定义不合适的甲状腺活检? - - 根据临床证据和利益相关者的参与提出的定义
Thao A Nguyen1, Juan P Brito2, Naykky Singh Ospina3
1Department of Medicine, University of Florida, Gainesville, FL, USA.
Endocrine
|February 26, 2024
概括
评估甲状腺活检是否合适不仅仅涉及超声波风险. 患者健康状况,癌症风险和偏好等因素对于确定活检是否真正必要至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 改善医疗质量 改善医疗质量
背景情况:
- 甲状腺活检是甲状腺结节的常见诊断程序.
- 确定甲状腺活检的必要性可能具有挑战性,导致潜在的过度使用或使用不足.
研究的目的:
- 确定评估甲状腺活检适当性的关键因素.
- 为定义不适当的甲状腺活检提出一个实用的途径.
主要方法:
- 临床指导方针的综合文献综述和关于甲状腺活检指示的现有研究.
- 多学科专家小组的共识,包括患者,临床医生,研究人员和质量专家.
主要成果:
- 确定了关键因素:超声波风险,症状,癌症怀疑,预期寿命,并发症,手术风险,个人风险因素,甲状腺功能,当地资源和患者价值.
- 开发了甲状腺活检适当性的分级分类系统,从超声波发现开始,并结合了患者特定的元素.
结论:
- 甲状腺活检的适当性评估是可行的.
- 虽然超声波风险是关键的,但结合患者特定的因素,如预期寿命和偏好是必不可少的.
- 需要进一步的工作才能在临床实践中有效地实施这些因素.
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