Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption

Cesare Carlo Ferrari; Stefano Rausei; Francesco Amico; Luigi Boni; Feng Yu Chiang; Che Wei Wu; Hoon Yub Kim; Gianlorenzo Dionigi

doi:10.1002/hed.24489

Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption

Cesare Carlo Ferrari, Stefano Rausei, Francesco Amico, Luigi Boni, Feng Yu Chiang, Che Wei Wu, Hoon Yub Kim, Gianlorenzo Dionigi

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Background: The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society. Methods: 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. Results: Direct medical costs supported by the NHS range from a minimum of euro (€) 79.46 to a maximum of € 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of € 3.60 to a maximum of € 499.45. Productivity losses were accounted in € 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%. Conclusion: The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity.

Original language	English
Pages (from-to)	1657-1665
Number of pages	9
Journal	Head and Neck
Volume	38
Issue number	11
DOIs	https://doi.org/10.1002/hed.24489
Publication status	Published - 2016 Nov 1

Keywords

cost analysis
recurrent laryngeal nerve (RLN) injury
thyroid surgery
vocal fold palsy
voice damage

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.24489

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abstract = "Background: The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society. Methods: 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. Results: Direct medical costs supported by the NHS range from a minimum of euro (€) 79.46 to a maximum of € 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of € 3.60 to a maximum of € 499.45. Productivity losses were accounted in € 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%. Conclusion: The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity.",

keywords = "cost analysis, recurrent laryngeal nerve (RLN) injury, thyroid surgery, vocal fold palsy, voice damage",

author = "Ferrari, {Cesare Carlo} and Stefano Rausei and Francesco Amico and Luigi Boni and Chiang, {Feng Yu} and Wu, {Che Wei} and Kim, {Hoon Yub} and Gianlorenzo Dionigi",

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AU - Rausei, Stefano

AU - Amico, Francesco

AU - Boni, Luigi

AU - Chiang, Feng Yu

AU - Wu, Che Wei

AU - Kim, Hoon Yub

AU - Dionigi, Gianlorenzo

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Background: The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society. Methods: 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. Results: Direct medical costs supported by the NHS range from a minimum of euro (€) 79.46 to a maximum of € 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of € 3.60 to a maximum of € 499.45. Productivity losses were accounted in € 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%. Conclusion: The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity.

AB - Background: The impact of recurrent laryngeal nerve (RLN) injury management in thyroid surgery seems to be relevant to patients, National Healthcare System (NHS), and society. Methods: 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. Results: Direct medical costs supported by the NHS range from a minimum of euro (€) 79.46 to a maximum of € 3261.95. From the patient's perspective, the direct medical costs supported by the patient increased from a minimum of € 3.60 to a maximum of € 499.45. Productivity losses were accounted in € 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%. Conclusion: The analysis shows a significant economic impact of RLN injury management, which varies depending on the damage, duration, and severity.

KW - cost analysis

KW - recurrent laryngeal nerve (RLN) injury

KW - thyroid surgery

KW - vocal fold palsy

KW - voice damage

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Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption

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Keywords

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