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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Thyroid nodules: risk stratification for malignancy with ultrasound and guided biopsy
TL;DR: The best tool for risk stratification for malignancy in thyroid nodules is US and guided biopsy of nodules with suspicious imaging features and fine-needle biopsy is currently the best triage test for pre-operative evaluation of a thyroid nodule.
Journal ArticleDOI
Risk Stratification in Differentiated Thyroid Cancer: From Detection to Final Follow-Up
TL;DR: Dynamic risk assessment should be used to guide all aspects of thyroid cancer management, beginning before a definitive diagnosis is made and continuing through the final follow-up visit.
Journal ArticleDOI
The Thyroid: Review of Imaging Features and Biopsy Techniques with Radiologic-Pathologic Correlation
Arun C. Nachiappan,Zeyad A. Metwalli,Brian S Hailey,Rishi A Patel,Mary L Ostrowski,David M. Wynne +5 more
TL;DR: The radiologist must have a basic knowledge of thyroid disease, be familiar with specimen processing, and recognize the cytologic and radiologic appearances of thyroid lesions, all of which will facilitate the management of these lesions.
Journal ArticleDOI
Thyroid nodule update on diagnosis and management.
Shrikant Tamhane,Hossein Gharib +1 more
TL;DR: This review addresses advances in thyroid nodule evaluation, and their management considering the current guidelines and supporting evidence.
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Health-related quality of life after diagnosis and treatment of differentiated thyroid cancer and association with type of surgical treatment
Brooke Nickel,Tessa Tan,Erin Cvejic,Peter D. Baade,Peter D. Baade,Donald S. A. McLeod,Nirmala Pandeya,Philippa H Youl,Kirsten McCaffery,Susan J. Jordan,Susan J. Jordan +10 more
TL;DR: It appears that issues with HRQOL should be considered by patients and physicians when deciding on the best treatment approach after a diagnosis of DTC, and these are more prevalent among patients who have total thyroidectomies rather than hemithyroidECTomies.
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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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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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