Definitive Surgical Management of Thyroid Disease in Adults
Recommendations
INITIAL EVALUATION
FINE NEEDLE ASPIRATION BIOPSY (FNAB) DIAGNOSIS
MOLECULAR TESTING (MT)
INDICATIONS, EXTENT, AND OUTCOMES OF SURGERY
PREOPERATIVE CARE
INITIAL THYROIDECTOMY
PERIOPERATIVE TISSUE DIAGNOSIS
NODAL DISSECTION
CONCURRENT PARATHYROIDECTOMY
HYPERTHYROID CONDITIONS
GOITER
ADJUNCTS AND APPROACHES
LARYNGOLOGY
FAMILIAL THYROID CANCER
POSTOPERATIVE CARE AND COMPLICATIONS
56b. If opioids are prescribed for postoperative pain management, the lowest effective dose of immediate release opioids (<10 oral morphine equivalents) should be prescribed.
(Strong “We recommend”, Moderate)CANCER MANAGEMENT
REOPERATION
Recommendation Grading
Overview
Title
Definitive Surgical Management of Thyroid Disease in Adults
Authoring Organization
American Association of Endocrine Surgeons
Publication Month/Year
February 1, 2020
Last Updated Month/Year
August 30, 2024
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
To develop evidence-based recommendations for safe, effective, and appropriate thyroidectomy.
Target Patient Population
Adults with thyroid disease
Inclusion Criteria
Female, Male, Adolescent, Adult, Older adult
Health Care Settings
Ambulatory, Operating and recovery room, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management, Treatment
Diseases/Conditions (MeSH)
D013502 - General Surgery, D013965 - Thyroidectomy, D013959 - Thyroid Diseases
Keywords
thyroidectomy, Thyroid Disease
Source Citation
Patel KN, Yip L, Lubitz CC, Grubbs EG, Miller BS, Shen W, Angelos P, Chen H, Doherty GM, Fahey TJ 3rd, Kebebew E, Livolsi VA, Perrier ND, Sipos JA, Sosa JA, Steward D, Tufano RP, McHenry CR, Carty SE. The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults. Ann Surg. 2020 Mar;271(3):e21-e93. doi: 10.1097/SLA.0000000000003580. PMID: 32079830.