African Head and Neck Society Clinical Practice guidelines for thyroid nodules and cancer in developing countries and limited resource settings

Mark Zafereo, Justin Yu, Paul A. Onakoya, Joyce Aswani, Kenneth Baidoo, Mesele Bogale, Lydia Cairncross, Susan Cordes, Adekunle Daniel, Evelyne Diom, Mpessa E. Maurice, Garba M. Mohammed, Melesse G. Biadgelign, Fatogoma I. Koné, Arnaud Itiere, Wayne Koch, Anna Konney, Innocent Kundiona, Chege Macharia, Victor MashambaMichael G. Moore, Rajab M. Mugabo, Patrick Noah, Mary Omutsani, Lisa A. Orloff, Jeffrey Otiti, Gregory W. Randolph, Merry Sebelik, Tobias Todsen, Khaled Twier, Johannes J. Fagan

Research output: Contribution to journalArticle

Abstract

Background: International thyroid nodule and cancer management guidelines generally fail to take into account potential limitations in diagnostic and treatment resources. Methods: Thyroid cancer specialists from the African Head and Neck Society and American Head & Neck Society Endocrine Section developed guidelines for diagnosis and management of thyroid nodules and cancer in low resource settings. Recommendations were based on literature review and expert opinion, with level of evidence defined. Results: Using the ADAPTE process, diagnostic and treatment algorithms were adapted from the National Comprehensive Cancer Network (NCCN). Low resource settings were simulated by systematically removing elements such as availability of laboratory testing, hormone replacement, imaging, and cytopathology from NCCN guidelines. Conclusions: Successful management of thyroid nodules and cancer in low resource settings requires adaptation of treatment methodologies. These guidelines define specific scenarios where either more or less aggressive intervention for thyroid pathology may be advisable based on limited available resources.

Original languageEnglish (US)
JournalHead and Neck
DOIs
StateAccepted/In press - Jan 1 2020
Externally publishedYes

Keywords

  • clinical guidelines
  • developing countries
  • low resource settings
  • thyroid cancer
  • thyroid nodules

ASJC Scopus subject areas

  • Otorhinolaryngology

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  • Cite this

    Zafereo, M., Yu, J., Onakoya, P. A., Aswani, J., Baidoo, K., Bogale, M., Cairncross, L., Cordes, S., Daniel, A., Diom, E., Maurice, M. E., Mohammed, G. M., Biadgelign, M. G., Koné, F. I., Itiere, A., Koch, W., Konney, A., Kundiona, I., Macharia, C., ... Fagan, J. J. (Accepted/In press). African Head and Neck Society Clinical Practice guidelines for thyroid nodules and cancer in developing countries and limited resource settings. Head and Neck. https://doi.org/10.1002/hed.26094