Evidence map›Paper›PMID 30903569›Full record

ArticleEndocrine2019

Clinical practice guidelines on ultrasound-guided fine needle aspiration biopsy of thyroid nodules: a critical appraisal using AGREE II.

Salvatore Gitto, Sotirios Bisdas, Ilaria Emili, Luca Nicosia, Lorenzo Carlo Pescatori, Kunwar Bhatia, Ravi K Lingam, Francesco Sardanelli, Luca Maria Sconfienza, Giovanni Mauri

Abstract read
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Article in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Salvatore GittoPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milano, Italy. sal.gitto@gmail.com.ORCID 0000-0002-3623-7822
Sotirios BisdasDepartment of Neuroradiology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust, London, UK.
Ilaria EmiliPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milano, Italy.
Luca NicosiaPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milano, Italy.
Lorenzo Carlo PescatoriPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milano, Italy.
Kunwar BhatiaDepartment of Radiology, Imperial College Healthcare NHS Trust, London, UK.
Ravi K LingamDepartment of Radiology, Northwick Park & Central Middlesex Hospitals, London North West University Healthcare NHS Trust, London, UK.
Francesco SardanelliServizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Luca Maria SconfienzaDipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy.
Giovanni MauriDivisione di Radiologia Interventistica, IRCCS Istituto Europeo di Oncologia, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo appraise the quality of current guidelines on fine needle aspiration biopsy (FNAB) of thyroid nodules for adults using the AGREE II quality assessment tool.

methodsWe conducted an online search for guidelines on FNAB of thyroid nodules published between 2013 and October 2018. They were evaluated by four independent reviewers previously trained to apply the AGREE II instrument, which is organized into items and domains. A fifth independent reviewer calculated scores for each domain and guideline as well as inter-appraiser agreement.

resultsSix sets of guidelines were included, respectively, provided by the American Thyroid Association (ATA), the American Association of Clinical Endocrinologists/American College of Endocrinology/Associazione Medici Endocrinologi (AACE/ACE/AME), the Korean Society of Thyroid Radiology (KSThR), the European Thyroid Association (ETA), the American College of Radiology (ACR) and the Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency (KSR/NECA). Five out of the six guidelines (ATA, AACE/ACE/AME, ETA, ACR and KSR/NECA) reached a high level of overall quality, having at least five domain scores >60%. An average level of overall quality was achieved in one case (KSThR recommendations). Inter-appraiser agreement ranged from moderate to excellent.

conclusionsOverall, the quality of guidelines on FNAB of thyroid nodules is satisfactory when evaluated using the AGREE II instrument.

Indexed as

Biopsy, Fine-NeedlePractice Guidelines as TopicQuality Assurance, Health CareHumansThyroid NoduleAGREEEvidence-based medicineFine needle aspirationGuidelineThyroid

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.