American Thyroid Association. Scientists & Physicians Dedicated to Better Understanding & Treatment of Thyroid Diseases.

Peer Guidelines for Physicians

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The American Thyroid Association has published five peer guidelines for the diagnosis and management of thyroid disease:

Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce. (PDF File, 760 KB) David S. Cooper, Gerard M. Doherty, Bryan R. Haugen, Richard T. Kloos, Stephanie L. Lee, Susan J. Mandel, Ernest L. Mazzaferri, Bryan McIver, Steven I. Sherman, R. Michael Tuttle. Thyroid 2006;16:109-142.

American Thyroid Association guidelines for detection of thyroid dysfunction. (PDF File 107KB). Paul W. Ladenson, Peter A. Singer, Kenneth B. Ain, Nandalal Bagchi, S. Thomas Bigos, Elliot G. Levy, Steven A. Smith, Gilbert H. Daniels. Archives of Internal Medicine (Arch Intern Med) 2000;160:1573-1575.

Treatment guidelines for patients with thyroid nodules and well-differentiated thyroid cancer. (PDF File 110KB). Peter A. Singer, David S. Cooper, Gilbert H. Daniels, Paul W. Ladenson, Francis S. Greenspan, Elliot G. Levy, Lewis E. Braverman, Orlo H. Clark, I. Ross McDougall, Kenneth V. Ain, Steven G. Dorfman. Archives of Internal Medicine (Arch Intern Med) 1996;156:2165-2172.

Treatment guidelines for patients with hyperthyroidism and hypothyroidism. (PDF File 88KB). Peter A. Singer, David S. Cooper, Elliot G. Levy, Paul W. Ladenson, Lewis E. Braverman, Gilbert Daniels, Francis S. Greenspan, I. Ross McDougall, Thomas F. Nikolai. Journal of the American Medical Association (JAMA) 1995;273:808-812.

American Thyroid Association guidelines for use of laboratory tests in thyroid disorder. (PDF File 115 KB). Martin I. Surks, Inder J. Chopra, Cary N. Mariash, John T. Nicoloff, David H. Solomon. Journal of the American Medical Association (JAMA) 1990;263:1529-1532.

AMERICAN THYROID ASSOCIATION

GUIDELINES DISCLAIMER

The American Thyroid Association develops Clinical Practice Guidelines to provide guidance and recommendations for particular practice areas concerning thyroid disease and thyroid cancer. The Guidelines are not inclusive of all proper approaches or methods, or exclusive of others. The Guidelines do not establish a standard of care and specific outcomes are not guaranteed.

Treatment decisions must be made based on the independent judgment of health care providers and each patient's individual circumstances. A guideline is not intended to take the place of physician judgment in diagnosing and treatment of particular patients.

The ATA develops guidelines based on the evidence available in the literature and the expert opinion of the task force in the recent timeframe of the publication of the guidelines. Management issues have not been and cannot be comprehensively addressed in randomized trials; therefore, the evidence cannot be comprehensive. Guidelines cannot always account for individual variation among patients. Guidelines cannot be considered inclusive of all proper methods of care or exclusive of other treatments reasonably directed at obtaining the same results.

Therefore, the American Thyroid Association considers adherence to this guideline to be voluntary, with the ultimate determination regarding its application to be made by the treating physician and health care professionals with the full consideration of the individual patient’s clinical history and physical status. In addition, the guideline concerns the therapeutic interventions used in clinical practice and do not pertain to clinical trials. Clinical trials are a separate matter, designed to research new and novel therapies, and the guidelines are not necessarily relevant to their purpose.

Guideline development includes an identification of areas for future study and research, indicating the focus for future investigational therapy; based on the findings reviewed and synthesized from the latest literature.


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