超声报告的完整性会影响良性和恶性甲状腺结节的活检时间。
Completeness of ultrasound reporting impacts time to biopsy for benign and malignant thyroid nodules.
作者信息
Inman Alexandra, Liu Kaidi, Ong Kaye, Tiwari Pari, Vos Patrick, White Adam, Wiseman Sam M
机构信息
Department of Medicine, Division of Endocrinology, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada.
Department of Surgery, St. Paul's Hospital & University of British Columbia, Vancouver, BC, Canada.
出版信息
Am J Surg. 2017 May;213(5):931-935. doi: 10.1016/j.amjsurg.2017.03.030. Epub 2017 Mar 28.
BACKGROUND
The objective was to evaluate reporting of guideline-recommended elements for thyroid ultrasound (US), and to determine whether element reporting was associated with the time to cytological and/or surgical diagnosis.
METHODS
US reports of adults who underwent thyroid surgery for benign (n = 106) or malignant (n = 105) thyroid nodules between 2009 and 2014 were retrospectively reviewed for inclusion of 11 elements.
RESULTS
On average 5.1 elements of 11 (46.4%) were included in US reports of all nodules. The setting of the US (academic versus community center) also influenced the number of elements reported (6.3 in academic versus 4.9 in community, p < 0.001). A higher number of reported elements were significantly associated with fewer days between US and FNAB, FNAB and OR, and US and OR (p < 0.001, p = 0.007, and p < 0.001, respectively).
CONCLUSIONS
Under-reporting of guideline-recommended US elements is associated with delayed cytological diagnosis and surgical treatment of thyroid nodules.
背景
目的是评估甲状腺超声（US）指南推荐要素的报告情况，并确定要素报告是否与细胞和/或手术诊断时间相关。
方法
回顾性分析2009年至2014年间因良性（n = 106）或恶性（n = 105）甲状腺结节接受甲状腺手术的成人的超声报告，以纳入11项要素。
结果
所有结节的超声报告平均纳入11项要素中的5.1项（46.4%）。超声检查的机构（学术中心与社区中心）也影响报告的要素数量（学术中心为6.3项，社区中心为4.9项，p < 0.001）。报告要素数量较多与超声检查与细针穿刺抽吸活检（FNAB）、FNAB与手术、超声检查与手术之间的天数显著减少相关（分别为p < 0.001、p = 0.007和p < 0.001）。
结论
甲状腺超声指南推荐要素报告不足与甲状腺结节的细胞学诊断延迟和手术治疗延迟相关。
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