An Executive Summary of The Philippine Interim Clinical Practice Guidelines for the Diagnosis and Management of Well Differentiated Thyroid Cancer 2021

Authors

Ida Marie T. Lim, Jose R. Reyes Memorial Medical Center
Wenceslao S. Llauderes, Jose R. Reyes Memorial Medical Center
Alfred Phillip O. de Dios, Jose R. Reyes Memorial Medical Center
Bien J. Matawaran, University of Santo Tomas Hospital
Cristina S. Nieves, Jose R. Reyes Memorial Medical Center
Christine Susean S. Sagpao, Jose R. Reyes Memorial Medical Center
Maria Cheryl L. Cucueco, University of Santo Tomas Hospital
Rodney B. Dofitas, Philippine General Hospital
Nemencio A. Nicodemus, Philippine General Hospital
Elaine C. Cunanan, University of Santo Tomas Hospital
Erick S. Mendoza, University of Santo Tomas Hospital
Mark David D.G. Francisco, Inc
Arnel E. Pauco, Philippine General Hospital
Jeanelle Margareth T. Tang, Rizal Medical Center
Cesar Vincent L. Villafuerte, Philippine General Hospital
Angela P. Camacho, St. Luke’s Medical Center
Mary Ondinee M. Igot, Asian Hospital and Medical Center
Orlino C. Bisquera, Philippine General Hospital
Adrian F. Fernando, University of the East Ramon Magsaysay Memorial Medical Center
Milabelle B. Lingan, Jose R. Reyes Memorial Medical Center
Neresito T. Espiritu, Philippine General Hospital
Marwin Emerson V. Matic, Asian Hospital
Cherry Lyn V. Montealto, Cebu Velez General Hospital
Francis Gerard M. Estrada, Our Lady of Mt. Carmel Medical Center
Kenneth G. Samala, Medical Center Manila
Rowen T. Yolo, University of Santo Tomas Hospital
Joy Grace G. Jerusalem, Our Lady of Perpetual Help Medical Center - Las Piñas
Jose Modesto B. Abellera, Philippine General Hospital
Gemma Leonora B. Uy, Philippine General Hospital
Esther A. Saguil, Philippine General Hospital
Joshua A. Marcos, Medical Center Manila
Christine Joy S. Arquiza, St. Luke’s Medical Center
Solidad L. Balete, Jose R. Reyes Memorial Medical Center

Publication Date

1-1-2024

Document Type

Article

Publication Title

Acta Medica Philippina

Abstract

Objectives. Thyroid cancer is the most common endocrine cancer in the Philippines affecting primarily women in the reproductive age group. Considering the burden of thyroid cancer in the country, the Department of Health (DOH) called for the development of a national clinical practice guideline that would address patient needs, and aid physicians in clinical decision-making while considering therapeutic cost and availability in the local setting. The 2021 guidelines are aimed at providing optimal care to Filipino patients by assisting clinicians in the evaluation of thyroid nodules and management of well differentiated thyroid cancer. Methods. A steering committee convened to formulate clinical questions pertaining to the screening and evaluation of thyroid nodules, surgical and post operative management of thyroid cancer, and palliative care for unresectable disease. A technical working group reviewed existing clinical guidelines, retrieved through a systematic literature search, synthesized clinical evidence, and drafted recommendations based on the ADAPTE process of clinical practice guideline development. The consensus panel reviewed evidence summaries and voted on recommendations for the final statements of the clinical practice guidelines. Results. The guidelines consist of clinical questions and recommendations grouped into six key areas of management of well differentiated thyroid cancer: screening, diagnosis, surgical treatment, post operative management, surveillance, and palliative care. Conclusion. The 2021 guidelines for well differentiated cancer could direct physicians in clinical decision making, and create better outcomes for Filipino patients afflicted with the disease. However, patient management should still be governed by sound clinical judgement and open physician-patient communication.

First Page

5

Last Page

30

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