Inpatient Complications After Transsphenoidal Surgery in Cushing's Versus Non-Cushing's Disease Patients.
Journal Article (Journal Article)
Objective
Transsphenoidal surgery (TSS) harbors a potential for hypopituitarism, cerebrospinal fluid (CSF) leaks, and other complications. We utilized the Nationwide Inpatient Sample Database (NIS) to compare inpatient complication rates between Cushing's disease (CD) and non-Cushing's disease (NCD) patients undergoing TSS.Methods
Inpatient hospitalization data for 960 CD and 12 110 NCD patients who underwent TSS between 2002 and 2010 were accessed. Demographic information, outcomes, and complication rates were evaluated.Results
Patients with CD had a female predilection (81.7%) and were younger (40.5 ± 14.4 years) than NCD patients (47.8% female; 52.1 ± 16.3 years) (P < .001). Length of stay and total charges did not differ between groups. Patients with CD had significantly greater postoperative diabetes insipidus rates (14.0% vs 9.6%, P < .001) and urinary/renal complications (1.7% vs 0.9%, P = .027). After adjusting for possible confounders, the relationship between urinary/renal complications and CD status strengthened. There was no difference in rates of CSF leak and iatrogenic pituitary disorders overall.Conclusion
No differences were noted in the rate of early CSF leaks between postoperative TSS CD and NCD patients. Postoperative diabetes insipidus did not significantly differ between groups after adjusting for confounders. Only odds of urinary/renal complications in CD patients was significant after adjustment.Full Text
Duke Authors
Cited Authors
- Svider, PF; Raikundalia, MD; Pines, MJ; Baredes, S; Folbe, AJ; Liu, JK; Eloy, JA
Published Date
- January 2016
Published In
Volume / Issue
- 125 / 1
Start / End Page
- 5 - 11
PubMed ID
- 26180176
Pubmed Central ID
- 26180176
Electronic International Standard Serial Number (EISSN)
- 1943-572X
International Standard Serial Number (ISSN)
- 0003-4894
Digital Object Identifier (DOI)
- 10.1177/0003489415595424
Language
- eng