Recipient of the 2013 Third Place John J. Conley, MD, Resident Research Award, Eastern Section of the Combined Triological Society Meeting, January 24–26, 2013.
The Increasing role of otolaryngology in the management of surgical thyroid disorders
Article first published online: 1 APR 2013
Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 123, Issue 12, pages 3239–3242, December 2013
How to Cite
Chambers, K. J. and Bhattacharyya, N. (2013), The Increasing role of otolaryngology in the management of surgical thyroid disorders. The Laryngoscope, 123: 3239–3242. doi: 10.1002/lary.24065
Neil Bhattacharyya is a consultant for IntersectENT, Inc., and Entellus, Inc. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 25 NOV 2013
- Article first published online: 1 APR 2013
- Manuscript Accepted: 31 JAN 2013
- Manuscript Revised: 19 DEC 2012
- Manuscript Received: 29 OCT 2012
- Thyroid disorders;
- thyroid nodule
To determine trends in office visits and medical specialty seen for surgical diagnoses of the thyroid gland.
A cross-sectional analysis of a national healthcare database.
From the National Ambulatory Medical Care Survey (NAMCS), all cases of surgical thyroid disorders (e.g., benign neoplasm of thyroid gland, malignant neoplasm of thyroid gland, multinodular goiter) were extracted for 2 calendar year cohorts: 1995 to 1999 and 2005 to 2009. In addition to demographic information, the medical specialty of the health care provider seen was extracted. Comparisons were conducted for the proportion of surgical thyroid cases seen between general surgeons and otolaryngologists for the respective cohorts.
In the 1995 to 1999 cohort, there were a total of 107 ± 13 thousand outpatient visits annually to either general surgery or otolaryngology for surgical thyroid conditions. Among these, 62.7 ± 8.4 thousand visits (58.3 ± 5.6%) were seen by general surgery versus 44.8 ± 9.1 thousand (41.7 ± 5.6%) seen by otolaryngology. In comparison, in the 2005 to 2009 cohort, there were 218 ± 29 thousand visits annually for surgical thyroid conditions. Among these, 88.4 ± 17 thousand (40.5 ± 5.4%) were seen by general surgery versus 130 ± 21 thousand (59.5 ± 5.4%) seen by otolaryngology. The increase in proportion of surgical thyroid patients seen by otolaryngology in the second 5 year cohort was statistically significant (P = 0.032, chi-square).
There is a national trend in the United States toward otolaryngologists seeing an increasing majority proportion of increasingly prevalent surgical thyroid conditions. These data objectively confirm the perceived increasing role of otolaryngologists in the management of surgical thyroid disorders on a national level.
Level of Evidence
2a. Laryngoscope, 123:3239–3242, 2013