Evidence map›Paper›PMID 33587833›Full record

ArticleArchives of endocrinology and metabolism2021

Choosing Wisely for Thyroid Conditions: Recommendations of the Thyroid Department of the Brazilian Society of Endocrinology and Metabolism.

Jose Miguel Dora, Rosa Paula Mello Biscolla, Gustavo Caldas, Janete Cerutti, Hans Graf, Ana O Hoff, Glaucia M F S Mazeto, Patrícia Kunzle Ribeiro Magalhães, Cleo Otaviano Mesa, Rafael Selbach Scheffel and 5 more

Abstract read
In one paragraph

Article in Archives of endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. T3 therapy in hypothyroidism. Still more questions than answers.Archives of endocrinology and metabolism · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Jose Miguel DoraUnidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil, jdora@hcpa.edu.br.
Rosa Paula Mello BiscollaUniversidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
Gustavo CaldasFaculdade de Medicina da Universidade Federal de Pernambuco (UFPE), Recife, PE, Brasil.
Janete CeruttiUniversidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
Hans GrafFaculdade de Medicina da Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil.
Ana O HoffInstituto do Câncer do Estado de São Paulo (ICESP), São Paulo, SP, Brasil.
Glaucia M F S MazetoFaculdade de Medicina da Universidade Estadual Paulista (Unesp), Botucatu, SP, Brasil.
Patrícia Kunzle Ribeiro MagalhãesUniversidade de São Paulo (USP), Ribeirão Preto, SP, Brasil.
Cleo Otaviano MesaFaculdade de Medicina da Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil.
Rafael Selbach ScheffelUnidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Patricia de Fatima Dos Santos TeixeiraUniversidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil.
Fernanda VaismanInstituto Nacional de Câncer (INCA), Rio de Janeiro, RJ, Brasil.
Danilo VillagelinFaculdade de Medicina da Pontifícia Universidade Católica de Campinas, Campinas, SP, Brasil.
Ana Luiza MaiaUnidade de Tireoide do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Thyroid Department of the Brazilian Society of Endocrinology and Metabolism

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChoosing Wisely (CW) is an initiative that aims to advance the dialogue between physicians and patients about low-value health interventions. Given that thyroid conditions are frequent in clinical practice, we aimed to develop an evidence-based list of thyroid CW recommendations.

methodsThe Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM) named a Task Force to conduct the initiative. The Task Force work was based on an electronic Delphi approach. The 10 recommendations that received the highest scores by the Task Force were submitted for voting by all SBEM associates. The 5 recommendations that received the highest scores by SBEM associates are presented herein.

resultsThe Task Force was composed of 14 thyroidologists from 10 tertiary-care, teaching-based Brazilian institutions. The brainstorming/ideation phase resulted in 69 recommendations. After the removal of duplicates and recommendations that did not adhere to the initiative's scope, 35 remained. Then the Task Force voted to attribute a grade (0 [lowest agreement] to 10 [highest agreement]) for each recommendation. The 10 recommendations that received the highest scores by the Task Force were submitted to all SBEM associates. A total of 683 associates voted electronically, attributing a grade (0 to 10) for each recommendation. The 5 recommendations that received the highest scores by the SBEM associates compose our final list.

conclusionA set of recommendations to avoid unnecessary medical tests, treatments, or procedures for thyroid conditions are offered with a transparent methodology. This initiative aims to foster productive interactions between physicians and patients, stimulating shared decision-making.

Indexed as

EndocrinologyThyroid DiseasesThyroid GlandBrazilHumansSocieties, MedicalChoosing Wiselyendocrinologyoverusethyroid

Identifiers

PMID33587833
PMCPMC10065321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.