Completeness of ultrasound reporting impacts time to biopsy for benign and malignant thyroid nodules.
Am J Surg
; 213(5): 931-935, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-28385381
ABSTRACT
BACKGROUND:
The objective was to evaluate reporting of guideline-recommended elements for thyroid ultrasound (US), and to determine whether element reporting was associated with the time to cytological and/or surgical diagnosis.METHODS:
US reports of adults who underwent thyroid surgery for benign (n = 106) or malignant (n = 105) thyroid nodules between 2009 and 2014 were retrospectively reviewed for inclusion of 11 elements.RESULTS:
On average 5.1 elements of 11 (46.4%) were included in US reports of all nodules. The setting of the US (academic versus community center) also influenced the number of elements reported (6.3 in academic versus 4.9 in community, p < 0.001). A higher number of reported elements were significantly associated with fewer days between US and FNAB, FNAB and OR, and US and OR (p < 0.001, p = 0.007, and p < 0.001, respectively).CONCLUSIONS:
Under-reporting of guideline-recommended US elements is associated with delayed cytological diagnosis and surgical treatment of thyroid nodules.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
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Neoplasias da Glândula Tireoide
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Carcinoma
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Nódulo da Glândula Tireoide
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Adenocarcinoma Folicular
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Fidelidade a Diretrizes
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Diagnóstico Tardio
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Relações Interprofissionais
Tipo de estudo:
Diagnostic_studies
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Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article