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Difficult decisions in endocrine surgery : an evidence-based approach

Author: Peter Angelos; Raymon H Grogan
Publisher: Cham, Switzerland : Springer, 2018.
Series: Difficult decisions in surgery.
Edition/Format:   eBook : Document : EnglishView all editions and formats
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  Read more...
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Genre/Form: Electronic books
Additional Physical Format: (OCoLC)1033531498
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Peter Angelos; Raymon H Grogan
ISBN: 9783319928609 3319928600 9783319928593 3319928597
OCLC Number: 1052566419
Notes: Includes index.
Description: 1 online resource.
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
Series Title: Difficult decisions in surgery.
Responsibility: Peter Angelos, Raymon H. Grogan, editors.

Abstract:

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. .

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"This book provides up-to-date recommendations in clinical decision making for common clinical scenarios in endocrine surgery where the recommended management strategy is not always straightforward. Read more...

 
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