We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

Less Is More The Example of Minimally Invasive Thyroidectomy

Dimitrios Linos, MD1,2
[+] Author Affiliations
1Department of Surgery, Athens Medical School, Marousi, Greece
2and member of the International Advisory Board JAMA Surgery
JAMA Surg. 2013;148(9):808-809. doi:10.1001/jamasurg.2013.2263.
Text Size: A A A
Published online


The editors of JAMA Internal Medicine recently raised the question about whether more of certain health care activities can sometimes result in poorer health outcomes.1 Although the list of examples is growing in the medical literature, this important issue geared toward improving patient care has not been adequately discussed for several surgical therapies.

We propose that minimally invasive thyroidectomy (MIT) is one example within surgery where new, and more complex, technologies may not offer additional benefits above traditional ones. The goal of MIT is to remove the thyroid with a smaller scar. However, this procedure may be a misnomer because there is nothing “minimal” about the additional cost, training, complexity, and risk involved. Unlike the established benefits of laparoscopic abdominal surgery, it is unclear whether MIT offers any advantages to the patient as compared with standard thyroidectomy.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
A review of postsurgical dysphagia in nonmalignant disease. Curr Opin Otolaryngol Head Neck Surg Published online Sep 15, 2016;