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. 2020 Oct;9(5):1286–1297. doi: 10.21037/gs-20-398

Table S1. Comparison of previous research analyzing claims related to thyroid surgery.

Characteristics Dralle et al., 2012 Singer et al., 2012 Dent et al., 2017 Gartland et al., 2019 Wijekoon et al., 2019 Ours
Country Germany USA UK USA UK South Korea
Source Institutional expert opinions Physicians Insurers Association of America malpractice claims database NHS Litigation Authority database Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System malpractice claims database NHS Litigation Authority database Supreme court of Korea’s written judgment management system database
Covered period 1995 to 2010 1985 to 2008 1995.1 to 2012.7 1995 to 2015 2002.4 to 2016.11 1998.1 to 2019.7
Number of total cases 75 380 161 128 189 35
Alleged adverse event, n (%)
   Vocal cord palsy and/or RLN injury 43 (57.3) 55 (14.5) 33 (20.5) 39 (30.5) 12†† (6.3) 7 (20.0)
   Hypocalcemia with hypoparathyroidism 21 (28.0) 9 (2.4) 6 (3.7) 10 (7.8) 3†† (1.6) 3 (8.6)
   Unnecessary surgery N/I N/I 2§ (1.2) 5 (3.9) 16†† (8.5) 7 (20.0)
   Delayed diagnosis N/I N/I 40 (24.8) N/I 22†† (11.6) 4 (11.4)
   Bleeding/hematoma 7 (9.3) N/I N/I 18 (14.1) N/I 5 (14.3)
IONM for RLN 3 cases without using IONM were ruled as malpractice No case on IONM No case on IONM No case on IONM No case on IONM No case on IONM

, percentage of each alleged adverse event in total cases; , low serum calcium; §, 1 incorrect surgery, 1 inappropriate surgery; , wrong-side surgery; ††, number of cases for each alleged adverse event out of 91 ‘successful cases’ in which the plaintiff was rewarded payment. NHS, National Health Service; RLN, recurrent laryngeal nerve; N/I, no information; IONM, intraoperative neural monitoring.