{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:25:32Z","timestamp":1768004732371,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,11,28]],"date-time":"2019-11-28T00:00:00Z","timestamp":1574899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate and improve compliance of thyroid function monitoring in head and neck cancer patients who received radiotherapy to the cervical region before and after instituting quality improvement interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the Plan, Do, Study, Act (PDSA) methodology, patients with head and neck malignancies who received radiotherapy to the cervical region from 2013\u20132015 were identified at a tertiary medical center. The status of the patients\u2019 thyroid monitoring and related characteristics were recorded. A quality improvement project was subsequently implemented by data sharing and providing feedback to practitioners involved in head and neck cancer care and creating a tracking database for all patients who received radiotherapy to the neck. After implementation of these interventions, data was collected on patients meeting the inclusion criteria from 2015\u20132017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred fifty\u2010six patients met criteria pre\u2010intervention and ninety\u2010eight patients met criteria post\u2010intervention. Compliance of thyroid monitoring went up from 34% to 80% after interventions (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). There was a significant increase in thyroid testing performed by radiation oncologists after interventions from 2% to 21%, while medical oncologists and otolaryngologists remained consistent in their compliance rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is possible to improve compliance with evidence\u2010based recommendations and improve the quality\u2010of\u2010care for head and neck cancer survivors through simple, cost effective interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2 <jats:italic>Laryngoscope<\/jats:italic>, 130:E573\u2013E579, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28410","type":"journal-article","created":{"date-parts":[[2019,11,28]],"date-time":"2019-11-28T13:46:48Z","timestamp":1574948808000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving thyroid function monitoring in head and neck cancer patients: A quality improvement study"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9063-4933","authenticated-orcid":false,"given":"Nupur","family":"Bhatt","sequence":"first","affiliation":[{"name":"New York University Grossman School of Medicine  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahrah","family":"Taufique","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Kamen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binhuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Population Health New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Concert","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zujun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medicine New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babak","family":"Givi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery New York University Langone Health  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(92)90076-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2006.06.011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21066"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.5.652"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328325a538"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26186"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2004.03.020"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0b013e3181845517"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-1039"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60276-6"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2010.0298"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0517"},{"key":"e_1_2_6_14_1","unstructured":"National Comprehensive Cancer Network. Head and Neck Cancers (Version 1.2019).https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/head-and-neck.pdf. Accessed April 2 2019."},{"key":"e_1_2_6_15_1","volume-title":"The Washington Manual of Patient Safety and Quality Improvement","author":"Fondahn E","year":"2016"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20011201)92:11<2892::AID-CNCR10134>3.0.CO;2-T"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.50.3870"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28410","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.28410","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T04:05:48Z","timestamp":1693713948000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.28410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,28]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1002\/lary.28410"],"URL":"https:\/\/doi.org\/10.1002\/lary.28410","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,28]]},"assertion":[{"value":"2019-05-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}