关键词: carcinoma consensus guidelines medical standards thyroid neoplasms thyroid nodule thyroidectomy

来  源:   DOI:10.47895/amp.vi0.6535   PDF(Pubmed)

Abstract:
UNASSIGNED: Thyroid cancer is the most common endocrine cancer in the Philippines affecting primarily women in the reproductive age group. Considering the burden of thyroid cancer in the country, the Department of Health (DOH) called for the development of a national clinical practice guideline that would address patient needs, and aid physicians in clinical decision-making while considering therapeutic cost and availability in the local setting. The 2021 guidelines are aimed at providing optimal care to Filipino patients by assisting clinicians in the evaluation of thyroid nodules and management of well differentiated thyroid cancer.
UNASSIGNED: A steering committee convened to formulate clinical questions pertaining to the screening and evaluation of thyroid nodules, surgical and post operative management of thyroid cancer, and palliative care for unresectable disease. A technical working group reviewed existing clinical guidelines, retrieved through a systematic literature search, synthesized clinical evidence, and drafted recommendations based on the ADAPTE process of clinical practice guideline development. The consensus panel reviewed evidence summaries and voted on recommendations for the final statements of the clinical practice guidelines.
UNASSIGNED: The guidelines consist of clinical questions and recommendations grouped into six key areas of management of well differentiated thyroid cancer: screening, diagnosis, surgical treatment, post operative management, surveillance, and palliative care.
UNASSIGNED: The 2021 guidelines for well differentiated cancer could direct physicians in clinical decision making, and create better outcomes for Filipino patients afflicted with the disease. However, patient management should still be governed by sound clinical judgement and open physician-patient communication.
摘要:
甲状腺癌是菲律宾最常见的内分泌癌症,主要影响育龄妇女。考虑到该国甲状腺癌的负担,卫生部(DOH)呼吁制定国家临床实践指南,以满足患者的需求,并帮助医生进行临床决策,同时考虑当地的治疗成本和可用性。2021年指南旨在通过协助临床医生评估甲状腺结节和治疗分化良好的甲状腺癌,为菲律宾患者提供最佳护理。
召集了一个指导委员会,以制定与甲状腺结节的筛查和评估有关的临床问题,甲状腺癌的手术和术后治疗,和无法切除的疾病的姑息治疗。一个技术工作组审查了现有的临床指南,通过系统的文献检索检索,综合临床证据,并根据临床实践指南制定的ADAPTE过程起草建议。共识小组审查了证据摘要,并就临床实践指南的最终声明的建议进行了投票。
指南包括临床问题和建议,分为高分化甲状腺癌的六个关键管理领域:筛查,诊断,手术治疗,术后管理,监视,和姑息治疗。
2021年高分化癌症指南可以指导医生进行临床决策,并为患有这种疾病的菲律宾患者创造更好的结果。然而,患者管理仍应遵循合理的临床判断和开放的医患沟通.
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