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An International Survey on Utilization of Five Thyroid Nodule Risk Stratification Systems: A Needs Assessment with Future Implications: A Needs Assessment with Future Implications

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Názov: An International Survey on Utilization of Five Thyroid Nodule Risk Stratification Systems: A Needs Assessment with Future Implications: A Needs Assessment with Future Implications
Autori: Jenny K. Hoang, Shadi Asadollahi, Cosimo Durante, Laszlo Hegedüs, Enrico Papini, Franklin N. Tessler
Zdroj: Thyroid. 32:675-681
Informácie o vydavateľovi: Mary Ann Liebert Inc, 2022.
Rok vydania: 2022
Predmety: risk stratification, thyroid cancer, thyroid nodule, ultrasound, Risk Assessment, Thyroid cancer, United States, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Thyroid Neoplasms/diagnostic imaging, Surveys and Questionnaires, Ultrasound, Humans, Thyroid Nodule/diagnostic imaging, Thyroid Neoplasms, Thyroid Nodule, Risk stratification, Needs Assessment, Thyroid nodule, Retrospective Studies, Ultrasonography
Popis: Background: Multiple ultrasound-based risk stratification systems (RSSs) for thyroid nodules are used worldwide. Variations in structure, performance, and recommendations are confusing for physicians and patients and complicate management decisions. The goal of this study was to determine the factors that are associated with choice of RSS and barriers to RSS use. These results are intended to inform development of a universal international thyroid ultrasound RSS. Methods: An online survey with questions about usage of RSSs, ultrasound practice and volumes, training, specialty, practice type, and geographic region was made available to members of five professional societies via email. Subgroup analysis was performed to identify the factors that governed use of one or more of five leading RSSs: American Association of Clinical Endocrinology (AACE), American College of Endocrinology (ACE), and Associazione Medici Endocrinologi (AME) Medical Guidelines, American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS), American Thyroid Association (ATA) guidelines, European Thyroid Association TIRADS (EU-TIRADS), and Korean Society of Thyroid Radiology/Korean Thyroid Association TIRADS (K-TIRADS). Results: There were 875 respondents from 52 countries (response rate not estimated due to overlapping society membership). More than 7 specialties were represented, with most (538; 61.5%) in endocrinology. The choice of RSS was strongly associated with medical specialty and geographic region. Of 692 respondents who indicated that their practice used an RSS, 213 (30.8%) used more than one. The specialties that were more likely to use multiple RSSs were surgery and others (40%), followed by endocrinology (33.0%), and radiology or nuclear medicine (17%) (p
Druh dokumentu: Article
Jazyk: English
ISSN: 1557-9077
1050-7256
DOI: 10.1089/thy.2021.0558
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/35229624
https://hdl.handle.net/11573/1699709
https://doi.org/10.1089/thy.2021.0558
Rights: Mary Ann Liebert TDM
Prístupové číslo: edsair.doi.dedup.....7c0ccdb59a43a0ce0f0a4ae5909259f8
Databáza: OpenAIRE
Popis
Abstrakt:Background: Multiple ultrasound-based risk stratification systems (RSSs) for thyroid nodules are used worldwide. Variations in structure, performance, and recommendations are confusing for physicians and patients and complicate management decisions. The goal of this study was to determine the factors that are associated with choice of RSS and barriers to RSS use. These results are intended to inform development of a universal international thyroid ultrasound RSS. Methods: An online survey with questions about usage of RSSs, ultrasound practice and volumes, training, specialty, practice type, and geographic region was made available to members of five professional societies via email. Subgroup analysis was performed to identify the factors that governed use of one or more of five leading RSSs: American Association of Clinical Endocrinology (AACE), American College of Endocrinology (ACE), and Associazione Medici Endocrinologi (AME) Medical Guidelines, American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS), American Thyroid Association (ATA) guidelines, European Thyroid Association TIRADS (EU-TIRADS), and Korean Society of Thyroid Radiology/Korean Thyroid Association TIRADS (K-TIRADS). Results: There were 875 respondents from 52 countries (response rate not estimated due to overlapping society membership). More than 7 specialties were represented, with most (538; 61.5%) in endocrinology. The choice of RSS was strongly associated with medical specialty and geographic region. Of 692 respondents who indicated that their practice used an RSS, 213 (30.8%) used more than one. The specialties that were more likely to use multiple RSSs were surgery and others (40%), followed by endocrinology (33.0%), and radiology or nuclear medicine (17%) (p
ISSN:15579077
10507256
DOI:10.1089/thy.2021.0558