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Comment & Response
April 2017

Identifying Intraoperative Nerve Monitoring in Thyroid Surgery Using Administrative Databases

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Stanford University School of Medicine, Stanford, California
JAMA Otolaryngol Head Neck Surg. 2017;143(4):427-428. doi:10.1001/jamaoto.2016.3653

To the Editor I read with interest the article titled “Analysis of Variations in the Use of Intraoperative Nerve Monitoring in Thyroid Surgery” by Al-Qurayshi et al.1 This was a cross-sectional study on the impact of patient demographic factors and surgeon and hospital thyroidectomy volume on the use of intraoperative nerve monitoring (IONM), using the State Inpatient Database for Florida, New York, and Washington. They found that IONM was used in only 8.3% of thyroidectomies. White patients were more likely to undergo IONM than racial minority patients. They also found that use of IONM was higher in thyroidectomies performed by low-volume surgeons, and in low-volume hospitals.

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