American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules

Charles J. Meltzer; Jonathan Irish; Peter Angelos; Naifa L. Busaidy; Louise Davies; Sunshine Dwojak; Robert L. Ferris; Bryan R. Haugen; Richard M. Harrell; Megan R. Haymart; Bryan McIver; Jeffrey I. Mechanick; Eric Monteiro; John C. Morris; Luc G.T. Morris; Michael Odell; Joseph Scharpf; Ashok Shaha; Jennifer J. Shin; David C. Shonka; Geoffrey B. Thompson; R. Michael Tuttle; Mark L. Urken; Sam M. Wiseman; Richard J. Wong; Gregory Randolph

doi:10.1002/hed.25526

American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules

Charles J. Meltzer, Jonathan Irish, Peter Angelos, Naifa L. Busaidy, Louise Davies, Sunshine Dwojak, Robert L. Ferris, Bryan R. Haugen, Richard M. Harrell, Megan R. Haymart, Bryan McIver, Jeffrey I. Mechanick, Eric Monteiro, John C. Morris, Luc G.T. Morris, Michael Odell, Joseph Scharpf, Ashok Shaha, Jennifer J. Shin, David C. ShonkaGeoffrey B. Thompson, R. Michael Tuttle, Mark L. Urken, Sam M. Wiseman, Richard J. Wong, Gregory Randolph

Endocrine Neoplasia & HD

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Background: Care for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality. Methods: Multidisciplinary expert consensus and modified Delphi approach. Source documents were workflow algorithms from Kaiser Permanente Northern California and Cancer Care of Ontario based on the 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Results: A consensus-based, unified preoperative, perioperative, and postoperative workflow was developed for North American use. Twenty-one panelists achieved consensus on 16 statements about workflow-embedded process and outcomes metrics addressing safety, access, appropriateness, efficiency, effectiveness, and patient centeredness of care. Conclusion: A panel of Canadian and United States experts achieved consensus on workflows and quality metric statements to help reduce unwarranted variation in care, improving overall quality of care for patients diagnosed with thyroid nodules.

Original language	English (US)
Pages (from-to)	843-856
Number of pages	14
Journal	Head and Neck
Volume	41
Issue number	4
DOIs	https://doi.org/10.1002/hed.25526
State	Published - Apr 2019

Keywords

differentiated thyroid carcinoma
quality of care
thryoidectomy
thyroid
thyroid nodules

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.25526

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Meltzer, C. J., Irish, J., Angelos, P., Busaidy, N. L., Davies, L., Dwojak, S., Ferris, R. L., Haugen, B. R., Harrell, R. M., Haymart, M. R., McIver, B., Mechanick, J. I., Monteiro, E., Morris, J. C., Morris, L. G. T., Odell, M., Scharpf, J., Shaha, A., Shin, J. J., ... Randolph, G. (2019). American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules. Head and Neck, 41(4), 843-856. https://doi.org/10.1002/hed.25526

American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules. / Meltzer, Charles J.; Irish, Jonathan; Angelos, Peter et al.
In: Head and Neck, Vol. 41, No. 4, 04.2019, p. 843-856.

Research output: Contribution to journal › Article › peer-review

Meltzer, CJ, Irish, J, Angelos, P, Busaidy, NL, Davies, L, Dwojak, S, Ferris, RL, Haugen, BR, Harrell, RM, Haymart, MR, McIver, B, Mechanick, JI, Monteiro, E, Morris, JC, Morris, LGT, Odell, M, Scharpf, J, Shaha, A, Shin, JJ, Shonka, DC, Thompson, GB, Tuttle, RM, Urken, ML, Wiseman, SM, Wong, RJ & Randolph, G 2019, 'American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules', Head and Neck, vol. 41, no. 4, pp. 843-856. https://doi.org/10.1002/hed.25526

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title = "American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules",

abstract = "Background: Care for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality. Methods: Multidisciplinary expert consensus and modified Delphi approach. Source documents were workflow algorithms from Kaiser Permanente Northern California and Cancer Care of Ontario based on the 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Results: A consensus-based, unified preoperative, perioperative, and postoperative workflow was developed for North American use. Twenty-one panelists achieved consensus on 16 statements about workflow-embedded process and outcomes metrics addressing safety, access, appropriateness, efficiency, effectiveness, and patient centeredness of care. Conclusion: A panel of Canadian and United States experts achieved consensus on workflows and quality metric statements to help reduce unwarranted variation in care, improving overall quality of care for patients diagnosed with thyroid nodules.",

keywords = "differentiated thyroid carcinoma, quality of care, thryoidectomy, thyroid, thyroid nodules",

author = "Meltzer, {Charles J.} and Jonathan Irish and Peter Angelos and Busaidy, {Naifa L.} and Louise Davies and Sunshine Dwojak and Ferris, {Robert L.} and Haugen, {Bryan R.} and Harrell, {Richard M.} and Haymart, {Megan R.} and Bryan McIver and Mechanick, {Jeffrey I.} and Eric Monteiro and Morris, {John C.} and Morris, {Luc G.T.} and Michael Odell and Joseph Scharpf and Ashok Shaha and Shin, {Jennifer J.} and Shonka, {David C.} and Thompson, {Geoffrey B.} and Tuttle, {R. Michael} and Urken, {Mark L.} and Wiseman, {Sam M.} and Wong, {Richard J.} and Gregory Randolph",

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year = "2019",

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doi = "10.1002/hed.25526",

language = "English (US)",

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T1 - American Head and Neck Society Endocrine Section clinical consensus statement

T2 - North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules

AU - Meltzer, Charles J.

AU - Irish, Jonathan

AU - Angelos, Peter

AU - Busaidy, Naifa L.

AU - Davies, Louise

AU - Dwojak, Sunshine

AU - Ferris, Robert L.

AU - Haugen, Bryan R.

AU - Harrell, Richard M.

AU - Haymart, Megan R.

AU - McIver, Bryan

AU - Mechanick, Jeffrey I.

AU - Monteiro, Eric

AU - Morris, John C.

AU - Morris, Luc G.T.

AU - Odell, Michael

AU - Scharpf, Joseph

AU - Shaha, Ashok

AU - Shin, Jennifer J.

AU - Shonka, David C.

AU - Thompson, Geoffrey B.

AU - Tuttle, R. Michael

AU - Urken, Mark L.

AU - Wiseman, Sam M.

AU - Wong, Richard J.

AU - Randolph, Gregory

PY - 2019/4

Y1 - 2019/4

N2 - Background: Care for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality. Methods: Multidisciplinary expert consensus and modified Delphi approach. Source documents were workflow algorithms from Kaiser Permanente Northern California and Cancer Care of Ontario based on the 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Results: A consensus-based, unified preoperative, perioperative, and postoperative workflow was developed for North American use. Twenty-one panelists achieved consensus on 16 statements about workflow-embedded process and outcomes metrics addressing safety, access, appropriateness, efficiency, effectiveness, and patient centeredness of care. Conclusion: A panel of Canadian and United States experts achieved consensus on workflows and quality metric statements to help reduce unwarranted variation in care, improving overall quality of care for patients diagnosed with thyroid nodules.

AB - Background: Care for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality. Methods: Multidisciplinary expert consensus and modified Delphi approach. Source documents were workflow algorithms from Kaiser Permanente Northern California and Cancer Care of Ontario based on the 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer. Results: A consensus-based, unified preoperative, perioperative, and postoperative workflow was developed for North American use. Twenty-one panelists achieved consensus on 16 statements about workflow-embedded process and outcomes metrics addressing safety, access, appropriateness, efficiency, effectiveness, and patient centeredness of care. Conclusion: A panel of Canadian and United States experts achieved consensus on workflows and quality metric statements to help reduce unwarranted variation in care, improving overall quality of care for patients diagnosed with thyroid nodules.

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KW - quality of care

KW - thryoidectomy

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American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules

Abstract

Keywords

ASJC Scopus subject areas

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