Executive Summary of the American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults

Kepal N. Patel, Linwah Yip, Carrie C. Lubitz, Elizabeth G. Grubbs, Barbra S. Miller, Wen Shen, Peter Angelos, Herbert Chen, Gerard M. Doherty, Thomas J. Fahey, Electron Kebebew, Virginia A. Livolsi, Nancy D. Perrier, Jennifer A. Sipos, Julie A. Sosa, David Steward, Ralph P. Tufano, Christopher R. McHenry, Sally E. Carty

Research output: Contribution to journalArticle

Abstract

Objective:The aim of this study was to develop evidence-based recommendations for safe, effective and appropriate thyroidectomy.Background:Surgical management of thyroid disease has evolved considerably over several decades leading to variability in rendered care. Over 100,000 thyroid operations are performed annually in the United States.Methods:The medical literature from January 1, 1985 to November 9, 2018 was reviewed by a panel of 19 experts in thyroid disorders representing multiple disciplines. The authors used the best available evidence to construct surgical management recommendations. Levels of evidence were determined using the American College of Physicians grading system, and management recommendations were discussed to consensus. Members of the American Association of Endocrine Surgeons reviewed and commented on preliminary drafts of the content.Results:These clinical guidelines analyze the indications for thyroidectomy as well as its definitions, technique, morbidity, and outcomes. Specific topics include Pathogenesis and Epidemiology, Initial Evaluation, Imaging, Fine Needle Aspiration Biopsy Diagnosis, Molecular Testing, Indications, Extent and Outcomes of Surgery, Preoperative Care, Initial Thyroidectomy, Perioperative Tissue Diagnosis, Nodal Dissection, Concurrent Parathyroidectomy, Hyperthyroid Conditions, Goiter, Adjuncts and Approaches Laryngology Familial Thyroid Cancer, Postoperative Care and Complications, Cancer Management, and Reoperation.Conclusion:Evidence-based guidelines were created to assist clinicians in the optimal surgical management of thyroid disease.

Original languageEnglish (US)
Pages (from-to)399-410
Number of pages12
JournalAnnals of surgery
Volume271
Issue number3
DOIs
StatePublished - Mar 1 2020

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Keywords

  • biopsy
  • cancer
  • carcinoma
  • concurrent parathyroidectomy
  • diagnosis
  • endocrine
  • extent of resection
  • goiter
  • hyperthyroidism
  • imaging
  • lymph nodes
  • management and complications
  • molecular markers
  • nodules
  • pathogenesis
  • postoperative care
  • preoperative care
  • staging
  • surgery
  • thyroid
  • thyroidectomy indications
  • ultrasound

ASJC Scopus subject areas

  • Surgery

Cite this

Patel, K. N., Yip, L., Lubitz, C. C., Grubbs, E. G., Miller, B. S., Shen, W., Angelos, P., Chen, H., Doherty, G. M., Fahey, T. J., Kebebew, E., Livolsi, V. A., Perrier, N. D., Sipos, J. A., Sosa, J. A., Steward, D., Tufano, R. P., McHenry, C. R., & Carty, S. E. (2020). Executive Summary of the American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults. Annals of surgery, 271(3), 399-410. https://doi.org/10.1097/SLA.0000000000003735