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
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 mo...
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| Veröffentlicht in: | Head & neck 2019-04, Vol.41 (4), p.843-856 |
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| creator | Meltzer, Charles J. Irish, Jonathan Angelos, Peter Busaidy, Naifa L. Davies, Louise Dwojak, Sunshine Ferris, Robert L. Haugen, Bryan R. Harrell, Richard M. Haymart, Megan R. McIver, Bryan Mechanick, Jeffrey I. Monteiro, Eric Morris, John C. Morris, Luc G. T. Odell, Michael Scharpf, Joseph Shaha, Ashok Shin, Jennifer J. Shonka, David C. Thompson, Geoffrey B. Tuttle, R. Michael Urken, Mark L. Wiseman, Sam M. Wong, Richard J. Randolph, Gregory |
| description | 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. |
| doi_str_mv | 10.1002/hed.25526 |
| format | Article |
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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.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.25526</identifier><identifier>PMID: 30561068</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Algorithms ; differentiated thyroid carcinoma ; Head and neck ; Nodules ; Quality ; Quality of care ; thryoidectomy ; thyroid ; Thyroid cancer ; Thyroid gland ; thyroid nodules ; Variation</subject><ispartof>Head & neck, 2019-04, Vol.41 (4), p.843-856</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3886-7ff80c0406fd2f5babc1b1b24f49b33b1e0de32775b4c466d641a8b92e6e748b3</citedby><cites>FETCH-LOGICAL-c3886-7ff80c0406fd2f5babc1b1b24f49b33b1e0de32775b4c466d641a8b92e6e748b3</cites><orcidid>0000-0002-5216-9751</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.25526$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.25526$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30561068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meltzer, Charles J.</creatorcontrib><creatorcontrib>Irish, Jonathan</creatorcontrib><creatorcontrib>Angelos, Peter</creatorcontrib><creatorcontrib>Busaidy, Naifa L.</creatorcontrib><creatorcontrib>Davies, Louise</creatorcontrib><creatorcontrib>Dwojak, Sunshine</creatorcontrib><creatorcontrib>Ferris, Robert L.</creatorcontrib><creatorcontrib>Haugen, Bryan R.</creatorcontrib><creatorcontrib>Harrell, Richard M.</creatorcontrib><creatorcontrib>Haymart, Megan R.</creatorcontrib><creatorcontrib>McIver, Bryan</creatorcontrib><creatorcontrib>Mechanick, Jeffrey I.</creatorcontrib><creatorcontrib>Monteiro, Eric</creatorcontrib><creatorcontrib>Morris, John C.</creatorcontrib><creatorcontrib>Morris, Luc G. T.</creatorcontrib><creatorcontrib>Odell, Michael</creatorcontrib><creatorcontrib>Scharpf, Joseph</creatorcontrib><creatorcontrib>Shaha, Ashok</creatorcontrib><creatorcontrib>Shin, Jennifer J.</creatorcontrib><creatorcontrib>Shonka, David C.</creatorcontrib><creatorcontrib>Thompson, Geoffrey B.</creatorcontrib><creatorcontrib>Tuttle, R. Michael</creatorcontrib><creatorcontrib>Urken, Mark L.</creatorcontrib><creatorcontrib>Wiseman, Sam M.</creatorcontrib><creatorcontrib>Wong, Richard J.</creatorcontrib><creatorcontrib>Randolph, Gregory</creatorcontrib><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</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>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.</description><subject>Algorithms</subject><subject>differentiated thyroid carcinoma</subject><subject>Head and neck</subject><subject>Nodules</subject><subject>Quality</subject><subject>Quality of care</subject><subject>thryoidectomy</subject><subject>thyroid</subject><subject>Thyroid cancer</subject><subject>Thyroid gland</subject><subject>thyroid nodules</subject><subject>Variation</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kctuEzEUhkcIRC-w4AWQJTZ0Ma1v45mwq0ogSFVZFNYjX840bj12anuIsuMReETEk-AkbRdIrGxZ3_l8zvmr6g3BpwRjerYEc0qbhopn1SHBs7bGjLfPt3fOaoZbflAdpXSLMWaC05fVAcONIFh0h9Xv8xGi1dKjBUiDpDfoCvQdug7aQt6guTdBR-sBXYPONniknfWlwCEdfAKfpoRSlhlG8PkDugoxL9GT9H6SzhbNE5F2X8APa8Br-PPzl5IJDBonl62xSdtV0cu4QesQ7wYX1ki6mxBtXo4JDSGivIRSLt0kd91sbaP08mZnR2EowCYGa5APZnKQXlUvBukSvH44j6vvn-bfLhb15dfPXy7OL2vNuk7U7TB0WGOOxWDo0CipNFFEUT7wmWJMEcAGGG3bRnHNhTCCE9mpGQUBLe8UO67e772rGO4nSLkfyzjgnPQQptRT0nSU007MCvruH_Q2TNGX7go1I6xpMSOFOtlTOoaUIgz9KtqxrKYnuN_G3pfY-13shX37YJzUWF4fycecC3C2B9bWweb_pn4x_7hX_gUS6L3g</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Meltzer, Charles J.</creator><creator>Irish, Jonathan</creator><creator>Angelos, Peter</creator><creator>Busaidy, Naifa L.</creator><creator>Davies, Louise</creator><creator>Dwojak, Sunshine</creator><creator>Ferris, Robert L.</creator><creator>Haugen, Bryan R.</creator><creator>Harrell, Richard M.</creator><creator>Haymart, Megan R.</creator><creator>McIver, Bryan</creator><creator>Mechanick, Jeffrey I.</creator><creator>Monteiro, Eric</creator><creator>Morris, John C.</creator><creator>Morris, Luc G. T.</creator><creator>Odell, Michael</creator><creator>Scharpf, Joseph</creator><creator>Shaha, Ashok</creator><creator>Shin, Jennifer J.</creator><creator>Shonka, David C.</creator><creator>Thompson, Geoffrey B.</creator><creator>Tuttle, R. Michael</creator><creator>Urken, Mark L.</creator><creator>Wiseman, Sam M.</creator><creator>Wong, Richard J.</creator><creator>Randolph, Gregory</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5216-9751</orcidid></search><sort><creationdate>201904</creationdate><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</title><author>Meltzer, Charles J. ; Irish, Jonathan ; Angelos, Peter ; Busaidy, Naifa L. ; Davies, Louise ; Dwojak, Sunshine ; Ferris, Robert L. ; Haugen, Bryan R. ; Harrell, Richard M. ; Haymart, Megan R. ; McIver, Bryan ; Mechanick, Jeffrey I. ; Monteiro, Eric ; Morris, John C. ; Morris, Luc G. T. ; Odell, Michael ; Scharpf, Joseph ; Shaha, Ashok ; Shin, Jennifer J. ; Shonka, David C. ; Thompson, Geoffrey B. ; Tuttle, R. Michael ; Urken, Mark L. ; Wiseman, Sam M. ; Wong, Richard J. ; Randolph, Gregory</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3886-7ff80c0406fd2f5babc1b1b24f49b33b1e0de32775b4c466d641a8b92e6e748b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Algorithms</topic><topic>differentiated thyroid carcinoma</topic><topic>Head and neck</topic><topic>Nodules</topic><topic>Quality</topic><topic>Quality of care</topic><topic>thryoidectomy</topic><topic>thyroid</topic><topic>Thyroid cancer</topic><topic>Thyroid gland</topic><topic>thyroid nodules</topic><topic>Variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meltzer, Charles J.</creatorcontrib><creatorcontrib>Irish, Jonathan</creatorcontrib><creatorcontrib>Angelos, Peter</creatorcontrib><creatorcontrib>Busaidy, Naifa L.</creatorcontrib><creatorcontrib>Davies, Louise</creatorcontrib><creatorcontrib>Dwojak, Sunshine</creatorcontrib><creatorcontrib>Ferris, Robert L.</creatorcontrib><creatorcontrib>Haugen, Bryan R.</creatorcontrib><creatorcontrib>Harrell, Richard M.</creatorcontrib><creatorcontrib>Haymart, Megan R.</creatorcontrib><creatorcontrib>McIver, Bryan</creatorcontrib><creatorcontrib>Mechanick, Jeffrey I.</creatorcontrib><creatorcontrib>Monteiro, Eric</creatorcontrib><creatorcontrib>Morris, John C.</creatorcontrib><creatorcontrib>Morris, Luc G. T.</creatorcontrib><creatorcontrib>Odell, Michael</creatorcontrib><creatorcontrib>Scharpf, Joseph</creatorcontrib><creatorcontrib>Shaha, Ashok</creatorcontrib><creatorcontrib>Shin, Jennifer J.</creatorcontrib><creatorcontrib>Shonka, David C.</creatorcontrib><creatorcontrib>Thompson, Geoffrey B.</creatorcontrib><creatorcontrib>Tuttle, R. Michael</creatorcontrib><creatorcontrib>Urken, Mark L.</creatorcontrib><creatorcontrib>Wiseman, Sam M.</creatorcontrib><creatorcontrib>Wong, Richard J.</creatorcontrib><creatorcontrib>Randolph, Gregory</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meltzer, Charles J.</au><au>Irish, Jonathan</au><au>Angelos, Peter</au><au>Busaidy, Naifa L.</au><au>Davies, Louise</au><au>Dwojak, Sunshine</au><au>Ferris, Robert L.</au><au>Haugen, Bryan R.</au><au>Harrell, Richard M.</au><au>Haymart, Megan R.</au><au>McIver, Bryan</au><au>Mechanick, Jeffrey I.</au><au>Monteiro, Eric</au><au>Morris, John C.</au><au>Morris, Luc G. T.</au><au>Odell, Michael</au><au>Scharpf, Joseph</au><au>Shaha, Ashok</au><au>Shin, Jennifer J.</au><au>Shonka, David C.</au><au>Thompson, Geoffrey B.</au><au>Tuttle, R. Michael</au><au>Urken, Mark L.</au><au>Wiseman, Sam M.</au><au>Wong, Richard J.</au><au>Randolph, Gregory</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2019-04</date><risdate>2019</risdate><volume>41</volume><issue>4</issue><spage>843</spage><epage>856</epage><pages>843-856</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30561068</pmid><doi>10.1002/hed.25526</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-5216-9751</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Algorithms differentiated thyroid carcinoma Head and neck Nodules Quality Quality of care thryoidectomy thyroid Thyroid cancer Thyroid gland thyroid nodules Variation |
| 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 |
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