{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T15:28:48Z","timestamp":1775057328715,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,6,5]],"date-time":"2016-06-05T00:00:00Z","timestamp":1465084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied resource consumption in the management of patients with RLN injury versus noninjured patients investigating 3 perspectives (patients, NHS, and society) in 5 clinical pathways.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Direct medical costs supported by the NHS range from a minimum of euro (\u20ac) 79.46 to a maximum of \u20ac 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of \u20ac 3.60 to a maximum of \u20ac 499.45. Productivity losses were accounted in \u20ac 156 per day per patient. From the NHS perspective, the percentage increase ranged from 43.25% to 98.14%. From the patient's perspective, it ranged from 51.52% to 80.60%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity. \u00a9 2016 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: 1708\u20131716, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24489","type":"journal-article","created":{"date-parts":[[2016,6,6]],"date-time":"2016-06-06T04:26:47Z","timestamp":1465187207000},"page":"1657-1665","source":"Crossref","is-referenced-by-count":14,"title":["Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption"],"prefix":"10.1002","volume":"38","author":[{"given":"Cesare Carlo","family":"Ferrari","sequence":"first","affiliation":[{"name":"Endocrine Surgery Research Center, Department of Surgical and Morphological Sciences, University of Insubria (Varese\u2010Como) Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Rausei","sequence":"additional","affiliation":[{"name":"Department of Surgical and Morphological Sciences University of Insubria (Varese\u2010Como) Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Amico","sequence":"additional","affiliation":[{"name":"Department of Surgical and Morphological Sciences University of Insubria (Varese\u2010Como) Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Boni","sequence":"additional","affiliation":[{"name":"Minimally Invasive Surgery Research Center, Department of Surgical and Morphological Sciences, University of Insubria (Varese\u2010Como) Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng\u2010Yu","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1052-5348","authenticated-orcid":false,"given":"Che\u2010Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Kaohsiung Medical University Hospital, Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianlorenzo","family":"Dionigi","sequence":"additional","affiliation":[{"name":"Department of Surgical and Morphological Sciences University of Insubria (Varese\u2010Como) Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Associazione Italiana di Radioprotezione Medica (AIRM).2012. 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