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ATA practice guidelines for the treatment of differentiated thyroid cancer: were they followed in the United States?
Am J Surg 2010; 199(2):189-98AJ

Abstract

BACKGROUND

The aim of this study was to benchmark national practice patterns against American Thyroid Association guidelines for thyroidectomy, lymphadenectomy, and radioactive iodine (RAI) for differentiated thyroid cancer (DTC).

METHODS

A cross-sectional analysis of patients with DTC in Surveillance, Epidemiology, and End Results was performed. Outcomes were practice accordance with guidelines for extent of surgery and RAI treatment. Predictors of accordance were identified.

RESULTS

A total of 52,964 patients with DTC were included. Seventy-six percent were women, and 83% white. There was 71% accordance with surgery recommendations; among these, 15% underwent central lymphadenectomy, 31% had RAI but no lymphadenectomy, and 25% had RAI and lymphadenectomy. The highest accordance with guidelines was for patients aged <45 years with stage II disease (80%); the lowest accordance was for patients aged > or = 45 years with stage II disease (52%). Patients aged >65 years and of black race had the lowest accordance (P < .001).

CONCLUSIONS

Variation in practice suggests variation in the quality of care for DTC. Greater dissemination of evidence-based recommendations is needed for elderly and minority patients.

Authors+Show Affiliations

Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20113699

Citation

Famakinwa, Olatokunbo M., et al. "ATA Practice Guidelines for the Treatment of Differentiated Thyroid Cancer: Were They Followed in the United States?" American Journal of Surgery, vol. 199, no. 2, 2010, pp. 189-98.
Famakinwa OM, Roman SA, Wang TS, et al. ATA practice guidelines for the treatment of differentiated thyroid cancer: were they followed in the United States? Am J Surg. 2010;199(2):189-98.
Famakinwa, O. M., Roman, S. A., Wang, T. S., & Sosa, J. A. (2010). ATA practice guidelines for the treatment of differentiated thyroid cancer: were they followed in the United States? American Journal of Surgery, 199(2), pp. 189-98. doi:10.1016/j.amjsurg.2009.04.022.
Famakinwa OM, et al. ATA Practice Guidelines for the Treatment of Differentiated Thyroid Cancer: Were They Followed in the United States. Am J Surg. 2010;199(2):189-98. PubMed PMID: 20113699.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ATA practice guidelines for the treatment of differentiated thyroid cancer: were they followed in the United States? AU - Famakinwa,Olatokunbo M, AU - Roman,Sanziana A, AU - Wang,Tracy S, AU - Sosa,Julie Ann, PY - 2009/03/02/received PY - 2009/04/29/revised PY - 2009/04/29/accepted PY - 2010/2/2/entrez PY - 2010/2/2/pubmed PY - 2010/2/23/medline SP - 189 EP - 98 JF - American journal of surgery JO - Am. J. Surg. VL - 199 IS - 2 N2 - BACKGROUND: The aim of this study was to benchmark national practice patterns against American Thyroid Association guidelines for thyroidectomy, lymphadenectomy, and radioactive iodine (RAI) for differentiated thyroid cancer (DTC). METHODS: A cross-sectional analysis of patients with DTC in Surveillance, Epidemiology, and End Results was performed. Outcomes were practice accordance with guidelines for extent of surgery and RAI treatment. Predictors of accordance were identified. RESULTS: A total of 52,964 patients with DTC were included. Seventy-six percent were women, and 83% white. There was 71% accordance with surgery recommendations; among these, 15% underwent central lymphadenectomy, 31% had RAI but no lymphadenectomy, and 25% had RAI and lymphadenectomy. The highest accordance with guidelines was for patients aged <45 years with stage II disease (80%); the lowest accordance was for patients aged > or = 45 years with stage II disease (52%). Patients aged >65 years and of black race had the lowest accordance (P < .001). CONCLUSIONS: Variation in practice suggests variation in the quality of care for DTC. Greater dissemination of evidence-based recommendations is needed for elderly and minority patients. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/20113699/ATA_practice_guidelines_for_the_treatment_of_differentiated_thyroid_cancer:_were_they_followed_in_the_United_States L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(09)00529-7 DB - PRIME DP - Unbound Medicine ER -