Informed Consent for Intraoperative Neural Monitoring in Thyroid and Parathyroid Surgery – Consensus Statement of the International Neural Monitoring Study Group

In the past decade, the use of intraoperative neural monitoring (IONM) in thyroid and parathyroid surgery has been widely accepted by surgeons as a useful technology for improving laryngeal nerve identification and voice outcomes, facilitating neurophysiological research, educating and training surg...

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Published in:Frontiers in endocrinology (Lausanne) Vol. 12; p. 795281
Main Authors: Wu, Che-Wei, Huang, Tzu-Yen, Randolph, Gregory W., Barczyński, Marcin, Schneider, Rick, Chiang, Feng-Yu, Silver Karcioglu, Amanda, Wojtczak, Beata, Frattini, Francesco, Gualniera, Patrizia, Sun, Hui, Weber, Frank, Angelos, Peter, Dralle, Henning, Dionigi, Gianlorenzo
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 07.12.2021
Subjects:
Consensus Development Conferences as Topic
Endocrinology
Humans
informed consent
Informed Consent - standards
international neural monitoring study group
Internationality
intraoperative neural monitoring
Monitoring, Intraoperative - adverse effects
Monitoring, Intraoperative - standards
Parathyroid Glands - surgery
parathyroid surgery
Parathyroidectomy - adverse effects
Parathyroidectomy - standards
Preoperative Care - methods
Preoperative Care - standards
shared-decision making
Thyroid Gland - surgery
thyroid surgery
Thyroidectomy - adverse effects
Thyroidectomy - standards
voice
informed consent
thyroid surgery
intraoperative neural monitoring
international neural monitoring study group
shared-decision making
parathyroid surgery
ISSN:1664-2392, 1664-2392
Online Access:Get full text
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Summary:In the past decade, the use of intraoperative neural monitoring (IONM) in thyroid and parathyroid surgery has been widely accepted by surgeons as a useful technology for improving laryngeal nerve identification and voice outcomes, facilitating neurophysiological research, educating and training surgeons, and reducing surgical complications and malpractice litigation. Informing patients about IONM is not only good practice and helpful in promoting the efficient use of IONM resources but is indispensable for effective shared decision making between the patient and surgeon. The International Neural Monitoring Study Group (INMSG) feels complete discussion of IONM in the preoperative planning and patient consent process is important in all patients undergoing thyroid and parathyroid surgery. The purpose of this publication is to evaluate the impact of IONM on the informed consent process before thyroid and parathyroid surgery and to review the current INMSG consensus on evidence-based consent. The objective of this consensus statement, which outlines general and specific considerations as well as recommended criteria for informed consent for the use of IONM, is to assist surgeons and patients in the processes of informed consent and shared decision making before thyroid and parathyroid surgery.
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This article was submitted to Thyroid Endocrinology, a section of the journal Frontiers in Endocrinology
Edited by: Paolo Miccoli, University of Pisa, Italy
Reviewed by: Pietro Giorgio Calo’, University of Cagliari, Italy; Erivelto Martinho Volpi, Centro de referencia no ensino do diagnóstico por imagem (CETRUS), Brazil
ORCID: Che-Wei Wu, orcid.org/0000-0003-1052-5348; Tzu-Yen Huang, orcid.org/0000-0002-5044-0325; Marcin Barczyński, orcid.org/0000-0001-6062-1851; Rick Schneider, orcid.org/0000-0002-2244-4791; Amanda Silver Karcioglu, orcid.org/0000-0002-1358-774X; Gianlorenzo Dionigi, orcid.org/0000-0003-0864-6087
ISSN:1664-2392
1664-2392
DOI:10.3389/fendo.2021.795281