European Society of Endocrine Surgeons (ESES) consensus statement on standardization and research requirements for intraoperative nerve monitoring in endocrine surgery
BJS-BRITISH JOURNAL OF SURGERY, cilt.113, sa.8, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 113 Sayı: 8
- Basım Tarihi: 2026
- Doi Numarası: 10.1093/bjs/znag090
- Dergi Adı: BJS-BRITISH JOURNAL OF SURGERY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Abstracts in Social Gerontology, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- İstanbul Üniversitesi Adresli: Hayır
Özet
Background Intraoperative nerve monitoring (IONM) is widely used in endocrine surgery, yet substantial heterogeneity exists in its documentation, interpretation, and reporting. This limits comparability across studies and hampers the evaluation of clinical outcomes.Methods A consensus process was conducted by the European Society of Endocrine Surgeons (ESES), combining a systematic literature review, analysis of Eurocrine (R) registry data, a survey among ESES members, and a structured Delphi consensus process.Results Considerable variability was identified in monitoring techniques, signal interpretation, and outcome reporting. Key areas requiring standardization include the definition of loss of signal, documentation of neuromonitoring parameters, reporting of technical settings, and objective assessment of vocal cord function. Based on these findings, a set of consensus statements was developed to define minimum requirements for IONM research and reporting.Conclusion This consensus statement provides a structured framework to improve standardization, data quality, and comparability in IONM research. Adoption of the recommendations may facilitate more robust evaluation of clinical outcomes and support future evidence generation in endocrine surgery. This European Society of Endocrine Surgeons (ESES) consensus statement addresses the heterogeneity in the documentation, interpretation, and reporting of intraoperative nerve monitoring (IONM) in endocrine neck surgery. Based on a systematic literature review, analysis of Eurocrine (R) registry data, a survey among ESES members, and a structured Delphi consensus process, the consensus defines key standards for the methodological use and scientific evaluation of IONM. The resulting statements aim to improve the transparency, comparability, and quality of future IONM research.