{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:20:04Z","timestamp":1787062804651,"version":"build-2736575974"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T00:00:00Z","timestamp":1613347200000},"content-version":"vor","delay-in-days":244,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T00:00:00Z","timestamp":1592265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T00:00:00Z","timestamp":1592265600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraoperative nerve monitoring (IONM) of the recurrent laryngeal nerve (RLN) predicts the risk of vocal cord palsy (VCP). IONM can be used to adapt the surgical strategy in order to prevent bilateral VCP and associated morbidity. Controversial results have been reported in the literature for the effect of IONM on rates of VCP, and large multicentre studies are required for elucidation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing first-time thyroidectomy for benign thyroid disease between May 2015 and January 2019, documented prospectively in the European registry EUROCRINE\u00ae, were included in a cohort study. The influence of IONM and other factors on the development of postoperative VCP was analysed using multivariable regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 4598 operations from 82 hospitals, 3542 (77\u00b70 per cent) were performed in female patients. IONM was used in 4182 (91\u00b70 per cent) of 4598 operations, independent of hospital volume. Postoperative VCP was diagnosed in 50 (1\u00b71 per cent) of the 4598 patients. The use of IONM was associated with a lower risk of postoperative VCP in multivariable analysis (odds ratio (OR) 0\u00b734, 95 per cent c.i. 0\u00b716 to 0\u00b773). Damage to the RLN noted during surgery (OR 24\u00b777, 12\u00b791 to 48\u00b707) and thyroiditis (OR 2\u00b703, 1\u00b710 to 3\u00b776) were associated with an increased risk of VCP. Higher hospital volume correlated with a lower rate of VCP (OR 0\u00b705, 0\u00b701 to 0\u00b713).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Use of IONM was associated with a low rate of postoperative VCP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs5.50310","type":"journal-article","created":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T10:29:38Z","timestamp":1592303378000},"page":"821-829","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Effect of intraoperative nerve monitoring on postoperative vocal cord palsy rates after thyroidectomy: European multicentre registry-based study"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5538-5276","authenticated-orcid":false,"given":"J I","family":"Staubitz","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, Section of Endocrine Surgery , Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Watzka","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, Section of Endocrine Surgery , Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Poplawski","sequence":"additional","affiliation":[{"name":"Institute for Medical Biometry, Epidemiology and Informatics, University Medical Centre Mainz , Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Riss","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University of Vienna , 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Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Riss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Slycke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Iacobone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Brunaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Bergenfelz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Clerici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Villar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Raffaelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Scott-Coombes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,16]]},"reference":[{"key":"2022100813152710600_bjs550310-bib-0001","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1016\/j.surg.2004.07.018","article-title":"Risk 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