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Evidence-Based Medicine and the GRADE Approach
Pages 1-12
This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon’s and patient’s perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation.
Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients.
Evidence-Based Medicine and the GRADE Approach
Pages 1-12
Clinical Decision Analysis
Pages 13-22
Decision-Making from the Surgeon’s Perspective
Pages 23-35
Involving Patients in Difficult Decisions About Having Surgery
Pages 37-48
Surgery vs Active Surveillance for Low-Risk Papillary Thyroid Carcinoma
Pages 49-57
Prospective Screening Protocol for FNMTC Family Members: Ultrasound Versus Physical Examination
Pages 59-67
Operative Management Versus Observation for Thyroid Nodules Larger than 4 cm with Benign Cytology
Pages 69-78
Lobectomy Versus Total Thyroidectomy for Follicular Microcarcinomas
Pages 79-85
Initial Total Thyroidectomy Versus Lobectomy with Intraoperative Frozen Section for Thyroid Nodules That Are “Suspicious for PTC”
Pages 87-104
Primary Repair Versus No Repair for Transected Recurrent Laryngeal Nerve
Pages 105-114
Surgery Versus Observation for Papillary Thyroid Microcarcinoma
Pages 115-122
First-Line Therapy for Anaplastic Thyroid Cancer: Operation Versus Medical Management
Pages 123-139
Same-Day Versus Overnight Inpatient Surgery for Total Thyroidectomy
Pages 141-152
Prophylactic Versus Selective Central Neck Dissection in Pediatric Papillary Thyroid Cancer
Pages 153-162
Subtotal Parathyroidectomy Versus Total Parathyroidectomy with Autotransplantation for Patients with Multiple Endocrine Neoplasia 1 and Primary Hyperparathyroidism
Pages 163-178
Four-Gland Exploration Versus Four-Dimensional Computed Tomography in Patients with Nonlocalized Primary Hyperparathyroidism
Pages 179-192
Lymph Node Dissection Versus No Lymph Node Dissection for Parathyroid Cancer
Pages 193-208
Early Versus Late Parathyroidectomy for Tertiary (Posttransplant) Hyperparathyroidism
Pages 209-216
Observation Versus Surgery for Pregnant Patients with Primary Hyperparathyroidism
Pages 217-225
Four-Gland Exploration Versus Focused Parathyroidectomy for Hyperparathyroidism Jaw Tumor Syndrome
Pages 227-237
Long-Term Success of Surgery for Primary Hyperparathyroidism: Focused Exploration using Intraoperative Parathyroid Hormone Monitoring Versus Four-Gland Exploration
Pages 239-271
The Evidence for and Against Parathyroid Cryopreservation: Should We Continue to Promote Parathyroid Cryopreservation?
Pages 273-281
Should Antibiotic Prophylaxis Be Given Prior to Thyroidectomy or Parathyroidectomy?
Pages 283-289
The Value of Intraoperative Parathyroid Hormone Monitoring in Primary Hyperparathyroidism Cases That Are Localized with Two Imaging Studies
Pages 291-300
Transperitoneal Versus Retroperitoneal Laparoscopic Adrenalectomy
Pages 301-310
Bilateral Adrenalectomy Versus Medical Management for Cushing’s Syndrome with Bilateral Adrenal Hyperplasia
Pages 311-323
Routine Screening for Primary Hyperaldosteronism in Hypertensive Patients: Yes or No?
Pages 325-335
Routine Glucose Monitoring in Postoperative Pheochromocytoma Patients: Yes or No?
Pages 337-347
Surgical Versus Nonsurgical Management of Malignant Pheochromocytoma
Pages 349-359
Alpha Blocker Versus Calcium Channel Blocker for Pheochromocytoma
Pages 361-374
Surgery Versus Nonsurgical Therapy for Recurrent Adrenocortical Carcinoma
Pages 375-393
Resection Versus Observation for Adrenal Gland Metastasis
Pages 395-411
Routine Versus Selective Adrenal Vein Sampling for Primary Aldosteronism
Pages 413-422
Surgery Versus Observation for Asymptomatic Nonfunctioning Pancreatic Neuroendocrine Tumors
Pages 423-430
Routine Lymph Node Dissection Versus Duodenal Inspection Alone for the Treatment of Multiple Endocrine Neoplasia Type 1 Patients with Hypergastrinemia
Pages 431-439
Resection Versus Chemotherapy for Metastatic Neuroendocrine Tumors of the Pancreas
Pages 441-457
Observation Versus Surgery for Nonlocalized Insulinoma
Pages 459-470
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