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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
Author(s) -
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
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25526
Subject(s) - workflow , thyroid nodules , medicine , multidisciplinary approach , thyroid cancer , quality management , health care , delphi method , computer science , thyroid , operations management , artificial intelligence , database , social science , management system , sociology , economics , economic growth
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.