>
<option value="Andrew Welch">Welch, Andrew</option>
<option value="Hugh Wheatley">Wheatley, Hugh</option>
<option value="Chandana Wijewardena">Wijewardena, Chandana</option>
<option value="Adam Wilde">Wilde, Adam</option>
<option value="Michael Williams">Williams, Michael</option>
<option value="Mr Peter Williamson">Williamson, Peter</option>
<option value="Mrs Helena Wilson">Wilson, Helena</option>
<option value="Paul Wilson">Wilson, Paul</option>
<option value="Michail Winkler">Winkler, Michail</option>
<option value="Stephen Wood">Wood, Stephen</option>
<option value="Dr Christopher James Woodhead">Woodhead, Christopher James</option>
<option value="Constantinos Yiangou">Yiangou, Constantinos</option>
<option value="Charles Zammitt">Zammitt, Charles</option>
</select>
<div class="chosen-container chosen-container-single form-select ajax-processed chosen-processed" style="width: 250px;" title="" id="edit_surgeon_chosen">
<a class="chosen-single" tabindex="-1"><span>Select a Surgeon</span><div><b></b></div></a>
<div class="chosen-drop">
<div class="chosen-search"><input type="text" autocomplete="off"></div>
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</div><input type="hidden" name="form_build_id" value="form-b8jklx8N16gmHKVkhc6xMSl5CDtWsHLZhn6tHMM6hP8">
<input type="hidden" name="form_id" value="cg_dendrite_search_form">
<input type="submit" id="edit-submit-sur" name="submit_sur" value="" class="form-submit">
<div id="cg_dendrite_home_hospital">
<div class="form-item form-type-select form-item-hospital">
<label for="edit-hospital">Search by Hospital </label>
<select autocomplete="off" id="edit-hospital" name="hospital" class="form-select ajax-processed chosen-processed" style="display: none;">
<option value="Selectahospital">Select a Hospital</option>
<option value="1">Aberdeen Royal Infirmary</option>
<option value="2">Addenbrooke's Hospital, Cambridge</option>
<option value="3">Aintree University Hospital, Liverpool</option>
<option value="4">Airedale General Hospital</option>
<option value="5">Arrowe Park Hospital, Wirral</option>
<option value="6">Barking, Havering and Redbridge Hospitals, Romford</option>
<option value="8">Basildon University Hospital</option>
<option value="9">Basingstoke and North Hampshire Hospital</option>
<option value="10">Bedford Hospital</option>
<option value="11">Belfast City Hospital</option>
<option value="13">Birmingham Heartlands Hospital</option>
<option value="15">BMI Bath Clinic</option>
<option value="16">BMI Fawkham Manor Hospital, Longfield</option>
<option value="17">BMI Hampshire Clinic</option>
<option value="18">BMI Rosshall Hospital</option>
<option value="19">BMI The Alexandra Hospital, Manchester</option>
<option value="21">BMI The Cavell Hospital, Enfield</option>
<option value="22">BMI The Chaucer Hospital, Canterbury</option>
<option value="23">BMI The Clementine Churchill Hospital, Middlesex</option>
<option value="24">BMI The Harbour Hospital, Poole</option>
<option value="26">BMI The Kings Oak Hospital, Enfield</option>
<option value="27">BMI The Princess Margaret Hospital, Windsor</option>
<option value="28">BMI The Priory Hospital, Birmingham </option>
<option value="29">BMI The Ridgeway Hospital, Swindon</option>
<option value="30">BMI The Winterbourne Hospital, Dorchester</option>
<option value="31">BMI Thornbury Hospital, Sheffield</option>
<option value="32">BMI Three Shires Hospital, Northampton</option>
<option value="34">Bradford Royal Infirmary</option>
<option value="35">Broomfield Hospital, Chelmsford</option>
<option value="36">Calderdale Royal Hospital, Halifax</option>
<option value="37">Castle Hill Hospital, Hull</option>
<option value="39">Charing Cross Hospital, London</option>
<option value="40">Chase Farm Hospital, London</option>
<option value="41">Chelsea & Westminster Hospital, London</option>
<option value="42">Chesterfield Royal Hospital</option>
<option value="43">Chorley & South Ribble Hospital, Chorley</option>
<option value="44">Churchill Hospital, Oxford</option>
<option value="45">Circle Hospital, Reading</option>
<option value="46">City Hospital, Birmingham</option>
<option value="47">Claremont Hospital, Sheffield</option>
<option value="48">Colchester Hospital</option>
<option value="50">Cromwell Hospital, London</option>
<option value="51">Croydon University Hospital</option>
<option value="52">Cumberland Infirmary, Carlisle</option>
<option value="53">Darent Valley Hospital, Dartford</option>
<option value="54">Darlington Memorial Hospital</option>
<option value="55">Derriford Hospital, Plymouth</option>
<option value="56">Diana Princess of Wales Hospital, Grimsby</option>
<option value="57">Dorset County Hospital, Dorchester</option>
<option value="58">Dumfries and Galloway Royal Infirmary</option>
<option value="59">Ealing Hospital, Middlesex</option>
<option value="60">East Surrey Hospital, Redhill</option>
<option value="61">Eastbourne District General Hospital</option>
<option value="62">Edinburgh Royal Infirmary</option>
<option value="63">Epsom General Hospital</option>
<option value="64">Fitzwilliam Hospital, Peterborough</option>
<option value="65">Forth Valley Royal Hospital</option>
<option value="66">Freeman Hospital, Newcastle Upon Tyne</option>
<option value="67">Frimley Park Hospital, Camberley</option>
<option value="68">Gartnavel General, Glasgow</option>
<option value="69">George Eliot Hospital, Nuneaton</option>
<option value="71">Glasgow Royal Infirmary</option>
<option value="72">Glenfield Hospital, Leicester</option>
<option value="73">Gloucestershire Royal Hospital, Gloucester</option>
<option value="74">Great Ormond Street Hospital, London</option>
<option value="75">Great Western Hospital, Swindon</option>
<option value="76">Guy's Hospital, London</option>
<option value="77">Hammersmith Hospital, London</option>
<option value="253">Hinchingbrooke and Peterborough City Hospital</option>
<option value="80">Homerton Hospital, London</option>
<option value="81">Horton General Hospital, Banbury</option>
<option value="83">Hull Royal Infirmary</option>
<option value="84">Imperial College Healthcare NHS Trust</option>
<option value="85">Ipswich Hospital</option>
<option value="86">James Cook University Hospital, Middlesbrough</option>
<option value="87">James Paget University Hospital, Great Yarmouth</option>
<option value="88">John Radcliffe Hospital, Oxford</option>
<option value="89">Kent and Canterbury Hospital</option>
<option value="90">Kettering General Hospital</option>
<option value="91">King Edward VII Hospital, London</option>
<option value="92">King's College Hospital, London</option>
<option value="93">Kings Mill Hospital, Mansfield</option>
<option value="94">Kingston Hospital</option>
<option value="95">Leeds Children's Hospital</option>
<option value="96">Leeds General Infirmary</option>
<option value="97">Leicester General Hospital</option>
<option value="98">Leicester Royal Infirmary</option>
<option value="99">Leighton Hospital, Crewe</option>
<option value="101">London Bridge Hospital</option>
<option value="102">Luton & Dunstable Hospital, Luton</option>
<option value="103">Maidstone Hospital</option>
<option value="104">Manchester Royal Infirmary</option>
<option value="105">Medway Maritime Hospital, Gillingham</option>
<option value="107">Monklands Hospital - North Lanarkshire</option>
<option value="108">Morecambe Bay Hospital</option>
<option value="109">Morriston Hospital, Swansea</option>
<option value="110">Musgrove Park Hospital, Taunton</option>
<option value="111">New Victoria Hospital</option>
<option value="113">Ninewells Hospital, Dundee</option>
<option value="114">Norfolk and Norwich University Hospital</option>
<option value="115">North Devon District Hospital</option>
<option value="116">North Tyneside General Hospital, North Shields</option>
<option value="118">Northampton General Hospital</option>
<option value="119">Northern General Hospital, Sheffield</option>
<option value="120">Northumbria Specialist Emergency Care Hospital</option>
<option value="121">Northwick Park Hospital, Harrow</option>
<option value="122">Nottingham City Hospital</option>
<option value="123">Nuffield Health, Cambridge Hospital</option>
<option value="124">Nuffield Health, Cardiff and Vale Hospital</option>
<option value="125">Nuffield Health, Exeter Hospital</option>
<option value="127">Nuffield Health, North Staffordshire Hospital</option>
<option value="130">Nuffield Leicester Hospital</option>
<option value="131">Papworth Hospital, Cambridge</option>
<option value="132">Park Hospital, Nottingham</option>
<option value="133">Peterborough City Hospital</option>
<option value="134">Pinderfields Hospital, Wakefield</option>
<option value="135">Pinehill Hospital, Hitchin</option>
<option value="136">Poole Hospital</option>
<option value="137">Prince Charles Hospital, Merthyr Tydfil</option>
<option value="138">Princess Alexandra Hospital, Harlow</option>
<option value="139">Princess Elizabeth Hospital, Guernsey </option>
<option value="140">Princess of Wales Hospital, Bridgend</option>
<option value="141">Princess Royal Hospital, Telford</option>
<option value="142">Princess Royal University Hospital, Orpington</option>
<option value="143">Queen Alexandra Hospital, Portsmouth</option>
<option value="144">Queen Elizabeth Hospital, Birmingham</option>
<option value="145">Queen Elizabeth Hospital, Kings Lynn </option>
<option value="146">Queen Elizabeth Hospital, London</option>
<option value="147">Queen Elizabeth University Hospital, Glasgow</option>
<option value="148">Queen's Medical Centre, Nottingham</option>
<option value="149">Queens Hospital, Burton</option>
<option value="150">Raigmore Hospital, Inverness</option>
<option value="151">Ramsay Springfield Hospital, Chelmsford</option>
<option value="152">Rivers Hospital, Sawbridgeworth</option>
<option value="153">Royal Berkshire Hospital, Reading</option>
<option value="154">Royal Blackburn Hospital</option>
<option value="155">Royal Bolton Hospital</option>
<option value="156">Royal Bournemouth General Hospital</option>
<option value="157">Royal Bristol Infirmary</option>
<option value="158">Royal Cornwall Hospital, Truro</option>
<option value="160">Royal Devon and Exeter Hospital</option>
<option value="161">Royal Free Hospital, London</option>
<option value="162">Royal Gwent Hospital, Newport</option>
<option value="163">Royal Hallamshire Hospital, Sheffield</option>
<option value="164">Royal Lancaster Infirmary</option>
<option value="165">Royal Liverpool University Hospital</option>
<option value="166">Royal London Hospital</option>
<option value="167">Royal Marsden Hospital, London</option>
<option value="169">Royal Surrey County Hospital, Guildford</option>
<option value="170">Royal Sussex County Hospital, Brighton</option>
<option value="171">Royal United Hospital, Bath</option>
<option value="172">Royal Victoria Hospital, Belfast</option>
<option value="173">Royal Victoria Infirmary, Newcastle</option>
<option value="174">Salford Royal Hospital</option>
<option value="175">Salisbury District Hospital</option>
<option value="176">Scunthorpe General Hospital</option>
<option value="177">Sheffield Children's Hospital</option>
<option value="180">Southampton General Hospital</option>
<option value="181">Southend Hospital</option>
<option value="182">Southern General Hospital, Glasgow</option>
<option value="183">Southmead Hospital, Bristol</option>
<option value="184">Spire Alexandra Hospital, Chatham</option>
<option value="185">Spire Cambridge Lea Hospital</option>
<option value="186">Spire Cardiff Hospital</option>
<option value="188">Spire Gatwick Park</option>
<option value="189">Spire Harpenden Hospital</option>
<option value="190">Spire Hartswood Hospital, Brentwood</option>
<option value="191">Spire Hull Hospital</option>
<option value="192">Spire Leeds Hospital</option>
<option value="193">Spire Leicester Hospital</option>
<option value="194">Spire Little Aston Hospital, Sutton Coldfield</option>
<option value="196">Spire Murrayfield Hospital, Edinburgh</option>
<option value="197">Spire Portsmouth Hospital</option>
<option value="198">Spire Thames Valley Hospital, Slough</option>
<option value="199">Spire Washington Hospital</option>
<option value="200">Spire Wellesley Hospital, Southend-on-Sea</option>
<option value="202">St Anthony's Hospital</option>
<option value="203">St Bartholomew's Hospital, London</option>
<option value="204">St George's Hospital, London</option>
<option value="205">St James's University Hospital, Leeds</option>
<option value="206">St John's Hospital, Howden, Livingston</option>
<option value="208">St Richard's Hospital, Chichester</option>
<option value="209">St Thomas's Hospital, London</option>
<option value="211">Stepping Hill Hospital, Stockport</option>
<option value="212">Stoke Manderville Hospital, Aylesbury</option>
<option value="214">Sunderland Royal Hospital</option>
<option value="215">Tameside Hospital, Ashton-under-Lyne</option>
<option value="252">The Africa Mercy Hospital Ship</option>
<option value="216">The Golden Jubilee National Hospital, Clydebank</option>
<option value="217">The Hillingdon Hospital, Uxbridge</option>
<option value="218">The Lister Hospital, London</option>
<option value="219">The Lister Hospital, Stevenage</option>
<option value="220">The London Clinic</option>
<option value="221">The Ulster Hospital, Dundonald</option>
<option value="222">The Weymouth Street Hospital, London</option>
<option value="223">Torbay Hospital, Torquay</option>
<option value="225">University College Hospital, London</option>
<option value="226">University Hospital Coventry and Warwickshire</option>
<option value="227">University Hospital Crosshouse, Kilmarnock</option>
<option value="228">University Hospital Lewisham</option>
<option value="230">University Hospital of North Staffordshire</option>
<option value="231">University Hospital of North Tees, Cleveland</option>
<option value="232">University Hospital of Wales, Cardiff</option>
<option value="233">Victoria Hospital, Kirkcaldy, Fife</option>
<option value="234">Wansbeck General Hospital, Ashington</option>
<option value="236">Warwick Hospital</option>
<option value="237">West Cumberland Hospital, Whitehaven</option>
<option value="238">West Hertfordshire Hospitals NHS Trust/Watford General Hospital</option>
<option value="241">Wexham Park Hospital, Slough</option>
<option value="242">Whipps Cross University Hospital, London</option>
<option value="244">William Harvey Hospital, Ashford</option>
<option value="245">Winfield Hospital, Gloucester</option>
<option value="246">Worcestershire Royal Hospital</option>
<option value="247">Wrexham Maelor Hospital</option>
<option value="248">Wrightington Hospital, Wigan</option>
<option value="250">Wythenshawe Hospital, Manchester</option>
<option value="251">York Hospital</option>
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Disclaimer
While every effort has been made to ensure the accuracy of all information
contained on this website, Dendrite Clinical Systems Ltd do not accept liability
arising from any errors or omissions or the use of or reliance on the
information contained in this website and reserve the right to change
information and descriptions as and when required.
INTRODUCTION AND GUIDE TO USING THIS WEBSITE
Welcome to the BAETS Surgeon-Specific Outcomes website.
This site provides data on the outcomes of thyroid surgery performed by BAETS
members in the UK between 1st of July 2014 and 30th of June 2018, and is an
update of the results published last year as part of NHS England's initiative to
publish surgical outcome data from a variety of nat ional audits. Data were
extracted from the BAETS database on 7th of February 2020.
Summary of Main Findings
Overall, outcomes are similar to those reported last year.
Mortality of thyroid surgery remains, reassuringly, extremely low, at 0.04%,
with no surgeons reporting a mortality rate greater than that expected by
chance. The circumstance s of all reported deaths were also examined, and in no
case was death directly related to any surgical complications.
Early re-operation to control bleeding in the neck was 1.1%.
Hospital stay after thyroid surgery is short. After lobectomy, most patients are
discharged within 24 hours; after total thyroidectomy, most require only 1-3
days in hospit al. Following discharge home, 2.3% require re-admission for
reasons related to their surgery.*Levels of missing data on the main outcome
measures this year at 11.3% on average .
* Note re-admission rates reported from Royal Bournemouth Hospital are falsely
high due to a misunderstanding in data entry
BACKGROUND:
The BAETS Audit
The British Association of Endocrine and Thyroid Surgeons is a group of UK
surgeons with a specialist interest in surgery of the endocrine organs
(predominantly the thyroid, parathyroid and adrenal glands).
Since 2004, the BAETS has operated a national audit of its members' surgical
procedures, via an electronic submission format, in conjunction with Dendrite
Clinical Systems Ltd., with the aim of documenting certain complications of
endocrine surgery. Access to the audit is restricted to full members of the
BAETS, with data being entered by the individual member.
Outcomes for thyroidectomy were published at individual surgeon level, for the
first time in July 2013, as part of NHS England's national audit initiative,
were updated in 2014, 2016, 2017 and again in the current publication.
Thyroidectomy
The thyroid gland is located in the neck, and is responsible for producing
thyroxine, a hormone involved in the control of the body's metabolism. It is
made up of two halves or 'lobes', which lie either side of the trachea
(windpipe), joined together by a narrow 'isthmus'.
Removal of all or part of the thyroid may be necessary: to treat thyroid
over-activity, to relieve symptoms from enlargement of the thyroid (referred to
as 'goitre'), to provide a diagnosis for a lump in the thyroid, or to treat
thyroid cancer.
Surgery usually involves removal of either one lobe ('Lobectomy'), the whole
thyroid ('Total Thyroidectomy') or the isthmus alone ('Isthmusectomy').
In modern surgical practice, thyroid surgery is very safe, with an extremely low
mortality rate. Complications may, however, occur due to injury to delicate
surrounding structures, and include:
* Bleeding in the neck after surgery, which may require re-operation to prevent
obstruction of the patient's airway.
* Low calcium levels in the blood ('Hypocalcaemia'), due to damage of the
parathyroid glands, which regulate calcium levels and which lie very close to
the thyroid. Hypocalcaemia may recover spontaneously, or be permanent.
* Changes in the voice, due to injury of the recurrent laryngeal nerves, which
control the movement of the vocal cords in the larynx (voicebox). These may
recover spontaneously, or rarely be permanent.
USING THE WEBSITE
Searching For Results
The results refer to cases operated between 1st July 2013 and 30th June 2017.
Results are published only at individual surgeon level.
Institutional-level data are not published. Hospitals listed are those where
BAETS members who have contributed cases operate.
Surgeons may be searched by:
Name (Search by Surgeon):
A drop-down list of contributing members is available, from which an individual
can be selected.
Alternatively, if you know the surgeon's name, begin typing in the box, and the
list will condense accordingly.
If the name you type is not found, it is likely that the individual is either
not a BAETS member, or did not contribute data to the audit during the study
period.
Hospital (Search by Hospital):
A drop-down list is available, from which a hospital can be selected.
Alternatively, begin typing a hospital name in the box and the list will
condense accordingly.
If the hospital name you type is not found, it is likely that no BAETS members
operated there, or that any such members did not contribute data, during the
study period. It cannot be inferred that thyroid surgery is not undertaken
there.
Address/Postcode:
Either insert a relevant postcode or type in the name of your local
town/village. Press 'search by my postcode' and this will load a map showing
your location and surrounding hospitals which can be linked to the BAETS audit
data. Clicking on the blue hospital icon will link directly to the relevant
surgeons' data.
If your local hospital does not appear, it is likely that no BAETS members
operated there, or that any such members did not contribute data, during the
study period. It cannot be inferred that thyroid surgery is not undertaken
there.
Surgeons' Results
Once a surgeon is selected, the following data are presented:
Name
GMC Number
Hospital(s) at which the surgeon operated during the study period.
Dates where cases have been contributed to the audit (so that allowance can be
made for e.g. surgeons being newly appointed or retiring from thyroid surgery
during the period of study).
Outcomes (accessed by clicking on the 'View Graph' icons):
* Case-mix (number of cases, types of operations performed, range of pathology
treated)
* Post-operative Length of Stay
* Re-admission Rate
* Rate of Re-exploration for Bleeding
* In-Hospital Mortality
* Data Completeness
Results are principally expressed graphically, with accompanying explanatory
text.
Complication rates are generally the number of patients having the relevant
complication, divided by the total number of cases for that surgeon, so that
lower rates usually reflect 'better' results.
In the 'funnel plots', results within the central area (below the red lines and
above the green lines) are 'within range' i.e. statistically indistinguishable
from the average. Results above the red lines show a significantly higher than
expected rate of the complication in question.
Further guidance on the interpretation of funnel plots is included in the
following section.
Please also see the Frequently Asked Questions and Glossary links for further
information.
Clicking 'Search Again' redirects you to the main Search page.
Guide to Interpretation of Results and Making Comparisons Between Surgeons
Care should be taken in making comparisons between surgeons on the basis of any
national audit data, for the following reasons:
A. Data Quality
Any audit relies on the collection, transfer and analysis of information,
resulting in a number of potential problems in the quality of the data,
including:
* Missing data: where information on a case or outcome has not been entered.
* Inaccurate data: where information has been entered incorrectly.
In the BAETS Audit, responsibility for collection and entry of data onto the
audit system rests with the individual surgeon. This may help in ensuring that
outcomes are accurately recorded, as there is no reliance on coding of outcomes
by third parties, and it is in surgeons' own interests to ensure that results
attributed to them are correct. However, it can also contribute to greater
levels of missing data, due to limitations or competing priorities on the time
allocated to surgeons for such audit activity.
B. Case-mix
With any operation, the risk of certain complications occurring may be affected
by features of the patient being operated upon, such as their age or the
presence of co-existing illnesses; or by the complexity of the particular
operation.
Surgeons taking on more complex cases might therefore be expected to have a
higher complication rate, even if their performance is no worse than the
average.
For some operations the factors affecting results are well known, and some
allowance (or 'risk-adjustment') can be made during analysis, to account for
case-mix. In endocrine surgery there are no established mathematical models to
make such an allowance. However, previous analyses show that risks of thyroid
surgery are higher for:
* Re-operative surgery, compared to First-time surgery (all complications)
* The addition of central compartment (level 6) lymph node dissection to
thyroidectomy (in relation to the risk of Late Hypocalcaemia)
For this reason, some outcomes are reported only for first-time surgery and
exclude level 6 lymph node dissection. Even in these sub-groups, however, there
may be variation in case-mix, contributing to any observed difference in results
between different surgeons.
C. Variation in measurement of outcomes
Ascertaining whether or not a complication has occurred is relatively
straightforward in some cases e.g. in-hospital mortality, where the outcome is
unambiguous and uniformly recorded. For other outcomes, however, this may be
complicated by differences in measuring, interpreting and recording the outcome.
This is relevant particularly for 'Late Hypocalcaemia' and 'Vocal cord
assessment':
'Late Hypocalcaemia' is currently defined as 'the need for calcium +/- Vitamin D
supplements to maintain normal blood calcium levels at 6 months'. This is
intended to be a surrogate measure of permanent parathyroid damage.
However:
* Patients may take calcium supplements for reasons unrelated to their surgery
e.g. pre-existing vitamin D deficiency or osteoporosis
* Follow-up protocols vary between surgeons
* Opinion varies on whether or not slightly low blood calcium levels require
treatment
* Not all patients taking supplements at 6 months will require them
indefinitely
For 'Vocal Cord Assessment' other considerations apply:
* There are two main nerves to the voice box, one on each side of the neck,
called the recurrent laryngeal nerves. These nerves may be damaged during
surgery, which may result in loss of the normal movements of the vocal cords,
known as vocal cord palsy. When looking at the rate of vocal cord palsy,
allowance must be made for the 'number of recurrent laryngeal nerves at
risk'. For instance, during total thyroidectomy the nerves on both sides of
the neck are exposed to a risk of injury, whereas during removal of only one
lobe of the thyroid (lobectomy), only one nerve is at risk. Surgeons may vary
in the proportion of their cases that are total thyroidectomies or
lobectomies, which may affect the number of patients with vocal cord palsy.
* Diagnosis of a vocal cord palsy(paralysis of one or other vocal cord) can
only be made if the movements of the vocal cords are formally assessed after
surgery, usually by fibre-optic laryngoscopy (inspection of the vocal cords
with a narrow, flexible telescope via the nose). Some surgeons routinely
perform post-operative laryngoscopy on all their cases, while others only do
so selectively, perhaps due to vocal symptoms. Some patients may have a vocal
cord palsy and yet not notice a significant change in their voice. Therefore,
the true rate of vocal cord palsy will be under-estimated by surgeons who do
not check the vocal cords routinely after surgery. Conversely, those surgeons
who do routinely assess post-operative vocal cord function will naturally
have a higher rate of detected vocal cord palsy than those who do so
selectively, irrespective of the quality of surgery.
* The timing of the first post-operative vocal cord assessment will also
influence this rate (earlier assessments leading to a higher rate, because
many vocal cord palsies are temporary). Surgeons vary greatly in this regard,
and this information has not, until recently, been recorded in the database.
* The BAETS recommends routine post-operative laryngoscopy. However, not all
surgeons have ready access to this investigation, and some patients may
decline it. Rates of laryngoscopy may therefore vary between surgeons due to
factors beyond their control.
* Vocal cord palsy after thyroidectomy is usually temporary, but can sometimes
take several months to recover fully, and sometimes does not recover. If it
does not recover, it is deemed 'permanent'. The time interval after surgery
beyond which any cord palsy is deemed 'permanent' varies between surgeons,
making comparison difficult. Recent updates to the database have addressed
this issue, by defining afixed length of follow-up (6 months) for this
outcome, but this change occurred after the cases described in this report.
* Some types of thyroid surgery may be more likely to result in a vocal cord
palsy e.g. surgery for more advanced cancers or for large goiters extending
into the chest. Some surgeons will operate on a greater proportion of these
patients than others.
* The rate of missing data for post-operative vocal cord assessment is
relatively high. For an uncommon complication such as persistent vocal cord
palsy, this makes estimates of outcomes particularly unreliable.
The rate of vocal cord palsy for any surgeon can therefore be affected by the
make up of their practice, the proportion of their cases having a post-operative
vocal cord check, and at what interval after surgery this is performed, as well
as the quality of surgery.
For these reasons, this report concentrates on surgeons' rates of performance of
post-operative laryngoscopy and degree of missing data. Data on persistent vocal
cord palsy should be considered approximate only, so that comparison between
surgeons with respect to this outcome cannot be considered valid at present.
For a more complete analysis of this issue, please see the 4th National BAETS
Audit (pages 94-97) report at https://www.baets.org.uk/audit/
D. Random Variation; Interpretation of Funnel Plots
Even when the overall risk of a surgical complication is known, the exact number
of complications observed for any one surgeon will be prone to some random
variation.
Statistical methods can help identify whether or not the observed variation
might be expected by chance alone. Traditionally, 'confidence intervals' are
calculated, outlining the limits beyond which chance is less likely to explain
the observed variation in outcome. For the purpose of comparing individual
surgeons, confidence limits of 99.9% are often used.
For some outcomes, comparison between surgeons can be shown in the form of a
'funnel plot', as in the example below, and this format is used for some of the
outcomes reported here. Each surgeon is represented by a 'dot', showing that
individual's number of cases and the corresponding percentage of those cases
having the complication in question. The black line shows the average
complication rate for the whole group of patients (across all surgeons), while
the green and red lines show the limits of the confidence intervals, in this
example with pre-set values of 99% and 99.9%.
Results within the central funnel (between red and green lines) are considered
'within control limits' i.e. not statistically significantly different from the
average.
Results outside the central funnel are very unlikely to have arisen by chance
alone, if the surgeon's performance were truly average (0.1% or 1in 1,000).
Other reasons are more likely to explain such results. These might include
inaccurate data entry and differences in measuring outcomes, as well as poorer
surgical performance.
The example funnel plot below would suggest three individuals whose results are
likely to be 'truly' higher than average.
Closing Statement
The BAETS remains committed to using its national audit data to improve the
quality of information available on surgical outcomes, and to help contribute to
professional development of its membership. This website represents one facet of
this process.
Updates at least annually, with additional information on other types of
endocrine surgery, are anticipated.
Disclaimer
While every effort has been made to ensure the accuracy of all information
contained on this website, Dendrite Clinical Systems Ltd do not accept liability
arising from any errors or omissions or the use of or reliance on the
information contained in this website and reserve the right to change
information and descriptions as and when required.
FREQUENTLY ASKED QUESTIONS
What is the aim of the BAETS Endocrine Surgery Registry?
The aim of the registry is to provide information on outcomes of endocrine
surgery (principally surgery on the thyroid, parathyroid and adrenal glands) in
the UK, in order to improve standards of care, through a process of continuous
audit.
Who is responsible for running the Registry?
The registry is a collaborative project operated by the British Association of
Endocrine and Thyroid Surgeons (BAETS) with Dendrite Clinical Systems Ltd.
The BAETS is a specialist association of British surgeons who have an interest
in endocrine surgery, and is recognized as such by the Department of Health, the
Association of Surgeons of Great Britain and Ireland, and the British
Association of Surgical Oncology.
Dendrite Clinical Systems Ltd. is a specialist supplier of clinical databases,
operating multiple national and international clinical databases.
Data Submission and Ownership
Patient data are anonymised at the point of data submission. Dendrite Clinical
Systems Ltd. hold the key to surgeon and hospital codes, but do not hold data
enabling identification of any individual patient. Data are held centrally by
Dendrite Clinical Systems in accordance with UK Data Protection laws. Data
cannot be released without the written permission of the BAETS.
Data Confidentiality
Patient data are anonymised at the point of data submission. Dendrite Clinical
Systems Ltd. hold the key to surgeon and hospital codes, but do not hold data
enabling identification of any individual patient. Data are held centrally by
Dendrite Clinical Systems in accordance with UK Data Protection laws. Data
cannot be released without the written permission of the BAETS.
How are the data used?
Analyses of the data are published approximately every few years, providing an
anonymous summary of surgeons' case-loads, types of conditions treated, ranges
of operations performed, and the resulting clinical outcomes (complication
rates). Copies of the latest report are available on the BAETS website at
www.baets.org.uk
Since 2013, the data have been used to publish individual BAETS members'
outcomes for thyroid surgery, in comparison with the national averages. The data
presented on this website represent an update of this process.
Individual surgeons are also able to view/download their own results, enabling
feedback on their own performance, and thereby contributing to continuous
improvements in outcomes. The BAETS also has an 'outlier' policy, whereby
surgeons whose nationally published outcomes appear significantly worse than
expected can be notified and supported to identify potential areas for
improvement.
What results are available on this website?
The website shows, for each named surgeon:
The number of thyroid operations performed in the four years up to 30th June
2014, and for these cases:
* The length of hospital stay following surgery.
* The rate of re-admission for reasons related to the surgery.
* The rate of re-operation for bleeding in the early post-operative period.
* The rate of low calcium levels in the blood after total thyroidectomy.
* In-hospital mortality.
* The extent of completeness of data entry.
* Information on post-operative assessment of vocal cord function.
Why are the published outcomes restricted to thyroid surgery?
Thyroidectomy represents the commonest type of endocrine surgery, and was
therefore felt to be most appropriate for the first rounds of outcomes
publication.
It is planned, however, to expand the range of outcomes published in future,
including those of other endocrine operations, such as parathyroid and adrenal
surgery.
What is the relevance of mortality rates in thyroid surgery?
Death after thyroid surgery is, reassuringly, extremely rare. In most cases,
such deaths are not directly related to the surgical procedure, and may be due
to heart attacks or strokes, for instance. Rarely, some thyroid operations may
be performed to alleviate symptoms in patients with advanced cancer, where
subsequent death results from the underlying disease, rather than the surgery
itself.
By chance, surgeons will therefore inevitably have either one or no patients
dying after thyroid surgery, and there are no statistically sound methods to
compare such low complication rates.
All confirmed reported deaths are also scrutinized to ensure that none are
related to the quality of surgery
. Mortality rates are reported for completeness, but, for thyroid surgery, are
not considered related to the quality of surgical care.
Why is my local hospital/named surgeon not listed?
The published results derive solely from the BAETS audit database, which is only
accessed by BAETS members. Data submission has traditionally been voluntary,
although recently has become a mandatory aspect of BAETS membership.
Not all surgeons who perform thyroid surgery are members of the BAETS.
Surgeons may therefore not be listed if they are not BAETS members or they are
members who have not submitted data for the period of analysis.
Hospitals may not be listed if they do not have a BAETS member who contributed
data for the period of analysis.
Why can I not view all surgeons' outcomes together e.g. in a table?
Expressing results in the form of 'league tables' is very prone to
misinterpretation, particularly for many of the outcomes presented here, where:
* Some complications are relatively rare, so that estimates of the true
complication rate are very unreliable for surgeons with a smaller case-load.
* No established statistical models exist for risk-adjustment, so that surgeons
taking on more complex cases might have apparently worse outcomes. The
results presented here are 'risk-stratified' by excluding a small number of
cases with the highest risk of given complications (re-operations and central
neck lymph node dissections), but differences will still exist in the
complexity of surgery between the remaining cases.
* Multiple different outcomes are presented. Some surgeons may have rates
'higher than average' for some complications and 'lower than average' for
others. Therefore, it is difficult to give an overall rating of the quality
of surgery.
* The completeness of data varies between surgeons, and might significantly
affect the reported complication rates.
The BAETS feel that results are better expressed by alternative means, including
funnel plots, which allow for improved understanding of an individual surgeon's
results within the spread of data.
Who might find the published information useful?
Patients may find reassurance that their surgeon is participating in a process
of professional audit, and may wish to ascertain how often their surgeon
performs thyroid surgery, what types of surgery are performed, and how that
surgeon's complication rates compare with those of other thyroid specialists.
This information may be useful in discussions with a patient's General
Practitioner regarding referral to a thyroid specialist, but cannot replace GP's
local knowledge, and is not recommended as the sole means for selecting a
thyroid surgeon.
GP's and Health Service Commissioners might find the data helpful in
supplementing knowledge of local services in thyroid surgery.
Hospital Medical Directors and Executive Boards may refer to the data, to
confirm that their local specialists are contributing to national audit and that
their performance is acceptable, or to put in place remedial action if that is
not the case.
Surgeons will gain improved insight into their own performance, helping to
maintain or improve standards.
Healthcare Researchers may derive useful academic information.
GLOSSARY
BAETS:
British Association of Endocrine and Thyroid Surgeons: a group of UK surgeons
with a specialist interest in surgery of the endocrine system.
Colloid Goitre:
A common cause of thyroid enlargement where the thyroid is occupied by multiple,
non-cancerous nodules (lumps). May cause symptoms due to the size of the thyroid
or sometimes due to over-production of thyroid hormones, when surgery can be
used in treatment.
Often also referred to as 'multi-nodular goitre'.
Endocrine:
Relating to those organs responsible for producing hormones (substances released
into the bloodstream which regulate the function of other, remote organs).
First-time Surgery:
Thyroid surgery, where no previous surgery on the thyroid gland has been
performed; as distinct from re-operative thyroidectomy.
Goitre:
Enlargement of the thyroid gland.
Graves' disease:
A disease of the thyroid gland in which the body's immune system produces
antibodies, which can stimulate growth and activity of thyroid cells.One of the
commonest causes of an over-active thyroid (thyrotoxicosis), when thyroidectomy
can be used in treatment.
Funnel plot:
A method of showing a surgeon's results, compared to those of all surgeons, and
to the national average. See Introduction section for guidance on interpretation
of funnel plots.
Hypocalcaemia:
Low calcium levels in the blood. May arise after thyroid surgery, due to damage
of the parathyroid glands, which sit next to the thyroid, and which control
blood calcium levels.
Laryngoscopy:
Inspection of the vocal cords and their movements, usually by a flexible
telescope inserted through the nose as an outpatient procedure.
Lobectomy:
Removal of one half (or 'lobe') of the thyroid
Lymph node dissection:
Removal of certain lymph nodes in the neck, usually as part of treatment for
some thyroid cancers.
Lymph nodes:
Lymph nodes are small, oval organs, present throughout the body, which are part
of the immune system, acting as filters for foreign particles and cancer cells.
Recurrent laryngeal nerves:
Nerves to the voice box, responsible for controlling the movements of the vocal
cords, important for voice production and coughing. May be injured in thyroid
surgery.
Thyroid:
A gland situated in the neck, responsible for regulating the body's metabolism,
by production of thyroid hormones.
Thyroidectomy:
Removal of the thyroid gland.
Thyroxine:
The principal hormone released by the thyroid, and which may be taken as a
tablet to replace the function of the thyroid after thyroidectomy.
Total Thyroidectomy:
Removal of the whole thyroid gland.
Vocal Cord Palsy:
Loss of the normal movements of one or other vocal cord, which may be due to
injury of the recurrent laryngeal nerve(s) during thyroid surgery. May result in
a hoarse/weak voice and swallowing difficulties.
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SURGEON
SPECIFIC
OUTCOME
REPORTS
for Endocrine Surgery
Powered by
Dendrite Clinical Systems
Data analyses updated in
March 2020
* RED CABBAGE
Contains 'goitrogens' (chemicals which may increase thyroid size, by
interfering with iodine uptake)
* SEAWEED
Source of iodine (which is used in production of thyroid hormones)
* MOUNTAINS
Thyroid size is higher in mountainous areas due to lower dietary iodine
intake
* IODINE
An essential element in the production of thyroid hormones
* INDIAN RHINOCEROS
First animal in which the parathyroid glands were recognized (1850)
* COD LIVER OIL
A source of Vitamin D (controls calcium levels, along with the parathyroids)
ENDOCRINE SURGERY
SURGEON SPECIFIC OUTCOME REPORTING
Search by Surgeon Select a SurgeonAbdel-Aziz, TarekAbida, AhmedAdamson,
RichardAertssen, AnnaAgada, FrankAgrawal, AviAhmad, IjazAhmad, OrabiAhmed,
IbrahimAkhtar, IrfanAkyol, MuratAlam, PeymanAllen, DavidAmen, FurratAnderson,
IainAnsari, ShayanArya, ArvindAspinall, SebastianAyshford, ChrisBackhouse,
ChristopherBagul, AtulBalasubramanian, SabaBalfour, AlistairBanga,
NealBarthelmes, LudgerBathala, SrinivasaluBelloso, AntonioBem, ChrisBernstein,
JonathanBhat, NazirBhatt, YogeshBhatti, TahirBiswas, DebabrataBlack, IanBlair,
StephenBliss, RichardBorumandi, FarzadBrindle, RachelBrown, VictoriaBurgess,
ChristopherCarr, MichaelCarswell, AndrewChadwick, DavidCharfare, HabibCheng,
LeoChicken, Dennis-WayneChin, AndyChisholm, EdwardChoudhury, NatashaClark,
LouiseClarke, PeterCocks, HelenConboy, PeterCondon, LukeCorbridge, RoganCounter,
PaulCourtney, StephenCox, HughCraig, WendyCunliffe, DavidCvasciuc, TitusDavis,
Jeremyde Casso Moxo, CarmenDe Zoysa, NeilDenholm, StuartDent, Paul CDerbyshire,
StephenDhanasekar, GanapathyDhar, VikramDinakara Babu, EkambaramDingle,
AnnDoran, HelenDunn, JulieEatock, FionaEgan, RichardEl-Saify, WaelEngland,
JamesEvans, AbigailFaris, CallumFarrell, RoyFish, BrianForgacs, BenceFowler,
ClareFox, HannahFragkiadakis, GeorgiosFraser, SheilaGalata, GabrieleGana,
PolycarpGandhi, AshuGarth, RichardGeorge, AjithGibbins, NicholasGraja,
ThomaszGroot-Wassink, ThomasHalfpenny, WayneHall, CharlesHamann, JulianHardy,
RobertHargreaves, SimonHari, ChurunalHarrison, BarneyHarron, MichaelHickey,
SimonHilmi, OmarHoare, TimHobson, JonathanHolland, PhilipHowe, DavidHubbard,
JohnathanHughes, JonathanHughes, RichardHurley, PaulHusband, AndrewIrune,
EkpemiIsa, AidahJackson, ShaunJacob, TonyJamal, KarimJayaram, Sharan
ChakkyathJeannon, Jean-PierreJeddy, TalebJenkins, StephanieJones, BethanJoseph,
AntonKald, BengtKaushik, VivekKennedy, RobertKhan, ShahabKim, DaeKirkby-Bott,
JamesKirkland, PaulKirkpatrick, UrsulaKochilas, XenofonKothari, PrasadKrukowski,
ZygmuntKumar, NirmalKurup, VijayakumarKurzawinski, TomLansdown, MarkLaw,
NicholasLeontsinis, TimLewis, PeterLim, BeverlyLoh, ChristopherLoughran,
SeanLucarotti, MicheleLynn, JohnMace, AlasdairMacGregor, FionaMacKay, IanMaddox,
PaulMaheshwar, ArcotMakam, KishoreMakura, ZvoruMalik, TassManickavasagam,
JaiganeshMarkham, DeborahMartin-Hirsch, DominicMcCombe, AndrewMcGlashan,
JulianMcIrvine, AndrewMcLaren, AndrewMehanna, HeshamMihai, RaduMiroslav,
TedlaMochloulis, GeorgeMoor, JamesMoorthy, RamMorar, PradeepMorgan, JustinMuir,
IainMurphy, JustinNigam, KeshavNixon, IainO'Connell, JanetOfo,
EnyinnayaOlarinde, OlawalePalazzo, FaustoPaleri, VinidhPapesch, MichaelParrott,
NeilParvanta, LailaPatel, NimeshPenney, SusannahPfleiderer, AndrewPhilpott,
JonathanPitkin, LisaPuvanendran, MarkQuiroga, IsabelRao, RajashekharRatliff,
DavidRavichandran, DuraisamyReddy, VenkatRepanos, CostaRew, DavidRigg,
KeithRoland, NickRoss, AlasdairRourke, TomRoyle, GavinSadek, SarwatSaharay,
MrinalSandhu, SwairajSchulte, Klaus-MartinScott-Coombes, DavidShah,
BareenShanker, VivekSharma, AnupShering, SteveShore, SusannahShotton, JohnSim,
RichardSimo, RicardSinha, PrakashSinnappa, GunasekaranSkene, AnthonySmellie,
JamesSmith, DavidSmith, IanSmith, SimonSonsale, AnitaSpraggs, PaulStacey-Clear,
AdamStafford, FrankStearns, MichaelStechman, MichaelStimpson, PaulSudderick,
RobertSUPRIYA, MRINALSweed, AhmedTassone, PeterTatla, TaranjitTheokli,
ChristopherThomas, PaulThompson, AdrianThomson, SimonThrush, StevenTierney,
PaulTitus, AugustineTolley, NeilTomlinson, MarkTruran, PeterTurner, PaulUbhi,
CharanjeitUppal, HarpreetVenkat, SrinivasanVowles, RichardWaghorn,
AlisonWakelin, SoniaWalden, AshleyWalls, GerardWarnaar, NienkeWatkinson,
JohnWatters, GavinWeighill, JohnWelch, AndrewWheatley, HughWijewardena,
ChandanaWilde, AdamWilliams, MichaelWilliamson, PeterWilson, HelenaWilson,
PaulWinkler, MichailWood, StephenWoodhead, Christopher JamesYiangou,
ConstantinosZammitt, Charles
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Hospital, WiganWythenshawe Hospital, ManchesterYork Hospital
Select a Hospital
Search by MY Postcode
BRITISH
ASSOCIATION OF
ENDOCRINE &
THYROID
SURGEONS
The BAETS is the representative body of British Surgeons who have a specialist
interest in surgery of the endocrine glands (thyroid, parathyroid and adrenal).
The BAETS is recognised by the Department of Health, the Association of Surgeons
of Great Britain and Ireland (ASGBI) and the British Association of Surgical
Oncology (BASO).
CONTACT
BAETS
Email: info@baets.org.uk
Tel: 020 7304 4771
Fax: 020 7430 9235
BAETS
Association of Surgeons of Great Britain & Ireland
35-43 Lincoln's Inn Fields, London, WC2A 3PE