Improvement in neck ultrasound report quality following the implementation of European Thyroid Association guidelines for postoperative cervical ultrasound for thyroid cancer follow-up, a prospective population study
Authors' conclusion
Implementation of 2013 ETA POU-reporting guidelines allowed for the provision of high-quality POU reports, which may lead to increased accuracy in assessing the response to treatment and in estimating the risk of recurrence of thyroid cancer and likely reduce unnecessary repeat POU or FNA.
Study context
- Population
- DTC patients undergoing postoperative neck US for follow-up
- Participants
- 672 patients
- Exposure
- Implementation radiology group vs non-implementation radiology groups
- Outcome
- Quality of POU reports
Methodological detailspopulation-based
- Population-based
Main finding
As reported in the abstract
POU reports for suspicious nodules sufficient, implementation radiology group (IRG) vs non-implementation radiology groups (NIRG)
94% vs 45%
POU reports for lymph nodes sufficient, IRG vs NIRG
85% vs 68%
Observational data: associations, not effects.
Further findings
NPV of normal US lesion status plus thyroglobulin (Tg) <0.2 ng/mL or Tg 0.21-0.99 ng/mL at 1-year follow-up for absence of persistent disease or relapse at 3-year follow-up
- NPV, normal US and Tg <0.2 ng/mL
- 96%
- NPV, normal US and Tg 0.21-0.99 ng/mL
- 96%
Original publication
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