SynthesisBMC medicine2013
Systematic review of clinical practice guidelines in the diagnosis and management of thyroid nodules and cancer.
Synthesis in BMC medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 11 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Critical appraise of inter-professional clinical practice guidelines for the spiritual care of patients with chronic illness: a systematic review.BMC palliative care · 2025Pooled it
- Systematic review of global clinical practice guidelines for neonatal hyperbilirubinemia.BMJ open · 2021Pooled it
- Do stroke clinical practice guideline recommendations for the intervention of thickened liquids for aspiration support evidence based decision making? A systematic review and narrative synthesis.Journal of evaluation in clinical practice · 2020Pooled it
- Variation in the initial assessment and investigation for ovarian cancer in symptomatic women: a systematic review of international guidelines.BMC cancer · 2019Pooled it
- Diagnosis and treatment for hyperuricemia and gout: a systematic review of clinical practice guidelines and consensus statements.BMJ open · 2019Pooled it
- Critical appraisal of international guidelines for the screening and treatment of asymptomatic peripheral artery disease: a systematic review.BMC cardiovascular disorders · 2019Pooled it
- Prophylactic Central Neck Dissection for Papillary Thyroid Carcinoma with Clinically Uninvolved Central Neck Lymph Nodes: A Systematic Review and Meta-analysis.World journal of surgery · 2018Pooled it
- Clinical practice guidelines for the management of neuropathic pain: a systematic review.BMC anesthesiology · 2016Pooled it
- Levothyroxine or minimally invasive therapies for benign thyroid nodules.The Cochrane database of systematic reviews · 2014Pooled it
- Evaluation of the quality of guidelines for myasthenia gravis with the AGREE II instrument.PloS one · 2014Pooled it
- Pooled it
- Acknowledging gray areas: 2015 vs. 2009 American Thyroid Association differentiated thyroid cancer guidelines on ablating putatively low-intermediate-risk patients.European journal of nuclear medicine and molecular imaging · 2017Trial
- [Update on papillary thyroid cancer-What is relevant for surgeons?]Chirurgie (Heidelberg, Germany) · 2025Article
- A systematic review on clinical guidelines of home health care in heart failure patients.BMC nursing · 2023Article
- Computer-interpretable guidelines: electronic tools to enhance the utility of thyroid nodule clinical practice guidelines and risk stratification tools.Frontiers in endocrinology · 2023Article
- The use of systematic review evidence to support the development of guidelines for positron emission tomography: a cross-sectional survey.European radiology · 2021Article
- The age threshold of the 8th edition AJCC classification is useful for indicating patients with aggressive papillary thyroid cancer in clinical practice.BMC cancer · 2020Article
- Protocol of an interdisciplinary consensus project aiming to develop an AGREE II extension for guidelines in surgery.BMJ open · 2020Article
- Clinical practice guidelines on ultrasound-guided fine needle aspiration biopsy of thyroid nodules: a critical appraisal using AGREE II.Endocrine · 2019Article
- A critical appraisal of the quality of head and neck cancer imaging guidelines using the AGREE II tool: A EuroAIM initiative.Cancer medicine · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven the uncertainties regarding thyroid nodule assessment and management, physicians require systematically and transparently developed recommendations. This systematic review assesses the quality and consistency of the recommendations of international clinical practice guidelines (CPGs) for the diagnosis and management of thyroid nodules and cancer to assist physicians in making appropriate recommendations.
methodsThe CPGs on the management of thyroid nodules and cancer published before June 2013 were retrieved. All the reviewed guidelines were in English. Four reviewers independently assessed the rigor of guideline development by using the Appraisal of Guidelines Research and Evaluation II (AGREE-II) instrument, and their reported evidence was evaluated.
resultsTen eligible guidelines were included: nine had been developed by professional organizations, and the remaining guideline was endorsed by an independent regional body. Three guidelines achieved a score of greater than 50% in all six AGREE-II domains. Guidelines scored highest on the measurement of 'scope and purpose' (≥61.1% for eight CPGs) and lowest on the measurement of 'applicability' (≤38.5% for five CPGs). The overall quality ranged from 3.0 to 6.25 on a seven-point scale on the AGREE-II tool. Most CPG recommendations on the management of thyroid cancer were relatively consistent. Guidelines varied regarding the indication of fine-needle aspiration for thyroid nodules, as well as in their suggestions for postoperative radioiodine ablation.
conclusionsOur analysis showed that the current CPGs varied in methodological quality. More effort is needed to improve the quality of recommendations on the diagnosis and management of thyroid nodules and cancer.
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