title: Quality of thyroid referrals in Saskatchewan.
abstract: BACKGROUND
  A thyroid nodule is a common presentation for thyroid pathology. A low proportion of thyroid nodules harbour malignancy and the investigation of these nodules should be performed in a cost-effective manner. The American Thyroid Association (ATA) has published guidelines which should aid physicians in performing the appropriate investigations.
  
  
  OBJECTIVE
  To determine the proportion of patients referred to thyroid surgeons in Saskatchewan with appropriate pre-referral work-up.
  
  
  METHODS
  Data were retrospectively collected from the charts of all new thyroid referrals seen between 8 June 2011 and 8 June 2012 by two thyroid surgeons in the Saskatoon Health Region, Saskatchewan, Canada. Main outcome measures were the presence of thyroid stimulating hormone (TSH) and ultrasound results, and the appropriateness of ultrasound report recommendations in referrals to thyroid surgeons.
  
  
  RESULTS
  Recent TSH results were done and sent to the thyroid surgeon in 55.1% of referrals. A recent ultrasound was performed in 92.3% of referrals. Of patients with a high or normal TSH, a radionuclide scan was inappropriately recommended in 11.5% of cases.
  
  
  CONCLUSIONS
  There is room for improvement in pre-referral work-up of patients with thyroid nodules in Saskatchewan, in order to facilitate appropriate clinical decision making in a cost-effective manner.
authors.affiliation: College of Medicine, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Kerollos
authors.initials: K
authors.lastname: Wanis
authors.forename: Jennifer
authors.initials: J
authors.lastname: Oucharek
authors.forename: Gary
authors.initials: G
authors.lastname: Groot
mesh_terms: D006801:Humans; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation / Q000592:standards* / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012525:Saskatchewan; D013961:Thyroid Gland / Q000000981:diagnostic imaging; D016606:Thyroid Nodule / Q000000981:diagnostic imaging* / Q000473:pathology; D013972:Thyrotropin / Q000097:blood*; D014463:Ultrasonography
chemical_list: D013972:Thyrotropin