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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Updated: Jun 21, 2026

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
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Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Published on: June 9, 2023

485

Developing a large-scale quality improvement program for thyroid cancer surgery.

Catherine B Jensen1,2,3,4, Elizabeth M Bacon1,2, Lauren N Krumeich1

  • 1Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.

World Journal of Surgery
|October 15, 2024
PubMed
Summary
This summary is machine-generated.

Establishing quality indicators for thyroid cancer surgery is crucial. This study identified gaps in care, such as missing preoperative cytology and inadequate follow-up plans, highlighting areas for surgical quality improvement.

Keywords:
collaborativequality improvementquality metricsthyroid cancer

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Area of Science:

  • Surgical Oncology
  • Quality Improvement Science
  • Public Health

Background:

  • Surgical quality improvement (QI) is vital for patient outcomes and cost reduction.
  • Dedicated QI programs for thyroid cancer surgery are currently lacking.
  • This study addresses the need for specific QI initiatives in thyroid cancer care.

Purpose of the Study:

  • To select and implement surgical quality indicators for thyroid cancer.
  • To identify areas for quality improvement in state-level thyroid cancer surgical care.

Main Methods:

  • A multidisciplinary team developed 10 thyroid cancer-specific quality indicators.
  • Surgical care quality was assessed against national guidelines.
  • Data from January-December 2023 were analyzed using descriptive statistics.

Main Results:

  • 112 surgeons performed 360 thyroidectomies for thyroid cancer.
  • 34.3% of cases lacked preoperative cytology.
  • 50% of small cancers (<1 cm) had total thyroidectomy; 13.8% of large cancers (>4 cm) had lobectomy.
  • Positive margins occurred in 16.2% of cases.
  • 19.2% lacked documented follow-up and 18.6% lacked surveillance plans.

Conclusions:

  • A dedicated QI program for thyroid cancer surgery offers significant potential for enhancing care quality.
  • Statewide surgical quality collaboratives provide a scalable model for implementing QI initiatives.
  • These findings can inform QI efforts in diverse healthcare settings nationally and internationally.