Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism

Detalhes bibliográficos
Autor(a) principal: Dora, Jose Miguel
Data de Publicação: 2021
Outros Autores: Biscolla, Rosa Paula Mello, Caldas, Gustavo, Cerutti, Janete, Graf, Hans, Hoff, Ana O., Mazeto, Glaucia M. F. S. [UNESP], Magalhães, Patrícia Kunzle Ribeiro, Mesa Junior, Cleo Otaviano, Scheffel, Rafael Selbach, Dos Santos Teixeira, Patricia De Fatima, Vaisman, Fernanda, Villagelin, Danilo, Maia, Ana Luiza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.20945/2359-3997000000323
http://hdl.handle.net/11449/206302
Resumo: Objective: Choosing 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. Materials and methods: The 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. Results: The 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. Conclusion: A 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.
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spelling Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolismChoosing WiselyEndocrinologyOveruseThyroidObjective: Choosing 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. Materials and methods: The 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. Results: The 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. Conclusion: A 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.Unidade de Tireoide do Hospital de Clínicas de Porto Alegre Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS)Universidade Federal de São Paulo (Unifesp)Faculdade de Medicina da Universidade Federal de Pernambuco (UFPE)Faculdade de Medicina da Universidade Federal do Paraná (UFPR)Instituto do Câncer do Estado de São Paulo (ICESP)Faculdade de Medicina da Universidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Universidade Federal do Rio de Janeiro (UFRJ)Instituto Nacional de Câncer (INCA)Faculdade de Medicina da Pontifícia Universidade Católica de CampinasFaculdade de Medicina da Universidade Estadual Paulista (Unesp)Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS)Universidade Federal de São Paulo (UNIFESP)Universidade Federal de Pernambuco (UFPE)Universidade Federal do Paraná (UFPR)Instituto do Câncer do Estado de São Paulo (ICESP)Universidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Universidade Federal do Rio de Janeiro (UFRJ)Instituto Nacional de Câncer (INCA)Faculdade de Medicina da Pontifícia Universidade Católica de CampinasDora, Jose MiguelBiscolla, Rosa Paula MelloCaldas, GustavoCerutti, JaneteGraf, HansHoff, Ana O.Mazeto, Glaucia M. F. S. [UNESP]Magalhães, Patrícia Kunzle RibeiroMesa Junior, Cleo OtavianoScheffel, Rafael SelbachDos Santos Teixeira, Patricia De FatimaVaisman, FernandaVillagelin, DaniloMaia, Ana Luiza2021-06-25T10:29:49Z2021-06-25T10:29:49Z2021-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article248-252http://dx.doi.org/10.20945/2359-3997000000323Archives of Endocrinology and Metabolism, v. 65, n. 2, p. 248-252, 2021.2359-42922359-3997http://hdl.handle.net/11449/20630210.20945/2359-39970000003232-s2.0-85105334993Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives of Endocrinology and Metabolisminfo:eu-repo/semantics/openAccess2021-10-23T03:12:13Zoai:repositorio.unesp.br:11449/206302Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T14:18:25.234250Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
title Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
spellingShingle Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
Dora, Jose Miguel
Choosing Wisely
Endocrinology
Overuse
Thyroid
title_short Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
title_full Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
title_fullStr Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
title_full_unstemmed Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
title_sort Choosing wisely for thyroid conditions: Recommendations of the thyroid department of the Brazilian society of endocrinology and metabolism
author Dora, Jose Miguel
author_facet Dora, Jose Miguel
Biscolla, Rosa Paula Mello
Caldas, Gustavo
Cerutti, Janete
Graf, Hans
Hoff, Ana O.
Mazeto, Glaucia M. F. S. [UNESP]
Magalhães, Patrícia Kunzle Ribeiro
Mesa Junior, Cleo Otaviano
Scheffel, Rafael Selbach
Dos Santos Teixeira, Patricia De Fatima
Vaisman, Fernanda
Villagelin, Danilo
Maia, Ana Luiza
author_role author
author2 Biscolla, Rosa Paula Mello
Caldas, Gustavo
Cerutti, Janete
Graf, Hans
Hoff, Ana O.
Mazeto, Glaucia M. F. S. [UNESP]
Magalhães, Patrícia Kunzle Ribeiro
Mesa Junior, Cleo Otaviano
Scheffel, Rafael Selbach
Dos Santos Teixeira, Patricia De Fatima
Vaisman, Fernanda
Villagelin, Danilo
Maia, Ana Luiza
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (UFRGS)
Universidade Federal de São Paulo (UNIFESP)
Universidade Federal de Pernambuco (UFPE)
Universidade Federal do Paraná (UFPR)
Instituto do Câncer do Estado de São Paulo (ICESP)
Universidade Estadual Paulista (Unesp)
Universidade de São Paulo (USP)
Universidade Federal do Rio de Janeiro (UFRJ)
Instituto Nacional de Câncer (INCA)
Faculdade de Medicina da Pontifícia Universidade Católica de Campinas
dc.contributor.author.fl_str_mv Dora, Jose Miguel
Biscolla, Rosa Paula Mello
Caldas, Gustavo
Cerutti, Janete
Graf, Hans
Hoff, Ana O.
Mazeto, Glaucia M. F. S. [UNESP]
Magalhães, Patrícia Kunzle Ribeiro
Mesa Junior, Cleo Otaviano
Scheffel, Rafael Selbach
Dos Santos Teixeira, Patricia De Fatima
Vaisman, Fernanda
Villagelin, Danilo
Maia, Ana Luiza
dc.subject.por.fl_str_mv Choosing Wisely
Endocrinology
Overuse
Thyroid
topic Choosing Wisely
Endocrinology
Overuse
Thyroid
description Objective: Choosing 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. Materials and methods: The 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. Results: The 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. Conclusion: A 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-25T10:29:49Z
2021-06-25T10:29:49Z
2021-03-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.20945/2359-3997000000323
Archives of Endocrinology and Metabolism, v. 65, n. 2, p. 248-252, 2021.
2359-4292
2359-3997
http://hdl.handle.net/11449/206302
10.20945/2359-3997000000323
2-s2.0-85105334993
url http://dx.doi.org/10.20945/2359-3997000000323
http://hdl.handle.net/11449/206302
identifier_str_mv Archives of Endocrinology and Metabolism, v. 65, n. 2, p. 248-252, 2021.
2359-4292
2359-3997
10.20945/2359-3997000000323
2-s2.0-85105334993
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Archives of Endocrinology and Metabolism
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 248-252
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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