2023 European Thyroid Association Clinical Practice Guidelines for thyroid nodule management

Area of Science:

• Endocrinology
• Radiology
• Clinical Practice Guidelines

Background:

• Increasing prevalence of thyroid nodules detected via advanced imaging.
• Most thyroid nodules are benign or indolent, often not requiring intervention.
• Need for updated, cost-effective management strategies considering patient values.

Purpose of the Study:

• To provide clinical practice guidelines for the initial evaluation and management of adult thyroid nodules.
• To promote risk-adapted and cost-effective approaches.
• To incorporate patient preferences into decision-making.

Main Methods:

• Development of guidelines by a panel of experts.
• Reconciliation of best available research evidence with clinical experience.
• Updating previous European Thyroid Association guidelines.

Main Results:

• Guidelines focus on the initial workup of thyroid nodules.
• Recommendations emphasize conservative management for asymptomatic and indolent nodules.
• The guidelines do not cover the management of diagnosed thyroid malignancy.

Conclusions:

• A need exists for updated guidelines on thyroid nodule management.
• Risk-adapted, cost-effective, and patient-centered approaches are recommended.
• These guidelines provide a framework for initial workup and subsequent management.