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Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)

BACKGROUND: As an auxiliary tool, intraoperative neuromonitoring (IONM) has played an active role in the protection of nerve function in thyroid and parathyroid surgeries. This study aimed to help clinicians understand, standardize and reasonably apply IONM techniques in laryngeal nerves function pr...

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Detalles Bibliográficos
Autores principales: Sun, Hui, Tian, Wen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493630/
https://www.ncbi.nlm.nih.gov/pubmed/37701297
http://dx.doi.org/10.21037/gs-23-284
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author Sun, Hui
Tian, Wen
author_facet Sun, Hui
Tian, Wen
author_sort Sun, Hui
collection PubMed
description BACKGROUND: As an auxiliary tool, intraoperative neuromonitoring (IONM) has played an active role in the protection of nerve function in thyroid and parathyroid surgeries. This study aimed to help clinicians understand, standardize and reasonably apply IONM techniques in laryngeal nerves function protecting. METHODS: Hundreds of Chinese experts in the field of IONM participated in this work. All efforts have been made to ensure that these new guidelines are practical, systematic, and based on well-recognized cutting-edge evidence. Using the three previous guidelines as well as new preclinical and clinical evidence from China and other countries, the expert panel summarized the current accepted or near-accepted opinions as the recommendations. In addition, the recommendation grades and evidence levels are presented in accordance with the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The first draft was completed by the writing team and then revised after several rounds of discussions via email or meetings. RESULTS: The finalized version of this guideline includes 42 recommendations, which may inform and guide our peers in their clinical practice, including all types of open, endoscopic, and robotic thyroid and parathyroid surgeries. CONCLUSIONS: This edition is currently the most comprehensive, and clinically significant guide for IONM of thyroid and parathyroid surgery in China.
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spelling pubmed-104936302023-09-12 Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition) Sun, Hui Tian, Wen Gland Surg Clinical Practice Guideline BACKGROUND: As an auxiliary tool, intraoperative neuromonitoring (IONM) has played an active role in the protection of nerve function in thyroid and parathyroid surgeries. This study aimed to help clinicians understand, standardize and reasonably apply IONM techniques in laryngeal nerves function protecting. METHODS: Hundreds of Chinese experts in the field of IONM participated in this work. All efforts have been made to ensure that these new guidelines are practical, systematic, and based on well-recognized cutting-edge evidence. Using the three previous guidelines as well as new preclinical and clinical evidence from China and other countries, the expert panel summarized the current accepted or near-accepted opinions as the recommendations. In addition, the recommendation grades and evidence levels are presented in accordance with the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The first draft was completed by the writing team and then revised after several rounds of discussions via email or meetings. RESULTS: The finalized version of this guideline includes 42 recommendations, which may inform and guide our peers in their clinical practice, including all types of open, endoscopic, and robotic thyroid and parathyroid surgeries. CONCLUSIONS: This edition is currently the most comprehensive, and clinically significant guide for IONM of thyroid and parathyroid surgery in China. AME Publishing Company 2023-08-02 2023-08-30 /pmc/articles/PMC10493630/ /pubmed/37701297 http://dx.doi.org/10.21037/gs-23-284 Text en 2023 Gland Surgery. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Clinical Practice Guideline
Sun, Hui
Tian, Wen
Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title_full Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title_fullStr Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title_full_unstemmed Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title_short Chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
title_sort chinese guidelines on intraoperative neuromonitoring in thyroid and parathyroid surgery (2023 edition)
topic Clinical Practice Guideline
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493630/
https://www.ncbi.nlm.nih.gov/pubmed/37701297
http://dx.doi.org/10.21037/gs-23-284
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