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Diagnostic, therapeutic and health-care management protocol in thyroid surgery: a position statement of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB)

  • Consensus Statement
  • Published:
Journal of Endocrinological Investigation Aims and scope Submit manuscript

Abstract

Purpose

The diagnostic, therapeutic and health-care management protocol (Protocollo Gestionale Diagnostico-Terapeutico-Assistenziale, PDTA) by the Association of the Italian Endocrine Surgery Units (U.E.C. CLUB) aims to help treat the patient in a topical, rational way that can be shared by health-care professionals.

Methods

This fourth consensus conference involved: a selected group of experts in the preliminary phase; all members, via e-mail, in the elaboration phase; all the participants of the XI National Congress of the U.E.C. CLUB held in Naples in the final phase. The following were examined: diagnostic pathway and clinical evaluation; mode of admission and waiting time; therapeutic pathway (patient preparation for surgery, surgical treatment, postoperative management, management of major complications); hospital discharge and patient information; outpatient care and follow-up.

Results

A clear and concise style was adopted to illustrate the reasons and scientific rationales behind behaviors and to provide health-care professionals with a guide as complete as possible on who, when, how and why to act. The protocol is meant to help the surgeon to treat the patient in a topical, rational way that can be shared by health-care professionals, but without influencing in any way the physician–patient relationship, which is based on trust and clinical judgment in each individual case.

Conclusions

The PDTA in thyroid surgery approved by the fourth consensus conference (June 2015) is the official PDTA of U.E.C. CLUB.

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Author information

Authors and Affiliations

  1. Department of Surgery, ASL TO4, Ivrea Hospital, School of Medicine, Turin University, Turin, Italy

    L. Rosato

  2. Endocrine and Metabolic Surgery, Policlinico Agostino Gemelli, Catholic University, Rome, Italy

    C. De Crea, R. Bellantone, C. P. Lombardi & M. Raffaelli

  3. Clinical Unit on Metabolic Bone Disorders, University Hospital of Florence, Florence, Italy

    M. L. Brandi

  4. Endocrine Surgery, Department of Surgery “P. Valdoni”, “La Sapienza” University, Rome, Italy

    G. De Toma

  5. Department of Clinical Sciences, “La Sapienza” University, Rome, Italy

    S. Filetti

  6. Endocrine Surgery, Department of Surgery, Pisa University, Rome, Italy

    P. Miccoli

  7. Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy

    F. Pacini

  8. Endocrine Surgery, Department of Surgery, Padua University, Padua, Italy

    M. R. Pelizzo

  9. Department of Endocrinology, Catholic University, Rome, Italy

    A. Pontecorvi

  10. Department of Surgery, “S. Maria” Terni Hospital, Perugia University, Perugia, Italy

    N. Avenia

  11. Endocrine and Breast Surgical Unit, Department of Surgery, “S. Paolo” Hospital, Milan, Italy

    L. De Pasquale

  12. Thyroid Surgery, Department of Surgery, I.N.T. “Pascale” of Naples, Naples, Italy

    M. G. Chiofalo & L. Pezzullo

  13. Unit of Endocrine, Digestive, and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, Bari University, Bari, Italy

    A. Gurrado & M. Testini

  14. Endocrine Surgery, Department of Surgery, “Mater Domini” Hospital, Catanzaro, Italy

    N. Innaro

  15. Health Management, Piedmont Region, ASL TO4, School of Medicine, Turin University, Turin, Italy

    G. La Valle

  16. Endocrine Surgery, Department of Surgery, “S. Camillo-Forlanini” Hospital, Rome, Italy

    P. L. Marini

  17. General Surgery, Endocrine and Breast Surgical Unit, Department of Surgery, ASL TO4, Ivrea Hospital, Turin, Italy

    G. Mondini

  18. General Surgery and Endocrine Surgical Unit, Department of Surgery, Sant’Agostino-Estense NOCSAE, Modena, Italy

    B. Mullineris

  19. Department of Surgery, A.O.R.N. “Cardarelli” Hospital, Naples, Italy

    M. De Palma

Authors
  1. L. Rosato
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  2. C. De Crea
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  3. R. Bellantone
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  5. G. De Toma
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  7. P. Miccoli
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  17. C. P. Lombardi
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  22. M. Raffaelli
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  23. M. Testini
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  24. M. De Palma
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Correspondence to C. De Crea.

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Rosato, L., De Crea, C., Bellantone, R. et al. Diagnostic, therapeutic and health-care management protocol in thyroid surgery: a position statement of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB). J Endocrinol Invest 39, 939–953 (2016). https://doi.org/10.1007/s40618-016-0455-3

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