2024
Modified Bethesda criteria for thyroid aspirates significantly decrease nondiagnostic rates without decreasing sensitivity
Renshaw A, Schiro B, Erinjeri N, Udelsman R. Modified Bethesda criteria for thyroid aspirates significantly decrease nondiagnostic rates without decreasing sensitivity. Journal Of The American Society Of Cytopathology 2024, 13: 346-349. PMID: 38772761, DOI: 10.1016/j.jasc.2024.04.005.Peer-Reviewed Original Research
2014
Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach
Lebastchi AH, Donovan PI, Udelsman R. Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach. JAMA Surgery 2014, 149: 1133-1137. PMID: 25188005, DOI: 10.1001/jamasurg.2014.1296.Peer-Reviewed Original ResearchConceptsConventional treatment groupTotal hospital chargesLength of stayParathyroid hyperplasiaGeneral anesthesiaPrimary hyperparathyroidismComplication rateConsecutive patientsConscious sedationHospital chargesLocoregional anesthesiaLimited incisionTreatment groupsConventional treatmentLower total hospital chargesPreoperative serum calcium levelsSerum parathyroid hormone levelsTertiary academic referral centerParathyroid hormone levelsBilateral neck explorationShorter hospital staySingle-gland diseaseAcademic referral centerSerum calcium levelsTreatment of patientsGuidelines for the Management of Asymptomatic Primary Hyperparathyroidism: Summary Statement from the Fourth International Workshop
Bilezikian JP, Brandi ML, Eastell R, Silverberg SJ, Udelsman R, Marcocci C, Potts JT. Guidelines for the Management of Asymptomatic Primary Hyperparathyroidism: Summary Statement from the Fourth International Workshop. The Journal Of Clinical Endocrinology & Metabolism 2014, 99: 3561-3569. PMID: 25162665, PMCID: PMC5393490, DOI: 10.1210/jc.2014-1413.Peer-Reviewed Original ResearchThe Surgical Management of Asymptomatic Primary Hyperparathyroidism: Proceedings of the Fourth International Workshop
Udelsman R, Åkerström G, Biagini C, Duh QY, Miccoli P, Niederle B, Tonelli F. The Surgical Management of Asymptomatic Primary Hyperparathyroidism: Proceedings of the Fourth International Workshop. The Journal Of Clinical Endocrinology & Metabolism 2014, 99: 3595-3606. PMID: 25162669, DOI: 10.1210/jc.2014-2000.Peer-Reviewed Original ResearchConceptsAsymptomatic primary hyperparathyroidismExperienced endocrine surgeonsPrimary hyperparathyroidismSurgical managementEndocrine surgeonsSurgical criteriaRapid intraoperative PTH assayIntraoperative PTH assayHigh cure ratesLow complication rateFourth International WorkshopInternational task forceComprehensive literature searchComplication rateIntraoperative adjunctsMedical contraindicationsPreoperative imagingCure rateSurgical approachPotential complicationsPTH assaysRegional anesthesiaSkeletal manifestationsSurgeon involvementOperative planRisk stratification in follicular neoplasm: A cytological assessment using the modified bethesda classification
Ustun B, Chhieng D, Van Dyke A, Carling T, Holt E, Udelsman R, Adeniran AJ. Risk stratification in follicular neoplasm: A cytological assessment using the modified bethesda classification. Cancer Cytopathology 2014, 122: 536-545. PMID: 24753500, DOI: 10.1002/cncy.21425.Peer-Reviewed Original ResearchConceptsHürthle cell neoplasmsFollicular neoplasmPapillary thyroid carcinomaFollicular lesionsBethesda classificationRisk stratificationFollicular variantThyroid carcinomaCytological diagnosisThyroid fine-needle aspiration (FNA) casesThyroid cytologyAggressive surgical managementHigh positive predictive valueSurgical pathology reportsPositive predictive valueFine-needle aspiration casesSurgical managementPathology reportsCell neoplasmsCurrent recommendationsNuclear atypiaCytology recordsCytological assessmentDiagnostic lobectomyNeoplasmsFollicular Variant of Papillary Thyroid Carcinoma: Accuracy of FNA Diagnosis and Implications for Patient Management
Ustun B, Chhieng D, Prasad ML, Holt E, Hammers L, Carling T, Udelsman R, Adeniran AJ. Follicular Variant of Papillary Thyroid Carcinoma: Accuracy of FNA Diagnosis and Implications for Patient Management. Endocrine Pathology 2014, 25: 257-264. PMID: 24696132, DOI: 10.1007/s12022-014-9301-3.Peer-Reviewed Original ResearchConceptsFinal diagnosisPapillary thyroid carcinomaCytologic diagnosisDiagnostic accuracySurgical interventionFollicular variantPatient managementThyroid carcinomaFollicular lesionsFine needle aspiration cytologyDiagnostic studiesFollicular neoplasm casesSubsequent surgical interventionBethesda classification systemDiagnosis of FVPTCFinal histologic diagnosisAccuracy of cytologyNeedle aspiration cytologyThyroid fine needle aspiration cytologyPercentage of casesBRAF mutation analysisCompletion thyroidectomyTotal thyroidectomyHistologic confirmationRetrospective reviewContinuous glucose monitoring in the surgical intensive care unit
Schuster KM, Barre K, Inzucchi SE, Udelsman R, Davis KA. Continuous glucose monitoring in the surgical intensive care unit. Journal Of Trauma And Acute Care Surgery 2014, 76: 798-803. PMID: 24553551, DOI: 10.1097/ta.0000000000000127.Peer-Reviewed Original ResearchConceptsSurgical intensive care unitIntensive glycemic controlContinuous glucose monitoring systemIntensive care unitCare unitInsulin infusionCapillary blood glucose readingsDoses of vasopressorsLarge volume resuscitationBlood glucose readingsContinuous glucose monitoringCBG readingsGlycemic controlBland-Altman plotsClinical outcomesGlucose monitoring systemFluid balanceSubcutaneous tissueLevel IIIGlucose readingsDiagnostic studiesGlucose monitoringAbsolute differenceError grid analysisMedian absolute differenceOperative confidence of graduating surgery residents: a training challenge in a changing environment
Fonseca AL, Reddy V, Longo WE, Udelsman R, Gusberg RJ. Operative confidence of graduating surgery residents: a training challenge in a changing environment. The American Journal Of Surgery 2014, 207: 797-805. PMID: 24530093, DOI: 10.1016/j.amjsurg.2013.09.033.Peer-Reviewed Original ResearchConceptsVeterans Affairs hospitalGeneral surgery residentsSurgery residentsOpen operationOpen surgical proceduresOperative confidenceGeneral surgical trainingSurgical volumeSurgical proceduresConfidence deficitsSurgical residentsFurther studiesHospitalSurgical trainingTraining programProgram characteristicsResidentsSignificant lack
2013
Thyroid Cancer
Carling T, Udelsman R. Thyroid Cancer. Annual Review Of Medicine 2013, 65: 125-137. PMID: 24274180, DOI: 10.1146/annurev-med-061512-105739.Peer-Reviewed Original ResearchConceptsThyroid cancerCentral cervical lymph node dissectionCervical lymph node dissectionPreoperative fine needle biopsyLymph node dissectionAdvanced thyroid cancerFavorable natural historyMost thyroid cancersFine-needle biopsyNode dissectionTotal thyroidectomyDrug therapyClinical trialsTargetable pathwaysMortality rateRadioactive iodineNatural historyCancerAppropriate useAppropriate extentDiagnostic purposesMolecular analysisLymphadenectomyThyroidectomyBiopsyCure Predictability During Parathyroidectomy
Udelsman R, Donovan P, Shaw C. Cure Predictability During Parathyroidectomy. World Journal Of Surgery 2013, 38: 525-533. PMID: 24240672, DOI: 10.1007/s00268-013-2327-8.Peer-Reviewed Original ResearchConceptsPostoperative parathyroid hormoneResidual diseaseCure rateTermination of surgeryConsecutive unselected patientsMean cure rateLogistic stepwise regressionCervical explorationPTH curveCurative resectionPrimary hyperparathyroidismPTH valuesUnselected patientsParathyroid hormoneSA patientsHyperfunctioning tissueOperative casesPatientsSubsequent cohortsLog oddsResectionCureAdditional explorationDiseaseCalcium dataThe Epidemic of Thyroid Cancer in the United States: The Role of Endocrinologists and Ultrasounds
Udelsman R, Zhang Y. The Epidemic of Thyroid Cancer in the United States: The Role of Endocrinologists and Ultrasounds. Thyroid 2013, 24: 472-479. PMID: 23937391, PMCID: PMC3949447, DOI: 10.1089/thy.2013.0257.Peer-Reviewed Original ResearchInternational Association of Endocrine Surgeons: The Origin
Udelsman R. International Association of Endocrine Surgeons: The Origin. World Journal Of Surgery 2013, 38: 521-524. PMID: 24149716, DOI: 10.1007/s00268-013-2270-8.Peer-Reviewed Original Research
2001
Do Future General Surgery Residents Have Adequate Exposure to Endocrine Surgery During Medical School?
Chen H, Hardacre J, Martin C, Udelsman R, Lillemoe K. Do Future General Surgery Residents Have Adequate Exposure to Endocrine Surgery During Medical School? World Journal Of Surgery 2001, 26: 17-21. PMID: 11898028, DOI: 10.1007/s00268-001-0175-4.Peer-Reviewed Original ResearchConceptsMedical schoolsMedical studentsMedical school educationGeneral surgery residency positionsGeneral surgery residentsPaucity of exposureSchool educationSurgical rotationSchoolsStudentsSurgical careerSurgery residentsSubspecialty rotationsSurgical proceduresResidency positionsCoronary bypass surgeryIndex surgical procedureSurgical residentsBypass surgeryLaparoscopic cholecystectomyThyroid resectionMean ageEndocrine surgeryAdequate exposureGeneral surgery
1998
Polymerase Chain Reaction-Based Microsatellite Polymorphism Analysis of Follicular and Hürthle Cell Neoplasms of the Thyroid1
Segev D, Saji M, Phillips G, Westra W, Takiyama Y, Piantadosi S, Smallridge R, Nishiyama R, Udelsman R, Zeiger M. Polymerase Chain Reaction-Based Microsatellite Polymorphism Analysis of Follicular and Hürthle Cell Neoplasms of the Thyroid1. The Journal Of Clinical Endocrinology & Metabolism 1998, 83: 2036-2042. PMID: 9626136, DOI: 10.1210/jcem.83.6.4882.Peer-Reviewed Original ResearchConceptsPCR-based microsatellite polymorphism analysisMicrosatellite polymorphism analysisFollicular neoplasmCell neoplasmsAllelic alterationsSurgical managementIntraoperative frozen section examinationVariants of follicular neoplasmsPreoperative fine-needle aspirationPolymorphism analysisRecommended surgical managementFrozen section examinationOptimal surgical managementChromosome arms 1qFine-needle aspirationFisher's exact testAdenoma to carcinomaTumor suppressor geneFollicular carcinomaFollicular adenomaThyroid neoplasmsCell carcinomaMalignant lesionsNeedle aspirationAspirated material