{"doi":"10.1002/wjo2.230","title":"Pituitary adenoma management and outcomes according to hospital case volume and facility type","abstract":"Abstract Objectives This study evaluates the influence of facility volume and type on the treatment and outcomes of pituitary adenoma (PA). Methods The 2004–2016 National Cancer Database was queried for patients with PA receiving definitive treatment. Tumor size represented the largest diameter of the primary tumor. Results A total of 89,863 patients (53.8% female) with a mean age and tumor size of (51.0 ± 18.0) years (Mean ± SD, later the same) and (19.5 ± 13.2) mm, respectively, were included. Patients were managed at 1,241 unique facilities, categorized into 1057 low‐volume (treating approximately &lt;10 patients annually), 142 intermediate‐volume (treating approximately 10–30 patients annually), and 42 high‐volume facilities (treating approximately 31–105 patients annually). Increasing facility volume and academic centers were both associated with higher rates of surgical treatment as well as lower rates of radiotherapy and shorter postoperative length of hospitalization (all p &lt; 0.001). Kaplan–Meier log‐rank analysis showed that increasing facility volume and academic centers were both significantly associated with improved overall survival ( p &lt; 0.001). On multivariate Cox‐regression analysis after adjusting for age, gender, Charlson–Deyo comorbidity index, tumor size, treatment type, and facility type, treatment at intermediate‐volume (HR 1.238, 95% CI 1.155–1.329, p &lt; 0.001) and low‐volume facilities (HR = 1.413, 95% CI 1.306–1.528, p &lt; 0.001) were independent risk factors of all‐cause mortality, while facility type was not independently associated with overall survival. Conclusion Management and outcomes of PA appear to be dependent on the treatment facility volume, with high‐volume facilities, but not necessarily facility type, being associated with improved outcomes overall.","journal":"World Journal of Otorhinolaryngology - Head and Neck Surgery","year":2024,"id":507763,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":0.0,"corpus_rank":10062,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6379,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":4.1667,"fair_percentile":4.891470498318557,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1359163,"name":"Lauren Michelle","orcid":"0000-0003-3961-247X","position":1,"is_corresponding":false},{"id":958595,"name":"Sina J. Torabi","orcid":"0000-0002-1964-7109","position":2,"is_corresponding":false},{"id":958593,"name":"Kelsey M. Roman","orcid":"0000-0002-2367-0336","position":3,"is_corresponding":false},{"id":642320,"name":"Milind Vasudev","orcid":"0000-0003-0754-3115","position":4,"is_corresponding":false},{"id":499466,"name":"Arash Abiri","orcid":"0000-0003-2656-1060","position":5,"is_corresponding":false},{"id":462663,"name":"Ahmed Mohyeldin","orcid":null,"position":6,"is_corresponding":false},{"id":413776,"name":"Frank P. K. Hsu","orcid":"0000-0003-0929-4052","position":7,"is_corresponding":false},{"id":499467,"name":"Edward C. Kuan","orcid":"0000-0003-3475-0718","position":8,"is_corresponding":false},{"id":363796,"name":"Khodayar Goshtasbi","orcid":"0000-0002-0045-2547","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T02:11:02.460057Z","pmid":"40932920","pmcid":"PMC12418330","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":11.1111,"fair_a":0.0,"fair_i":0.0,"fair_r":33.3333,"fair_zscore":-1.1986,"fair_rationale":{"fair_score":4.17,"has_llm":true,"taxonomy_version":"fair_taxonomy_v5","dimensions":{"F":{"name":"Findable","score":11.11,"criteria":[{"key":"f_dataset_pid","label":"Persistent identifier for the data","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No persistent identifier for the study's own dataset is given.","anchors":["RDA-F1-01D — FAIR Data Maturity Model: 'Data is identified by a persistent identifier' (priorit","RDA-F1-02D — FAIR Data Maturity Model: 'Data is identified by a globally unique identifier'","FsF-F1-02D — F-UJI/FAIRsFAIR: 'Data is assigned a persistent identifier'"],"scored":true,"signal":null},{"key":"f_repository_named","label":"Named repository","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No repository is named as the holder of the study's own data.","anchors":["RDA-F4-01M — FAIR Data Maturity Model: metadata is offered so it can be harvested and indexed (","NIH DMS Policy Element 4 (NOT-OD-21-014) — name the repository where data will be archived","NSTC Desirable Characteristics of Data Repositories (2022) — 'Long-Term Sustainability', 'Reten"],"scored":true,"signal":null},{"key":"f_data_availability_statement","label":"Data-availability statement","kind":"llm","weight":2.0,"fraction":0.5,"verdict":"partial","evidence":"Code, data, and materials will be made available upon reasonable request.","grounded":true,"rationale":"The statement points to the authors on request, not a repository record.","anchors":["Colavizza, Hrynaszkiewicz, Staden, Whitaker & McGillivray (2020), 'The citation advantage of li","Springer Nature research data policy — Data Availability Statements: standard statement templat","RDA-F3-01M — metadata clearly and explicitly includes the identifier of the data it describes"],"scored":false,"signal":null},{"key":"f_discovery_metadata","label":"Description of the dataset as an object","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No itemised inventory of the dataset's files, variables, or samples exists. 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