Improving the adoption of thyroid cancer clinical practice guidelines

Ilya Likhterov, R. Michael Tuttle, Grace C. Haser, Henry K. Su, Donald Bergman, Eran E. Alon, Victor Bernet, Elise Brett, Rhoda Cobin, Eliza H. Dewey, Gerard Doherty, Laura L. Dos Reis, Joshua Klopper, Stephanie L. Lee, Mark A. Lupo, Josef Machac, Jeffrey I. Mechanick, Mira Milas, Lisa Orloff, Gregory RandolphDouglas S. Ross, Meghan E. Rowe, Robert Smallridge, David J Terris, Ralph P. Tufano, Mark L. Urken

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives/Hypothesis: To present an overview of the barriers to the implementation of clinical practice guidelines (CPGs) in thyroid cancer management and to introduce a computer-based clinical support system. Data Sources: PubMed. Review Methods: A review of studies on adherence to CPGs was conducted. Results: Awareness and adoption of CPGs is low in thyroid cancer management. Barriers to implementation include unfamiliarity with the CPGs and financial concerns. Effective interventions to improve adherence are possible, especially when they are readily accessible at the point of care delivery. Computerized clinical support systems show particular promise. The authors introduce the clinical decision making modules (CDMMs) of the Thyroid Cancer Care Collaborative, a thyroid cancer-specific electronic health record. These computer-based modules can assist clinicians with implementation of these recommendations in clinical practice. Conclusion: Computer-based support systems can help clinicians understand and adopt the thyroid cancer CPGs. By integrating patient characteristics and guidelines at the point of care delivery, the CDMMs can improve adherence to the guidelines and help clinicians provide high-quality, evidence-based, and individualized patient care in the management of differentiated thyroid cancer. Laryngoscope, 126:2640–2645, 2016.

Original languageEnglish (US)
Pages (from-to)2640-2645
Number of pages6
JournalLaryngoscope
Volume126
Issue number11
DOIs
StatePublished - Nov 1 2016

Fingerprint

Thyroid Neoplasms
Practice Guidelines
Point-of-Care Systems
Patient Care Management
Guideline Adherence
Laryngoscopes
Electronic Health Records
Information Storage and Retrieval
PubMed
Guidelines

Keywords

  • Differentiated thyroid carcinoma
  • clinical decision making
  • clinical practice guidelines
  • computer-based support systems
  • thyroid nodules

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Likhterov, I., Tuttle, R. M., Haser, G. C., Su, H. K., Bergman, D., Alon, E. E., ... Urken, M. L. (2016). Improving the adoption of thyroid cancer clinical practice guidelines. Laryngoscope, 126(11), 2640-2645. https://doi.org/10.1002/lary.25986

Improving the adoption of thyroid cancer clinical practice guidelines. / Likhterov, Ilya; Tuttle, R. Michael; Haser, Grace C.; Su, Henry K.; Bergman, Donald; Alon, Eran E.; Bernet, Victor; Brett, Elise; Cobin, Rhoda; Dewey, Eliza H.; Doherty, Gerard; Dos Reis, Laura L.; Klopper, Joshua; Lee, Stephanie L.; Lupo, Mark A.; Machac, Josef; Mechanick, Jeffrey I.; Milas, Mira; Orloff, Lisa; Randolph, Gregory; Ross, Douglas S.; Rowe, Meghan E.; Smallridge, Robert; Terris, David J; Tufano, Ralph P.; Urken, Mark L.

In: Laryngoscope, Vol. 126, No. 11, 01.11.2016, p. 2640-2645.

Research output: Contribution to journalArticle

Likhterov, I, Tuttle, RM, Haser, GC, Su, HK, Bergman, D, Alon, EE, Bernet, V, Brett, E, Cobin, R, Dewey, EH, Doherty, G, Dos Reis, LL, Klopper, J, Lee, SL, Lupo, MA, Machac, J, Mechanick, JI, Milas, M, Orloff, L, Randolph, G, Ross, DS, Rowe, ME, Smallridge, R, Terris, DJ, Tufano, RP & Urken, ML 2016, 'Improving the adoption of thyroid cancer clinical practice guidelines', Laryngoscope, vol. 126, no. 11, pp. 2640-2645. https://doi.org/10.1002/lary.25986
Likhterov I, Tuttle RM, Haser GC, Su HK, Bergman D, Alon EE et al. Improving the adoption of thyroid cancer clinical practice guidelines. Laryngoscope. 2016 Nov 1;126(11):2640-2645. https://doi.org/10.1002/lary.25986
Likhterov, Ilya ; Tuttle, R. Michael ; Haser, Grace C. ; Su, Henry K. ; Bergman, Donald ; Alon, Eran E. ; Bernet, Victor ; Brett, Elise ; Cobin, Rhoda ; Dewey, Eliza H. ; Doherty, Gerard ; Dos Reis, Laura L. ; Klopper, Joshua ; Lee, Stephanie L. ; Lupo, Mark A. ; Machac, Josef ; Mechanick, Jeffrey I. ; Milas, Mira ; Orloff, Lisa ; Randolph, Gregory ; Ross, Douglas S. ; Rowe, Meghan E. ; Smallridge, Robert ; Terris, David J ; Tufano, Ralph P. ; Urken, Mark L. / Improving the adoption of thyroid cancer clinical practice guidelines. In: Laryngoscope. 2016 ; Vol. 126, No. 11. pp. 2640-2645.
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