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J Endocrinol Invest. 2016 Aug;39(8):939-53. doi: 10.1007/s40618-016-0455-3. Epub 2016 Apr 8.

Diagnostic, therapeutic and health-care management protocol in thyroid surgery: a position statement of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB).

Author information

1
Department of Surgery, ASL TO4, Ivrea Hospital, School of Medicine, Turin University, Turin, Italy.
2
Endocrine and Metabolic Surgery, Policlinico Agostino Gemelli, Catholic University, Rome, Italy. carmela.decrea@unicatt.it.
3
Endocrine and Metabolic Surgery, Policlinico Agostino Gemelli, Catholic University, Rome, Italy.
4
Clinical Unit on Metabolic Bone Disorders, University Hospital of Florence, Florence, Italy.
5
Endocrine Surgery, Department of Surgery "P. Valdoni", "La Sapienza" University, Rome, Italy.
6
Department of Clinical Sciences, "La Sapienza" University, Rome, Italy.
7
Endocrine Surgery, Department of Surgery, Pisa University, Rome, Italy.
8
Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.
9
Endocrine Surgery, Department of Surgery, Padua University, Padua, Italy.
10
Department of Endocrinology, Catholic University, Rome, Italy.
11
Department of Surgery, "S. Maria" Terni Hospital, Perugia University, Perugia, Italy.
12
Endocrine and Breast Surgical Unit, Department of Surgery, "S. Paolo" Hospital, Milan, Italy.
13
Thyroid Surgery, Department of Surgery, I.N.T. "Pascale" of Naples, Naples, Italy.
14
Unit of Endocrine, Digestive, and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, Bari University, Bari, Italy.
15
Endocrine Surgery, Department of Surgery, "Mater Domini" Hospital, Catanzaro, Italy.
16
Health Management, Piedmont Region, ASL TO4, School of Medicine, Turin University, Turin, Italy.
17
Endocrine Surgery, Department of Surgery, "S. Camillo-Forlanini" Hospital, Rome, Italy.
18
General Surgery, Endocrine and Breast Surgical Unit, Department of Surgery, ASL TO4, Ivrea Hospital, Turin, Italy.
19
General Surgery and Endocrine Surgical Unit, Department of Surgery, Sant'Agostino-Estense NOCSAE, Modena, Italy.
20
Department of Surgery, A.O.R.N. "Cardarelli" Hospital, Naples, Italy.

Abstract

PURPOSE:

The diagnostic, therapeutic and health-care management protocol (Protocollo Gestionale Diagnostico-Terapeutico-Assistenziale, PDTA) by the Association of the Italian Endocrine Surgery Units (U.E.C. CLUB) aims to help treat the patient in a topical, rational way that can be shared by health-care professionals.

METHODS:

This fourth consensus conference involved: a selected group of experts in the preliminary phase; all members, via e-mail, in the elaboration phase; all the participants of the XI National Congress of the U.E.C. CLUB held in Naples in the final phase. The following were examined: diagnostic pathway and clinical evaluation; mode of admission and waiting time; therapeutic pathway (patient preparation for surgery, surgical treatment, postoperative management, management of major complications); hospital discharge and patient information; outpatient care and follow-up.

RESULTS:

A clear and concise style was adopted to illustrate the reasons and scientific rationales behind behaviors and to provide health-care professionals with a guide as complete as possible on who, when, how and why to act. The protocol is meant to help the surgeon to treat the patient in a topical, rational way that can be shared by health-care professionals, but without influencing in any way the physician-patient relationship, which is based on trust and clinical judgment in each individual case.

CONCLUSIONS:

The PDTA in thyroid surgery approved by the fourth consensus conference (June 2015) is the official PDTA of U.E.C. CLUB.

KEYWORDS:

Postoperative management; Preoperative workup; Thyroid disease; Thyroidectomy

PMID:
27059212
DOI:
10.1007/s40618-016-0455-3
[Indexed for MEDLINE]

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