Difficult decisions in endocrine surgery : an evidence-based approach /

Difficult decisions in endocrine surgery : an evidence-based approach /

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Bibliographic Details
Imprint:Cham, Switzerland : Springer, 2018.
Description:1 online resource
Language:English
Series:Difficult decisions in surgery, 2198-7750
Difficult decisions in surgery.
Subject:
Endocrine glands -- Surgery.
Evidence-based medicine.
Endocrine Surgical Procedures.
Endocrine glands -- Surgery.
Evidence-based medicine.
Format: E-Resource Book
URL for this record:http://pi.lib.uchicago.edu/1001/cat/bib/11705958
Hidden Bibliographic Details
Other authors / contributors:Angelos, Peter, editor.
Grogan, Raymon H., editor.
ISBN:9783319928609
3319928600
9783319928593
3319928597
9783319928586
3319928589
Digital file characteristics:text file PDF
Notes:Includes index.
Includes bibliographical references and index.
Online resource; title from PDF title page (SpringerLink, viewed September 17, 2018).
Summary: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.
Other form:Print version: Difficult decisions in endocrine surgery. Cham, Switzerland : Springer, 2018 3319928589 9783319928586
Standard no.:10.1007/978-3-319-92860-9
Table of Contents:
  • Intro; Acknowledgements; Introduction; What Is aDifficult Decision?; What Is This Book About Anyway?; What Is Evidence-Based Medicine Really?; Contents; Contributors; Abbreviations; 1: Evidence-Based Medicine andtheGRADE Approach; Introduction; Asking theClinical Question; Finding theEvidence; Appraising theStudies; The Grade System; Features Increasing Quality ofObservational Studies; References; Recommended Reading; 2: Clinical Decision Analysis; Introduction; What Is Decision Analysis?; Why Know About This?; Anatomy ofClinical Decision Analysis
  • Constructing theDecision Analytical FrameworkDetermining Probabilities andUtility Values; Calculating theUtility ofEach Decision; Management ofanIncidentaloma; Cost Effectiveness; References; 3: Decision-Making fromtheSurgeon's Perspective; Introduction; The Clinical Recommendation; Factors Influencing Surgeon Recommendations; Application ofEvidence; Quality ofRecommendations; Shared Decision-Making; Informed Consent; Disclosure; Understanding; Process ofDeciding; Patient Factors Affecting Shared Decision-Making; Surgeon Factors Affecting Shared Decision-Making
  • Model forEthical Decision-MakingSpecial Situations inDecision-Making; Genomic Issues; Pediatric Patients; Surrogate Decision-Making; Unexpected Intraoperative Findings; End-of-Life Issues; Allocation ofResources; References; 4: Involving Patients inDifficult Decisions About Having Surgery; What Is Shared Decision Making?; Call forShared Decision Making; Meeting theRequirement ofInformed Patients inSDM; Impact ofSDM onClinical Outcomes; The Need forSDM inSurgical Care; Problems withSDM andSurgery; Patient Clinical Complexity; Difficulties inPatient Comprehension
  • Surgical PracticeThe Way Forward; Summary; References; 5: Surgery vs Active Surveillance for Low-Risk Papillary Thyroid Carcinoma; Background; The Evidence Base: Survival, Recurrence, andProgression ofDisease; The Evidence Base: PROs Including Quality ofLife (QOL); The Evidence Base: Cost andHarm; Discussion; Recommendations; References; 6: Prospective Screening Protocol forFNMTC Family Members: Ultrasound Versus Physical Examination; Overview ofFamilial Non-medullary Thyroid Cancer (FNMTC); Genetics ofFNMTC; Prognostic Differences inFNMTC Patients; Screening forFNMTC
  • Detection oftheAbnormal ThyroidDefining thePopulation Most Likely toBenefit fromScreening; Understanding Risks withNumbers: Hypothetical Scenario ofPatient Without Known Thyroid Disease; Fine Needle Aspiration ofThyroid Nodules; References; 7: Operative Management Versus Observation forThyroid Nodules Larger than 4cm withBenign Cytology; Introduction; Methodology; Results ofLiterature Review andData Analysis; Nodules Larger Than 4cm; Nodules Larger Than 3cm; Summary andLimitations; Recommendations; Personal View; Abstracted Recommendation forBox; References

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