{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:53:26Z","timestamp":1789606406373,"version":"build-2803163510"},"reference-count":37,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Thyroid\u00ae"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The incidence of pediatric thyroid cancer has been increasing, and care varies due to socioeconomic disparities or differing practice patterns. Clinical guidelines call for care in multidisciplinary teams to minimize variance and provide protocols. Based on expert opinion, we hope to describe the form and function of such multidisciplinary teams for pediatric thyroid programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A modified Delphi method to reach consensus statements over two rounds. Twenty-one experts with varying backgrounds responded to each statement on a 9-point Likert scale. Upon completion of the survey, the panel reviewed and shared the results and comments from participants and modified the statements accordingly. This process was repeated such that statements reached consensus, were deemed no consensus, or had no change in the mean.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was an 88% and 83% completion rate for Rounds 1 and 2, respectively. A consensus was observed that there is a distinct definable model of care for pediatric thyroid patients. No consensus was reached for the age range of patients, but programs should care for children with medullary thyroid cancer, differentiated thyroid cancer, and patients with genetic predisposition syndromes. A comprehensive team includes, but is not limited to, a thyroid surgeon, a pediatric endocrinologist, a high-volume fine-needle aspiration (FNA) proceduralist, an oncologist, a nuclear medicine physician, a pediatric pathologist, a pediatric radiologist, and a nurse coordinator. Necessary support services involve care coordination, access to a multidisciplinary tumor board, ability to perform ultrasound-guided FNA, and access to molecular testing. The panel emphasized cross-institutional collaborative research prioritizing guidelines development, disease-specific outcomes, treatment toxicity, and the molecular landscape of thyroid cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These consensus statements can be beneficial in improving multidisciplinary care, by describing which elements of pediatric thyroid programs should be consistent across institutions. Overall, the panel agreed that pediatric thyroid centers should provide integrated care with defined team members, services, resources, and research priorities. This model has the potential to standardize various aspects of clinical care and enhance our ability to study patient outcomes, improve health care delivery, and increase scholarly collaboration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/thy.2024.0496","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T10:13:47Z","timestamp":1739528027000},"page":"346-356","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Composition and Priorities of Multidisciplinary Pediatric Thyroid Programs: A Consensus Statement"],"prefix":"10.1177","volume":"35","author":[{"given":"Ronik","family":"Kothari","sequence":"first","affiliation":[{"name":"California University of Science and Medicine, Colton, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia R.","family":"Donner","sequence":"additional","affiliation":[{"name":"Children\u2019s Thyroid Clinic at Stanford Medicine Children\u2019s Health, Stanford, California, USA."},{"name":"Division of Pediatric Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Children\u2019s Thyroid Clinic at Stanford Medicine Children\u2019s Health, Stanford, California, USA."},{"name":"Division of Pediatric Otolaryngology, Department of Otolaryngology\u2013Head and Neck Surgery, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Hartman","sequence":"additional","affiliation":[{"name":"Children\u2019s Thyroid Clinic at Stanford Medicine Children\u2019s Health, Stanford, California, USA."},{"name":"Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, 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Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Chelius","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-6668","authenticated-orcid":false,"given":"Christine","family":"Cherella","sequence":"additional","affiliation":[{"name":"Thyroid Center, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Dahl","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery, Seattle Children\u2019s Hospital, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Dimachkieh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry A.","family":"Fox","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Nemours Children\u2019s Health, Mayo Clinic, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Helmig","sequence":"additional","affiliation":[{"name":"Department of Oncology, St. Jude Children\u2019s Research Hospital, Memphis, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of California San Diego, Rady Children\u2019s Hospital, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Kazahaya","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore W.","family":"Laetsch","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Lodish","sequence":"additional","affiliation":[{"name":"Division of Pediatric Endocrinology, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6710-5865","authenticated-orcid":false,"given":"Priya","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Parsons","sequence":"additional","affiliation":[{"name":"Department of Pathology, Children\u2019s Hospital of Wisconsin, Milwaukee, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara","family":"Prickett","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Quintanilla-Dieck","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Department of Otolaryngology\u2013Head and Neck Surgery, Oregon Health &amp; Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Rastatter","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H.","family":"Rothstein","sequence":"additional","affiliation":[{"name":"Division of Thoracic and General Surgery, Seattle Children\u2019s Hospital and University of Washington, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Simons","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Sheyn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology, St. Jude Children\u2019s Research Hospital, Memphis, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven G.","family":"Waguespack","sequence":"additional","affiliation":[{"name":"Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7088-8146","authenticated-orcid":false,"given":"Jonathan D.","family":"Wasserman","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, The Hospital for Sick Children, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0894-9301","authenticated-orcid":false,"given":"Ari J.","family":"Wassner","sequence":"additional","affiliation":[{"name":"Thyroid Center, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Seeley","sequence":"additional","affiliation":[{"name":"Children\u2019s Thyroid Clinic at Stanford Medicine Children\u2019s Health, Stanford, California, USA."},{"name":"Division of Pediatric Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-3068","authenticated-orcid":false,"given":"Kara D.","family":"Meister","sequence":"additional","affiliation":[{"name":"Children\u2019s Thyroid Clinic at Stanford Medicine Children\u2019s Health, Stanford, California, USA."},{"name":"Division of Pediatric Otolaryngology, Department of Otolaryngology\u2013Head and Neck Surgery, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.0898"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211032901"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2022.3167"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2018.0728"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2014.0460"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-4279-x"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1530\/ETJ-22-0146"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815601394"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1701"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30674"},{"key":"e_1_3_5_12_2","unstructured":"Anonymous. 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