Composition and Priorities of Multidisciplinary Pediatric Thyroid Programs: A Consensus Statement
Methodological detailsmodified Delphi method, two rounds, 9-point Likert scale, 88% and 83% completion rate for Rounds 1 and 2, respectively
- Modified Delphi method
- Two rounds
- 9-point Likert scale
- 88% and 83% completion rate for Rounds 1 and 2, respectively
Recommendations
As issued by the authors
- consensus
There is a distinct definable model of care for pediatric thyroid patients.
- no consensus
Age range of patients.
Programs should care for children with medullary thyroid cancer, differentiated thyroid cancer, and patients with genetic predisposition syndromes.
Comprehensive team includes, but is not limited to, a thyroid surgeon, pediatric endocrinologist, high-volume fine-needle aspiration (FNA) proceduralist, oncologist, nuclear medicine physician, pediatric pathologist, pediatric radiologist and nurse coordinator.
Necessary support services: care coordination, access to a multidisciplinary tumor board, ability to perform US-guided FNA, and access to molecular testing.
Cross-institutional collaborative research prioritizing guidelines development, disease-specific outcomes, treatment toxicity, and the molecular landscape of thyroid cancer.
Original publication
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