Key PointsQuestionWhat are the clinical practice changes following the implementation of the updated 2015 American Thyroid Association guidelines on the extent of thyroidectomy procedures? FindingsIn this cohort study of 169 patients with pathologically proved, well-differentiated thyroid carcinoma, patients who underwent surgery between 2013 and 2014 were compared with patients who underwent surgery during 2016 following implementation of the new 2015 American Thyroid Association guidelines. Rates of up-front total thyroidectomy significantly decreased from 61% to 31%, and the rate of completion thyroidectomy significantly decreased from 74% to 20% following the implementation of the new guidelines. MeaningThe extent of thyroidectomy was reduced considerably following the 2015 American Thyroid Association guidelines, and only 1 of 5 patients who undergo thyroid lobectomy will require a completion procedure according to the new criteria.
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: May 29, 2018