Analyzing cost-effectiveness of neural-monitoring in recurrent laryngeal nerve recovery course in thyroid surgery
DC Field | Value | Language |
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dc.contributor.author | Wang, Tie | - |
dc.contributor.author | Kim, Hoon Yub | - |
dc.contributor.author | Wu, Che-Wei | - |
dc.contributor.author | Rausei, Stefano | - |
dc.contributor.author | Sun, Hui | - |
dc.contributor.author | Pergolizzi, Francesca Pia | - |
dc.contributor.author | Dionigi, Gianlorenzo | - |
dc.date.accessioned | 2021-09-02T22:24:27Z | - |
dc.date.available | 2021-09-02T22:24:27Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-12 | - |
dc.identifier.issn | 1743-9191 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/81364 | - |
dc.description.abstract | Purpose: The increasing use of intraoperative neural monitoring (IONM) of the recurrent laryngeal nerve (RLN) during thyroid surgery imposes an evaluation of cost-effectiveness. Methods: The analysis estimated the cost versus utility of different alternatives that simulate nerve injury course and the consequences for the following cohorts of patients: (1) no RLN injury, or vocal fold palsy (VCP) recovery within 1 month (2), 2 months (3), 6 months (4), and after 12 months (5). In the model applied, the average simulated cohort consisted of a young female patient, 40 years old, employed, daily voice user, who underwent elective, conventional total thyroidectomy via cervical incision using a standardized intermittent IONM technique, for an operable benign, bilateral, diffuse, multinodular, non-toxic, non-retrosternal goiter. Results: IONM was cost-ineffective when parameters such as the rates of transient vocal fold palsy (VCP) reached 38.5%. IONM was cost-effective if the rate of VCP was 33.6% at 1 month, 22.9% at 2 months, 9.8% at 6 months, and 3.8% at 12 months, independent of phono-surgery. The described scenario is cost-effective only in a highvolume setting. Conclusions: This study used simulation economic modeling to assess clinical and cost-effectiveness utility of IONM implementation. In light of the limitations of a simulation-based study, we conclusively assumed that IONM is cost-effective for permeant RLN injuries. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE BV | - |
dc.subject | PARATHYROID SURGERY | - |
dc.subject | ENDOCRINE SURGEONS | - |
dc.subject | ASSOCIATION | - |
dc.subject | MANAGEMENT | - |
dc.subject | HEALTH | - |
dc.subject | RECOMMENDATIONS | - |
dc.subject | PREVALENCE | - |
dc.subject | GUIDELINES | - |
dc.subject | PARALYSIS | - |
dc.subject | PATTERNS | - |
dc.title | Analyzing cost-effectiveness of neural-monitoring in recurrent laryngeal nerve recovery course in thyroid surgery | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hoon Yub | - |
dc.identifier.doi | 10.1016/j.ijsu.2017.10.003 | - |
dc.identifier.scopusid | 2-s2.0-85033402463 | - |
dc.identifier.wosid | 000418481500030 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF SURGERY, v.48, pp.180 - 188 | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF SURGERY | - |
dc.citation.title | INTERNATIONAL JOURNAL OF SURGERY | - |
dc.citation.volume | 48 | - |
dc.citation.startPage | 180 | - |
dc.citation.endPage | 188 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | PARATHYROID SURGERY | - |
dc.subject.keywordPlus | ENDOCRINE SURGEONS | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | HEALTH | - |
dc.subject.keywordPlus | RECOMMENDATIONS | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | PARALYSIS | - |
dc.subject.keywordPlus | PATTERNS | - |
dc.subject.keywordAuthor | Neural monitoring | - |
dc.subject.keywordAuthor | IONM | - |
dc.subject.keywordAuthor | Nerve injury | - |
dc.subject.keywordAuthor | Thyroid surgery | - |
dc.subject.keywordAuthor | Cost-effectiveness | - |
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