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African Head and Neck Society Clinical Practice guidelines for thyroid nodules and cancer in developing countries and limited resource settings
Author(s) -
Zafereo Mark,
Yu Justin,
Onakoya Paul A.,
Aswani Joyce,
Baidoo Kenneth,
Bogale Mesele,
Cairncross Lydia,
Cordes Susan,
Daniel Adekunle,
Diom Evelyne,
Maurice Mpessa E.,
Mohammed Garba M.,
Biadgelign Melesse G.,
Koné Fatogoma I.,
Itiere Arnaud,
Koch Wayne,
Konney Anna,
Kundiona Innocent,
Macharia Chege,
Mashamba Victor,
Moore Michael G.,
Mugabo Rajab M.,
Noah Patrick,
Omutsani Mary,
Orloff Lisa A.,
Otiti Jeffrey,
Randolph Gregory W.,
Sebelik Merry,
Todsen Tobias,
Twier Khaled,
Fagan Johannes J.
Publication year - 2020
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.26094
Subject(s) - thyroid nodules , medicine , thyroid cancer , thyroid , nodule (geology) , cytopathology , head and neck , cancer , resource (disambiguation) , intensive care medicine , head and neck cancer , medical physics , gynecology , pathology , surgery , computer science , paleontology , computer network , cytology , biology
Background International thyroid nodule and cancer management guidelines generally fail to take into account potential limitations in diagnostic and treatment resources. Methods Thyroid cancer specialists from the African Head and Neck Society and American Head & Neck Society Endocrine Section developed guidelines for diagnosis and management of thyroid nodules and cancer in low resource settings. Recommendations were based on literature review and expert opinion, with level of evidence defined. Results Using the ADAPTE process, diagnostic and treatment algorithms were adapted from the National Comprehensive Cancer Network (NCCN). Low resource settings were simulated by systematically removing elements such as availability of laboratory testing, hormone replacement, imaging, and cytopathology from NCCN guidelines. Conclusions Successful management of thyroid nodules and cancer in low resource settings requires adaptation of treatment methodologies. These guidelines define specific scenarios where either more or less aggressive intervention for thyroid pathology may be advisable based on limited available resources.