African Head and Neck Society Clinical Practice guidelines for thyroid nodules and cancer in developing countries and limited resource settings.

Autor: Zafereo M; Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas., Yu J; Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas., Onakoya PA; Department of Otorhinolaryngology, University of Ibadan, Ibadan, Nigeria., Aswani J; Department of Surgery, College of Health Sciences, University of Nairobi, Nairobi, Kenya., Baidoo K; Department of Otolaryngology, Korle Bu Teaching Hospital, Accra, Ghana., Bogale M; Department of Surgery, Adama Hospital Medical College, Adama, Ethiopia., Cairncross L; Department of Surgery, Groote Schuur Hospital, Cape Town, South Africa., Cordes S; Adventist Health, Ukiah, California., Daniel A; Department of Otorhinolaryngology, University of Ibadan, Ibadan, Nigeria., Diom E; Department of Otolaryngology, Assane Seck University, Ziguinchor, Senegal., Maurice ME; Department of Otolaryngology, University Hospital of Yopougon, Abidjan, Ivory Coast., Mohammed GM; Department of Otolaryngology, Kaduna State University, Kaduna, Nigeria., Biadgelign MG; Department of Surgery, Bahir Dar University, Bahir Dar, Ethiopia., Koné FI; Department of Head and Neck Surgery, Gabriel Touré University Hospital, Bamako, Mali., Itiere A; Department of Otorhinolaryngology, General Hospital of Brazzaville, Brazzaville, Congo., Koch W; Department of ORL/Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland., Konney A; Department of Otolaryngology, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Kundiona I; Department of Otolaryngology, Parirenyatwa Group of Hospitals, Harare, Zimbabwe., Macharia C; Department of General Surgery, AIC Kijabe Hospital, Kenya., Mashamba V; Department of Otorhinolaryngology, Muhimbili National Hospital, Dar es Salaam, Tanzania., Moore MG; Department of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana., Mugabo RM; Department of Otolaryngology, King Faisal Hospital, Kigali, Rwanda., Noah P; Department of Surgery, University of Malawi, Zomba, Malawi., Omutsani M; Department of Otolaryngology-Head and Neck Surgery, Kenyatta National Hospital, Nairobi, Kenya., Orloff LA; Department of Otolaryngology, Division of Head and Neck Surgery, Stanford University School of Medicine, Palo Alto, California., Otiti J; Department of Otolaryngology, Uganda Cancer Institute, Kampala, Uganda., Randolph GW; Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, Massachusetts., Sebelik M; Department of Otolaryngology, Head and Neck Surgery, Emory School of Medicine, Atlanta, Georgia., Todsen T; Department of Otorhinolaryngology, Head and Neck Surgery, University of Copenhagen, Copenhagen, Denmark., Twier K; Department of Otohinolaryngology, University of Cape Town, Cape Town, South Africa., Fagan JJ; Department of Otohinolaryngology, University of Cape Town, Cape Town, South Africa.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2020 Aug; Vol. 42 (8), pp. 1746-1756. Date of Electronic Publication: 2020 Mar 07.
DOI: 10.1002/hed.26094
Abstrakt: Background: International thyroid nodule and cancer management guidelines generally fail to take into account potential limitations in diagnostic and treatment resources.
Methods: Thyroid cancer specialists from the African Head and Neck Society and American Head & Neck Society Endocrine Section developed guidelines for diagnosis and management of thyroid nodules and cancer in low resource settings. Recommendations were based on literature review and expert opinion, with level of evidence defined.
Results: Using the ADAPTE process, diagnostic and treatment algorithms were adapted from the National Comprehensive Cancer Network (NCCN). Low resource settings were simulated by systematically removing elements such as availability of laboratory testing, hormone replacement, imaging, and cytopathology from NCCN guidelines.
Conclusions: Successful management of thyroid nodules and cancer in low resource settings requires adaptation of treatment methodologies. These guidelines define specific scenarios where either more or less aggressive intervention for thyroid pathology may be advisable based on limited available resources.
(© 2020 The Authors. Head & Neck published by Wiley Periodicals, Inc.)
Databáze: MEDLINE
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