Management of benign nodular thyroid disease: a nationwide survey of endocrine specialists in Spain
Authors' conclusion
The vast majority of Spanish thyroidologists followed the international guideline recommendations for BNTD management. The trend shows the positive impact of the guideline recommendations with a shift towards more conservative management, taking into account patient preference as a binding element in therapeutic decision-making.
Study context
- Population
- Thyroid-dedicated members of the Spanish Society of Endocrinology and Nutrition (SEEN); management of a standard case of euthyroid benign nodular thyroid disease (BNTD) and variant clinical scenarios9% SEEN members
- Participants
- 211 members
- Outcome
- Recommended management of a standard case of BNTD
Methodological detailsnationwide, online survey
- Nationwide
- Online survey
Main finding
As reported in the abstract
Periodic monitoring
147
69.7%
Surgery
43
20.3%
Minimally invasive procedures (MIP)
21
10.0%
Levothyroxine or radioiodine
0
Observational data: associations, not effects.
Further findings
- Management of BNTD was modified based on patient preferences, both toward more aggressive (surgery) and more conservative (MIP or monitoring) options
Original publication
Management of benign nodular thyroid disease: a nationwide survey of endocrine specialists in Spain. Eur Thyroid J. Published 21 March 2025. doi:10.
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