Thyroid cancer quality of care indicators: A scoping review - 12/04/25
Abstract |
Background |
Thyroid cancer, the most common endocrine malignancy, has highly variable practice patterns. This scoping review aimed to identify quantitative and qualitative quality of care indicators (QIs) essential for providing optimal care in thyroid cancer management.
Methods |
A comprehensive search across MEDLINE, EMBASE, PubMed, and Web of Science identified QIs defining structures, processes, and outcomes in five care phases: pre-diagnosis, diagnosis, treatment, post-treatment surveillance, and end-of-life care.
Results |
Of the 3,143 articles screened, 36 were included, yielding 135 unique QIs. Key diagnostic QIs were the use of a standardized ultrasound reporting system (n = 4), diagnostic fine needle aspiration biopsy (FNAB) (n = 3), and FNA cytology reporting with the Bethesda System (n = 3). Common treatment QIs included thyroidectomy by high-volume surgeons (≥10–32 cases/year) (n = 7), preoperative voice assessment for high-risk patients (n = 4), and recurrent laryngeal nerve monitoring (n = 3). Serum thyroglobulin (Tg) monitoring was the primary post-treatment QI for recurrence (n = 2).
Conclusions |
Developing an evidence-based QI list can identify care gaps, direct targeted interventions, promote care standardization, and improve outcomes for thyroid cancer patients.
Il testo completo di questo articolo è disponibile in PDF.Graphical abstract |
Highlights |
• | 135 unique thyroid cancer QIs identified across all phases of care. |
• | Key diagnostic QIs include standardized ultrasound reporting, diagnostic fine needle aspiration biopsy (FNA), standardized FNA cytology reporting. |
• | Key treatment QIs include thyroidectomy by high-volume surgeons, preoperative voice assessment, intraoperative recurrent laryngeal nerve monitoring. |
• | Key post-treatment QIs include surveillance with serum thyroglobulin (Tg). |
Keywords : Thyroid neoplasms, Thyroid carcinoma, Quality indicators, Health metrics
Mappa
Vol 243
Articolo 116223- maggio 2025 Ritorno al numero
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