Understanding and Addressing Delays in Endocrine Surgery: Insights From a Mixed-Methods Study and a Pilot Educational Intervention - Report - MDSpire

Understanding and Addressing Delays in Endocrine Surgery: Insights From a Mixed-Methods Study and a Pilot Educational Intervention

  • By

  • Stella Kim

  • Maxwell Foote

  • Sophia Zhang

  • Audrey Twyford

  • Abigail Fox

  • Jennifer E. Rosen

  • July 16, 2026

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Clinical Report: Exploring Delays in Endocrine Surgery

Background

Delays in endocrine surgery can significantly affect patient outcomes, particularly in thyroid cancer and parathyroid disease. Understanding the multi-level factors contributing to these delays is crucial for improving surgical care delivery.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Delays longer than 180 days in thyroid cancer surgery are associated with worse disease-specific survival.
  • Delays exceeding 2 years in parathyroid surgery increase the risk of renal stones and cardiovascular events.
  • Older age and residence in socially vulnerable communities correlate with longer wait times for parathyroidectomy.
  • Ineffective communication among patients, providers, and institutions contributes to treatment delays and adverse events.
  • High patient satisfaction with telemedicine does not eliminate delays in surgical care.

Clinical Implications

Healthcare providers should be aware of the factors contributing to delays in endocrine surgery, including communication barriers and patient demographics. Educational interventions may enhance referral processes and reduce wait times.

Conclusion

Addressing the multi-level contributors to delays in endocrine surgery is essential for optimizing patient outcomes. Continued efforts in education and communication are necessary to mitigate these delays.

Related Resources & Content

  1. Updates in Surgery, 2025 -- Developing a SPIKES Framework for Addressing Uncertainty in Indeterminate Thyroid Cytology
  2. Cross-Departmental Dissemination of Innovations, 2018 -- A Multicenter Analysis of the Enhanced Recovery After Surgery Initiative
  3. The Role of Preoperative Patient Education in Enhancing Postoperative Recovery Following Abdominal Surgery, 2022 -- A Comprehensive Review
  4. Executive Summary of the 2025 American Thyroid Association Management Guidelines for Adult Patients with Differentiated Thyroid Cancer
  5. Recommendations | Thyroid cancer: assessment and management | Guidance | NICE
  6. Surgical Endoscopy — In-Depth Examination of Learning Stages and Results in Robotic versus Endoscopic Thyroid Surgery
  7. Thyroid Cancer Guidelines
  8. Executive Summary of the 2025 American Thyroid Association Management Guidelines for Adult Patients with Differentiated Thyroid Cancer
  9. Recommendations | Thyroid cancer: assessment and management | Guidance | NICE
  10. Outcomes and effectiveness of active surveillance for low-risk papillary thyroid carcinoma: a systematic review and meta-analysis - PubMed
  11. Comparison of US-guided thermal ablation and surgery for papillary thyroid cancer: a systematic review and meta-analysis - PubMed
  12. Efficacy and safety of radiofrequency ablation versus surgery for management of papillary thyroid microcarcinoma: a systematic review, meta-analysis, and meta-regression - PubMed
  13. Lobectomy Versus Total Thyroidectomy Across 2015 American Thyroid Association Low‐to‐Intermediate‐Risk Papillary Thyroid Carcinoma - Wong - 2025 - Otolaryngology–Head and Neck Surgery - Wiley Online Library
  14. Racial implications of time to surgery in disparities in thyroid cancer survival - ScienceDirect
  15. Short-term impact of delayed surgical treatment on the prognosis of patients with T1bN1-stage PTC: a retrospective cohort study | BMC Cancer | Springer Nature Link
  16. Standardizing the reporting of postoperative hypoparathyroidism following thyroidectomy: consensus statement from the European Society of Endocrine Surgeons, the American Association of Endocrine Surgeons, and the International Association of Endocrine Surgeons | BJS | Oxford Academic

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