Shindo Maisie L, Caruana Salvatore M, Kandil Emad, McCaffrey Judith C, Orloff Lisa A, Porterfield John R, Shaha Ashok, Shin Jennifer, Terris David, Randolph Gregory
Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.
Head Neck. 2014 Oct;36(10):1379-90. doi: 10.1002/hed.23619. Epub 2014 Aug 23.
Invasive differentiated thyroid cancer (DTC) is relatively frequent, yet there is a paucity of specific guidelines devoted to its management. The Endocrine Committee of the American Head and Neck Society (AHNS) convened a panel to provide clinical consensus statements based on review of the literature, synthesized with the expert opinion of the group.
An expert panel, selected from membership of the AHNS, constructed the manuscript and recommendations for management of DTC with invasion of recurrent laryngeal nerve, trachea, esophagus, larynx, and major vessels based on current best evidence. A Modified Delphi survey was then constructed by another expert panelist utilizing 9 anchor points, 1 = strongly disagree to 9 = strongly agree. Results of the survey were utilized to determine which statements achieved consensus, near-consensus, or non-consensus.
After endorsement by the AHNS Endocrine Committee and Quality of Care Committee, it received final approval from the AHNS Council.
侵袭性分化型甲状腺癌（DTC）相对常见，但针对其治疗的具体指南却很匮乏。美国头颈协会（AHNS）内分泌委员会召集了一个专家小组，根据文献综述并结合该小组的专家意见，提供临床共识声明。
一个从AHNS成员中挑选出的专家小组，基于当前最佳证据，撰写了关于侵袭喉返神经、气管、食管、喉和大血管的DTC治疗的手稿及建议。然后，另一位专家小组成员利用9个锚点（1 = 强烈反对至9 = 强烈同意）构建了一项改良德尔菲调查。调查结果用于确定哪些声明达成了共识、接近共识或未达成共识。
在得到AHNS内分泌委员会和医疗质量委员会的认可后，该声明获得了AHNS理事会的最终批准。
