Routine use of intraoperative nerve monitoring is associated with a reduced risk of vocal cord dysfunction after thyroid cancer surgery

Table 3 Adjusted odds (aOR)* of outcomes in the subgroup of patients following surgery with central neck dissection for thyroid cancer with routine use of IONM (n = 1,839)

Variable	aOR (95% CI)	P value
Vocal cord dysfunction short-term	0.38 (0.23–0.62)	< 0.01
Vocal cord dysfunction long-term	0.48 (0.28–0.81)	< 0.01
Hypoparathyroidism concern – short term	0.68 (0.50–0.93)	0.02
Hypoparathyroidism concern – long term	0.45 (0.28–0.70)	< 0.01
Same-day discharge	1.25 (0.95–1.63)	0.11
ED visit postoperatively	1.40 (0.86–2.25)	0.17
30-day readmission	0.98 (0.50–1.92)	0.96
Hematoma	0.51 (0.19–1.39)	0.19

*Multivariable logistic regressions adjusted for: patient age, sex, race, BMI > 40, prior neck surgery, prior neck radiation, extent of surgery, op-time, extrathyroidal extension, N-stage
ED, emergency department

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