Improving the adoption of thyroid cancer clinical practice guidelines

Ilya Likhterov; R. Michael Tuttle; Grace C. Haser; Henry K. Su; Donald Bergman; Eran E. Alon; Victor Bernet; Elise Brett; Rhoda Cobin; Eliza H. Dewey; Gerard Doherty; Laura L. Dos Reis; Joshua Klopper; Stephanie L. Lee; Mark A. Lupo; Josef Machac; Jeffrey I. Mechanick; Mira Milas; Lisa Orloff; Gregory Randolph; Douglas S. Ross; Meghan E. Rowe; Robert Smallridge; David Terris; Ralph P. Tufano; Mark L. Urken

doi:10.1002/lary.25986

Improving the adoption of thyroid cancer clinical practice guidelines

Ilya Likhterov, R. Michael Tuttle, Grace C. Haser, Henry K. Su, Donald Bergman, Eran E. Alon, Victor Bernet, Elise Brett, Rhoda Cobin, Eliza H. Dewey, Gerard Doherty, Laura L. Dos Reis, Joshua Klopper, Stephanie L. Lee, Mark A. Lupo, Josef Machac, Jeffrey I. Mechanick, Mira Milas, Lisa Orloff, Gregory RandolphDouglas S. Ross, Meghan E. Rowe, Robert Smallridge, David Terris, Ralph P. Tufano, Mark L. Urken

School of Medicine

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Objectives/Hypothesis: To present an overview of the barriers to the implementation of clinical practice guidelines (CPGs) in thyroid cancer management and to introduce a computer-based clinical support system. Data Sources: PubMed. Review Methods: A review of studies on adherence to CPGs was conducted. Results: Awareness and adoption of CPGs is low in thyroid cancer management. Barriers to implementation include unfamiliarity with the CPGs and financial concerns. Effective interventions to improve adherence are possible, especially when they are readily accessible at the point of care delivery. Computerized clinical support systems show particular promise. The authors introduce the clinical decision making modules (CDMMs) of the Thyroid Cancer Care Collaborative, a thyroid cancer-specific electronic health record. These computer-based modules can assist clinicians with implementation of these recommendations in clinical practice. Conclusion: Computer-based support systems can help clinicians understand and adopt the thyroid cancer CPGs. By integrating patient characteristics and guidelines at the point of care delivery, the CDMMs can improve adherence to the guidelines and help clinicians provide high-quality, evidence-based, and individualized patient care in the management of differentiated thyroid cancer. Laryngoscope, 126:2640–2645, 2016.

Original language	English (US)
Pages (from-to)	2640-2645
Number of pages	6
Journal	Laryngoscope
Volume	126
Issue number	11
DOIs	https://doi.org/10.1002/lary.25986
State	Published - Nov 1 2016

Keywords

Differentiated thyroid carcinoma
clinical decision making
clinical practice guidelines
computer-based support systems
thyroid nodules

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/lary.25986

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Likhterov, I., Tuttle, R. M., Haser, G. C., Su, H. K., Bergman, D., Alon, E. E., Bernet, V., Brett, E., Cobin, R., Dewey, E. H., Doherty, G., Dos Reis, L. L., Klopper, J., Lee, S. L., Lupo, M. A., Machac, J., Mechanick, J. I., Milas, M., Orloff, L., ... Urken, M. L. (2016). Improving the adoption of thyroid cancer clinical practice guidelines. Laryngoscope, 126(11), 2640-2645. https://doi.org/10.1002/lary.25986

Likhterov, I, Tuttle, RM, Haser, GC, Su, HK, Bergman, D, Alon, EE, Bernet, V, Brett, E, Cobin, R, Dewey, EH, Doherty, G, Dos Reis, LL, Klopper, J, Lee, SL, Lupo, MA, Machac, J, Mechanick, JI, Milas, M, Orloff, L, Randolph, G, Ross, DS, Rowe, ME, Smallridge, R, Terris, D, Tufano, RP & Urken, ML 2016, 'Improving the adoption of thyroid cancer clinical practice guidelines', Laryngoscope, vol. 126, no. 11, pp. 2640-2645. https://doi.org/10.1002/lary.25986

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abstract = "Objectives/Hypothesis: To present an overview of the barriers to the implementation of clinical practice guidelines (CPGs) in thyroid cancer management and to introduce a computer-based clinical support system. Data Sources: PubMed. Review Methods: A review of studies on adherence to CPGs was conducted. Results: Awareness and adoption of CPGs is low in thyroid cancer management. Barriers to implementation include unfamiliarity with the CPGs and financial concerns. Effective interventions to improve adherence are possible, especially when they are readily accessible at the point of care delivery. Computerized clinical support systems show particular promise. The authors introduce the clinical decision making modules (CDMMs) of the Thyroid Cancer Care Collaborative, a thyroid cancer-specific electronic health record. These computer-based modules can assist clinicians with implementation of these recommendations in clinical practice. Conclusion: Computer-based support systems can help clinicians understand and adopt the thyroid cancer CPGs. By integrating patient characteristics and guidelines at the point of care delivery, the CDMMs can improve adherence to the guidelines and help clinicians provide high-quality, evidence-based, and individualized patient care in the management of differentiated thyroid cancer. Laryngoscope, 126:2640–2645, 2016.",

keywords = "Differentiated thyroid carcinoma, clinical decision making, clinical practice guidelines, computer-based support systems, thyroid nodules",

author = "Ilya Likhterov and Tuttle, {R. Michael} and Haser, {Grace C.} and Su, {Henry K.} and Donald Bergman and Alon, {Eran E.} and Victor Bernet and Elise Brett and Rhoda Cobin and Dewey, {Eliza H.} and Gerard Doherty and {Dos Reis}, {Laura L.} and Joshua Klopper and Lee, {Stephanie L.} and Lupo, {Mark A.} and Josef Machac and Mechanick, {Jeffrey I.} and Mira Milas and Lisa Orloff and Gregory Randolph and Ross, {Douglas S.} and Rowe, {Meghan E.} and Robert Smallridge and David Terris and Tufano, {Ralph P.} and Urken, {Mark L.}",

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AU - Tuttle, R. Michael

AU - Haser, Grace C.

AU - Su, Henry K.

AU - Bergman, Donald

AU - Alon, Eran E.

AU - Bernet, Victor

AU - Brett, Elise

AU - Cobin, Rhoda

AU - Dewey, Eliza H.

AU - Doherty, Gerard

AU - Dos Reis, Laura L.

AU - Klopper, Joshua

AU - Lee, Stephanie L.

AU - Lupo, Mark A.

AU - Machac, Josef

AU - Mechanick, Jeffrey I.

AU - Milas, Mira

AU - Orloff, Lisa

AU - Randolph, Gregory

AU - Ross, Douglas S.

AU - Rowe, Meghan E.

AU - Smallridge, Robert

AU - Terris, David

AU - Tufano, Ralph P.

AU - Urken, Mark L.

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AB - Objectives/Hypothesis: To present an overview of the barriers to the implementation of clinical practice guidelines (CPGs) in thyroid cancer management and to introduce a computer-based clinical support system. Data Sources: PubMed. Review Methods: A review of studies on adherence to CPGs was conducted. Results: Awareness and adoption of CPGs is low in thyroid cancer management. Barriers to implementation include unfamiliarity with the CPGs and financial concerns. Effective interventions to improve adherence are possible, especially when they are readily accessible at the point of care delivery. Computerized clinical support systems show particular promise. The authors introduce the clinical decision making modules (CDMMs) of the Thyroid Cancer Care Collaborative, a thyroid cancer-specific electronic health record. These computer-based modules can assist clinicians with implementation of these recommendations in clinical practice. Conclusion: Computer-based support systems can help clinicians understand and adopt the thyroid cancer CPGs. By integrating patient characteristics and guidelines at the point of care delivery, the CDMMs can improve adherence to the guidelines and help clinicians provide high-quality, evidence-based, and individualized patient care in the management of differentiated thyroid cancer. Laryngoscope, 126:2640–2645, 2016.

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Improving the adoption of thyroid cancer clinical practice guidelines

Abstract

Keywords

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