2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.
Bryan R. Haugen,Erik K. Alexander,Keith C. Bible,Gerard M. Doherty,Susan J. Mandel,Yuri E. Nikiforov,Furio Pacini,Gregory W. Randolph,Anna M. Sawka,Martin Schlumberger,Kathryn G. Schuff,Steven I. Sherman,Julie Ann Sosa,David L. Steward,R. Michael Tuttle,Leonard Wartofsky +15 more
TLDR
Evidence-based recommendations are developed to inform clinical decision-making in the management of thyroid nodules and differentiated thyroid cancer and represent, in the authors' opinion, contemporary optimal care for patients with these disorders.Abstract:
Background: Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. Since the American Thyroid Association's (ATA's) guidelines for the management of these disorders were revised in 2009, significant scientific advances have occurred in the field. The aim of these guidelines is to inform clinicians, patients, researchers, and health policy makers on published evidence relating to the diagnosis and management of thyroid nodules and differentiated thyroid cancer. Methods: The specific clinical questions addressed in these guidelines were based on prior versions of the guidelines, stakeholder input, and input of task force members. Task force panel members were educated on knowledge synthesis methods, including electronic database searching, review and selection of relevant citations, and critical appraisal of selected studies. Published English language articles on adults were eligible for inclusion. The American College of Physicians Guideline Gr...read more
Citations
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Journal ArticleDOI
Global Burden of Thyroid Cancer From 1990 to 2017
Yujiao Deng,Yujiao Deng,Hongtao Li,Meng Wang,Na Li,Na Li,Tian Tian,Ying Wu,Peng Xu,Si Yang,Si Yang,Zhen Zhai,Linghui Zhou,Qian Hao,Dingli Song,Tianbo Jin,Jun Lyu,Zhijun Dai +17 more
TL;DR: An increasing global burden of thyroid cancer is suggested; the geographic disparities may provide support for cancer health care planning and resource allocation.
Journal ArticleDOI
Interobserver agreement of various thyroid imaging reporting and data systems
Giorgio Grani,Livia Lamartina,Vito Cantisani,Marianna Maranghi,Piernatale Lucia,Cosimo Durante +5 more
TL;DR: Despite the wide variability in the description of single ultrasonographic features, the classification systems may improve the interobserver agreement that further ameliorates after a specific training to select nodules to be submitted to FNA biopsy.
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US Fine-Needle Aspiration Biopsy for Thyroid Malignancy: Diagnostic Performance of Seven Society Guidelines Applied to 2000 Thyroid Nodules.
TL;DR: Clinicians should be aware of the strengths and weaknesses of US-based FNAB criteria in the management of thyroid nodules and take heed of the individual international society guidelines.
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RET/PTC Translocations and Clinico-Pathological Features in Human Papillary Thyroid Carcinoma.
Cristina Romei,Rossella Elisei +1 more
TL;DR: The RET protein and mRNA expression level did not show any correlation with the outcome of patients with PTC and no correlation between RET/PTC rearrangements and the expression level of the thyroid differentiation genes was observed, which makes this procedure not applicable at routine level, at least for the moment.
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Differences in the recurrence and mortality outcomes rates of incidental and nonincidental papillary thyroid microcarcinoma: a systematic review and meta-analysis of 21 329 person-years of follow-up.
Hisham Mehanna,Taleb Al-maqbili,Ben Carter,Emma C. Martin,Nicholas Campain,John Watkinson,Christopher McCabe,Kristien Boelaert,Jayne A. Franklyn +8 more
TL;DR: The authors' meta-analysis strongly suggests the existence of at least two distinct entities of papillary thyroid microcarcinoma, with Incidental PTMC has different clinical characteristics and a much lower recurrence rate than nonincidental PTMC, suggesting that management protocols should be re-considered.
References
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Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer
David S. Cooper,Gerard M. Doherty,Bryan R. Haugen,Richard T. Kloos,Stephanie L. Lee,Susan J. Mandel,Ernest L. Mazzaferri,Bryan McIver,Furio Pacini,Martin Schlumberger,Steven I. Sherman,David L. Steward,R. Michael Tuttle +12 more
TL;DR: Evidence-based recommendations in response to the appointment as an independent task force by the American Thyroid Association to assist in the clinical management of patients with thyroid nodules and differentiated thyroid cancer represent, in the authors' opinion, contemporary optimal care for patients with these disorders.
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Decision aids for people facing health treatment or screening decisions
Dawn Stacey,Dawn Stacey,Krystina B. Lewis,Michael J. Barry,Carol Bennett,Karen Eden,Margaret Holmes-Rovner,Hilary A. Llewellyn-Thomas,Anne Lyddiatt,Richard Thomson,Lyndal Trevena +10 more
TL;DR: Decision aids reduced the proportion of undecided participants and appeared to have a positive effect on patient-clinician communication, and those exposed to a decision aid were either equally or more satisfied with their decision, the decision-making process, and the preparation for decision making compared to usual care.
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