Results of a nationwide survey on multidisciplinary teams on thyroid cancer in Spain

  • J. J. DíezEmail author
  • J. C. Galofré
  • A. Oleaga
  • E. Grande
  • M. Mitjavila
  • P. Moreno
Research Article



There is an important lack of knowledge as to the functioning of multidisciplinary teams on thyroid cancer in current clinical practice. We aimed to retrieve data on the composition, structure, and procedures developed by the multidisciplinary units of thyroid cancer in Spain.


A nationwide survey consisting of questions about composition, structure, and functioning of multidisciplinary teams was designed. It was available online from November 15, 2017 to February 15, 2018.


Seventy-two multidisciplinary units responded to our survey. Of these, 15 (20.8%) focused only in thyroid cancer, while 57 (79.2%) included other endocrine disorders or non-endocrine tumors. The median (interquartile range) of members of the teams was 11 (9–14). The most frequent medical specialties in the units were endocrinology (100%), surgery (94.4%), pathology (80.6%), radiology (75.0%), nuclear medicine (73.6%), and medical oncology (55.6%). The annual number of patients reviewed by the teams was 40 (20–74). 56.9% of the multidisciplinary teams have elaborated clinical protocols for local use. Apart from clinical case discussions in the meetings, 45.8% of the units included educational activities and 36.1% research subjects. Quality indicators were developed by 22% of the teams.


These results suggest that there are some hopeful signs that international recommendations of having multidisciplinary approach to patients with thyroid cancer are being followed in Spain. This gives us the opportunity to proceed with further studies to analyze the real impact of this high standard of care on patient outcomes.


Multidisciplinary team Multidisciplinary approach Thyroid cancer Cancer care Case review meeting 



We thank Sociedad Española de Endocrinología y Nutrición (SEEN) and Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM) for allowing us to host our survey on their respective websites. We thank Sanofi Genzyme for the help in disseminating the survey throughout Spanish hospitals involved in the treatment of thyroid cancer patients.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest that could have direct or potential influence or impart bias on this work.

Ethical approval

This article does not involve the delivery of interventions on human participants or animals. This study has used only information from the specialists who kindly responded to the survey designed by the authors.

Informed consent

Informed consent was not necessary, since no patient data was used in this study.


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Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2019

Authors and Affiliations

  1. 1.Department of EndocrinologyHospital Universitario Ramón y CajalMadridSpain
  2. 2.Department of EndocrinologyHospital Universitario Puerta de Hierro MajadahondaMajadahonda, MadridSpain
  3. 3.Department of EndocrinologyClínica Universidad de NavarraPamplonaSpain
  4. 4.Department of EndocrinologyHospital Universitario BasurtoBilbaoSpain
  5. 5.Department of Medical OncologyMD Anderson Cancer CenterMadridSpain
  6. 6.Department of Nuclear MedicineHospital Universitario Puerta de Hierro MajadahondaMadridSpain
  7. 7.Department of General SurgeryHospital Universitari de Bellvitge, L’Hospitalet de LlobregatBarcelonaSpain

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