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. 2020 Oct 1;155(10):984-986.
doi: 10.1001/jamasurg.2020.2507.

Physician-Reported Misuse of Thyroid Ultrasonography

Debbie W Chen  1   2 , David Reyes-Gastelum  1   2 , Archana Radhakrishnan  2 , Ann S Hamilton  3 , Kevin C Ward  4 , Megan R Haymart  1   2
Affiliations

Physician-Reported Misuse of Thyroid Ultrasonography

Debbie W Chen et al. JAMA Surg. .

Abstract

This cohort study surveyed practicing physicians in the US about their use of thyroid ultrasonography to examine the rate at which misuse occurs.

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Conflict of interest statement

Conflict of Interest Disclosures: Drs Hamilton and Ward reported a subcontract from the University of Michigan during the conduct of this study. No other disclosures were reported.

Figures

Figure 1.
Figure 1.. Physician-Reported Use of Thyroid Ultrasonography for Clinically Supported, Clinically Unclear, and Not Clinically Supported Reasons
Figure 2.
Figure 2.. Multivariable-Adjusted Odds Ratios (ORs) and 95% CIs of Characteristics Associated With Scheduling Thyroid Ultrasonography Examinations for Patient Request, Abnormal Thyroid Function Test Results, and Positive Thyroid Antibody Test Results
Reference categories: primary care (medical specialty), Georgia (study site), academic medical center (practice setting), 1 to 9 years in practice, more than 50 patients with thyroid nodules managed in the past 12 months, and American Thyroid Association and/or National Comprehensive Cancer Network clinical guidelines read. HMO indicates health maintenance organization.
See this image and copyright information in PMC

References

    1. Smith-Bindman R, Kwan ML, Marlow EC, et al. . Trends in use of medical imaging in US health care systems and in Ontario, Canada, 2000-2016. JAMA. 2019;322(9):843-856. doi:10.1001/jama.2019.11456 - DOI - PMC - PubMed
    1. Choosing Wisely Endocrine Society: five things physicians and patients should question. Published October 16, 2013. Updated July 13, 2017. Accessed February 20, 2017. https://www.choosingwisely.org/societies/endocrine-society/
    1. Haymart MR, Banerjee M, Reyes-Gastelum D, Caoili E, Norton EC. Thyroid ultrasound and the increase in diagnosis of low-risk thyroid cancer. J Clin Endocrinol Metab. 2019;104(3):785-792. doi:10.1210/jc.2018-01933 - DOI - PMC - PubMed
    1. Esfandiari NH, Hughes DT, Reyes-Gastelum D, Ward KC, Hamilton AS, Haymart MR. Factors associated with diagnosis and treatment of thyroid microcarcinomas. J Clin Endocrinol Metab. 2019;104(12):6060-6068. doi:10.1210/jc.2019-01219 - DOI - PMC - PubMed
    1. National Comprehensive Cancer Network NCCN clinical practice guidelines in oncology: thyroid carcinoma, version 1.2017. https://www.nccn.org/professionals/physician_gls/default.aspx#site. Accessed April 1, 2017.

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