{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:18:46Z","timestamp":1786979926272,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T00:00:00Z","timestamp":1564963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T00:00:00Z","timestamp":1564963200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T00:00:00Z","timestamp":1564963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Given their profound emotional, physical, and financial toll on patients and surgeons, we studied the characteristics, costs, and contributing factors of thyroid and parathyroid surgical malpractice claims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the Controlled Risk Insurance Company Strategies\u2019 Comparative Benchmarking System database, representing\u2009~30% of all US paid and unpaid malpractice claims, 5384 claims filed against general surgeons and otolaryngologists from 1995\u20132015 were reviewed to isolate claims involving the surgical management of thyroid and parathyroid disease. These claims were studied, and multivariable regression analysis was performed to identify factors associated with plaintiff payout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred twenty\u2010eight thyroid and parathyroid surgical malpractice claims were isolated. The median time from alleged harm event to closure of a malpractice case was 39\u00a0months. The most common associated complications were bilateral recurrent laryngeal nerve (RLN) injury (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) and hematoma (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918). Complications led to death in 18 cases. Patient payout occurred in 33% of claims (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942), and the median cost per claim was $277,913 (IQR $87,343\u2013$783,663). On multivariable analysis, bilateral RLN injury was predictive of patient payout (OR 3.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), while procedure, death, and surgeon specialty were not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Though rare, malpractice claims related to thyroid and parathyroid surgery are costly, time\u2010consuming, and reveal opportunities for early surgeon\u2013patient resolution after poor outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-019-05102-y","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T15:02:18Z","timestamp":1565017338000},"page":"2850-2855","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["A Long, Unnerving Road: Malpractice Claims Involving the Surgical Management of Thyroid and Parathyroid Disease"],"prefix":"10.1002","volume":"43","author":[{"given":"Rajshri M.","family":"Gartland","sequence":"first","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"},{"name":"Lawrence Center for Quality and Safety, Massachusetts General Hospital Massachusetts General Physicians Organization Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan P.","family":"Bloom","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sareh","family":"Parangi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Hodin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"DeRoo","sequence":"additional","affiliation":[{"name":"CRICO Risk Management Foundation Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia E.","family":"Stephen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Narra","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie C.","family":"Lubitz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Mort","sequence":"additional","affiliation":[{"name":"Lawrence Center for Quality and Safety, Massachusetts General Hospital Massachusetts General Physicians Organization Boston MA USA"},{"name":"Division of General Internal Medicine, Massachusetts General Hospital Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.07.006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.2503"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161192"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa054479"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.08.005"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCM.0b013e3182078ba4"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.07.019"},{"key":"e_1_2_6_9_1","first-page":"1167","article-title":"Medicolegal analysis of erros in diagnosis and treatment of surgical endocrine disease","volume":"114","author":"Kern KA","year":"1993","journal-title":"Surgery"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010017\u20101580\u2010y"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10582"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2015.0020"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003155"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","unstructured":"MeyersL GartlandRM SkillingsJ et al (2019) An examination of medical malpractice claims involving physician trainees.Acad Med. 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