title: Improving the adoption of thyroid cancer clinical practice guidelines.
abstract: To present an overview of the barriers to the implementation of clinical practice guidelines (CPGs) in thyroid cancer management and to introduce a computer-based clinical support system.
  
  
  
  PubMed.
  
  
  
  A review of studies on adherence to CPGs was conducted.
  
  
  
  Awareness and adoption of CPGs is low in thyroid cancer management. Barriers to implementation include unfamiliarity with the CPGs and financial concerns. Effective interventions to improve adherence are possible, especially when they are readily accessible at the point of care delivery. Computerized clinical support systems show particular promise. The authors introduce the clinical decision making modules (CDMMs) of the Thyroid Cancer Care Collaborative, a thyroid cancer-specific electronic health record. These computer-based modules can assist clinicians with implementation of these recommendations in clinical practice.
  
  
  
  Computer-based support systems can help clinicians understand and adopt the thyroid cancer CPGs. By integrating patient characteristics and guidelines at the point of care delivery, the CDMMs can improve adherence to the guidelines and help clinicians provide high-quality, evidence-based, and individualized patient care in the management of differentiated thyroid cancer. Laryngoscope, 126:2640-2645, 2016.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York.
authors.forename: Ilya
authors.initials: I
authors.lastname: Likhterov
authors.affiliation: Memorial Sloan Kettering Cancer Center, New York, New York.
authors.forename: R Michael
authors.initials: RM
authors.lastname: Tuttle
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York. ghaser@thancfoundation.org.
authors.forename: Grace C
authors.initials: GC
authors.lastname: Haser
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York.
authors.forename: Henry K
authors.initials: HK
authors.lastname: Su
authors.affiliation: Division of Endocrinology, Diabetes and Bone Diseases, and the Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Donald
authors.initials: D
authors.lastname: Bergman
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: Eran E
authors.initials: EE
authors.lastname: Alon
authors.affiliation: Department of Endocrinology, Mayo Clinic Jacksonville, Jacksonville, Florida, U.S.A.
authors.forename: Victor
authors.initials: V
authors.lastname: Bernet
authors.affiliation: Division of Endocrinology, Diabetes and Bone Diseases, and the Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Elise
authors.initials: E
authors.lastname: Brett
authors.affiliation: Division of Endocrinology, Diabetes and Bone Diseases, and the Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Rhoda
authors.initials: R
authors.lastname: Cobin
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York.
authors.forename: Eliza H
authors.initials: EH
authors.lastname: Dewey
authors.affiliation: Department of Surgery, Boston University School of Medicine, Boston, Massachusetts, U.S.A.
authors.forename: Gerard
authors.initials: G
authors.lastname: Doherty
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Dos Reis
authors.affiliation: Division of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.
authors.forename: Joshua
authors.initials: J
authors.lastname: Klopper
authors.affiliation: Section of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston Medical Center, Boston, Massachusetts, U.S.A.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Lee
authors.affiliation: Thyroid & Endocrine Center of Florida, Florida State University College of Medicine, Sarasota, Florida, U.S.A.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Lupo
authors.affiliation: Division of Endocrinology, Diabetes and Bone Diseases, and the Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Josef
authors.initials: J
authors.lastname: Machac
authors.affiliation: Division of Endocrinology, Diabetes and Bone Diseases, and the Division of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Mechanick
authors.affiliation: Section of Endocrine Surgery, Department of Surgery, Banner-University Medical Center Phoenix, Phoenix, Arizona, U.S.A.
authors.forename: Mira
authors.initials: M
authors.lastname: Milas
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.
authors.forename: Lisa
authors.initials: L
authors.lastname: Orloff
authors.affiliation: Department of Otolaryngology and the Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.
authors.forename: Gregory
authors.initials: G
authors.lastname: Randolph
authors.affiliation: Department of Otolaryngology and the Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Ross
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York.
authors.forename: Meghan E
authors.initials: ME
authors.lastname: Rowe
authors.affiliation: Department of Endocrinology, Mayo Clinic Jacksonville, Jacksonville, Florida, U.S.A.
authors.forename: Robert
authors.initials: R
authors.lastname: Smallridge
authors.affiliation: Department of Otolaryngology, Georgia Regents University, Augusta, Georgia, U.S.A.
authors.forename: David
authors.initials: D
authors.lastname: Terris
authors.affiliation: Department of Otolaryngology, Johns Hopkins School of Medicine, Baltimore, Maryland, U.S.A.
authors.forename: Ralph P
authors.initials: RP
authors.lastname: Tufano
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Urken
mesh_terms: D020000:Decision Support Systems, Clinical; D019983:Guideline Adherence; D006801:Humans; D017410:Practice Guidelines as Topic; D013964:Thyroid Neoplasms
keywords: Differentiated thyroid carcinoma; clinical decision making; clinical practice guidelines; computer-based support systems; thyroid nodules