Choosing Wisely for Thyroid Conditions: Recommendations of the Thyroid Department of the Brazilian Society of Endocrinology and Metabolism.

Autor:	Dora JM; Unidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil, jdora@hcpa.edu.br., Biscolla RPM; Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil., Caldas G; Faculdade de Medicina da Universidade Federal de Pernambuco (UFPE), Recife, PE, Brasil., Cerutti J; Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil., Graf H; Faculdade de Medicina da Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil., Hoff AO; Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, SP, Brasil., Mazeto GMFS; Faculdade de Medicina da Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil., Magalhães PKR; Universidade de São Paulo (USP), Ribeirão Preto, SP, Brasil., Mesa CO Junior; Faculdade de Medicina da Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil., Scheffel RS; Unidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil., de Fatima Dos Santos Teixeira P; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil., Vaisman F; Instituto Nacional de Câncer (INCA), Rio de Janeiro, RJ, Brasil., Villagelin D; Faculdade de Medicina da Pontifícia Universidade Católica de Campinas, Campinas, SP, Brasil., Maia AL; Unidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Jazyk:	angličtina
Zdroj:	Archives of endocrinology and metabolism [Arch Endocrinol Metab] 2021 Nov 01; Vol. 65 (2), pp. 248-252. Date of Electronic Publication: 2021 Feb 15.
DOI:	10.20945/2359-3997000000323
Abstrakt:	Objective: Choosing Wisely (CW) is an initiative that aims to advance the dialogue between physicians and patients about low-value health interventions. Given that thyroid conditions are frequent in clinical practice, we aimed to develop an evidence-based list of thyroid CW recommendations. Methods: The Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM) named a Task Force to conduct the initiative. The Task Force work was based on an electronic Delphi approach. The 10 recommendations that received the highest scores by the Task Force were submitted for voting by all SBEM associates. The 5 recommendations that received the highest scores by SBEM associates are presented herein. Results: The Task Force was composed of 14 thyroidologists from 10 tertiary-care, teaching-based Brazilian institutions. The brainstorming/ideation phase resulted in 69 recommendations. After the removal of duplicates and recommendations that did not adhere to the initiative's scope, 35 remained. Then the Task Force voted to attribute a grade (0 [lowest agreement] to 10 [highest agreement]) for each recommendation. The 10 recommendations that received the highest scores by the Task Force were submitted to all SBEM associates. A total of 683 associates voted electronically, attributing a grade (0 to 10) for each recommendation. The 5 recommendations that received the highest scores by the SBEM associates compose our final list. Conclusion: A set of recommendations to avoid unnecessary medical tests, treatments, or procedures for thyroid conditions are offered with a transparent methodology. This initiative aims to foster productive interactions between physicians and patients, stimulating shared decision-making.
Databáze:	MEDLINE
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