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Guidelines for the Definitive Surgical Management of Vascular Disease


To develop evidence-based recommendations for safe, effective, and appropriate thyroidectomy. Surgical management of thyroid disease has evolved considerably over several decades leading to variability in rendered care. Over 100,000 thyroid operations are performed annually in the US. An essay writer is a person whose job is to create articles related to surgical content as well.


The medical literature from 1/1/1985 to 11/9/2018 was reviewed by a panel of 19 experts in thyroid disorders representing multiple disciplines. The authors used the best available evidence to construct surgical management recommendations. Levels of evidence were determined using the American College of Physicians grading system, and management recommendations were discussed to consensus. Members of the American Association of Endocrine Surgeons reviewed and commented on preliminary drafts of the content.

Search parameters for the medical literature were set from January 1, 1985 to November 9, 2018. At the authors’ discretion, this time frame was extended back to allow for inclusion of landmark articles that offered historical perspective or to illustrate time-tested principles. For each topic, the primary coauthor conducted a PubMed Medical Subject Heading search using Boolean logic for relevant search terms. Limitations were applied to select publications containing an abstract (English Language) and appearing in abridged index medicus (AIM), otherwise known as core clinical journals in PubMed. An online essay writing service offers an original surgical content papers crafted by our professional essay writers.

The 2010 American College of Physicians (ACP) grading system, which employs a validated scale to critically interpret and evaluate the strength and quality of the evidence and provide guidance on how to best apply the recommendation to individual patients,8 was utilized in manuscript preparation. The American College of Physicians system applies the terms “Strong” when benefits clearly outweigh risks and/or the recommendation should be applied to all or most patients without reservation, “Weak” when benefits are finely balanced with risks or appreciable uncertainty exists, and “Insufficient” when the evidence to support a recommendation is conflicting, lacking, or of poor quality; in these circumstances, the authors provided opinion based on expert interpretation of the available data.

The quality of the evidence was graded “High” for well-done randomized controlled trials or overwhelming evidence, “Moderate” for randomized controlled trials with important limitations, well-designed cohort or case-control studies, or large observational studies, and “Low” for potentially biased, small observational, or case studies. The writer assigned to write my essay request about surgical content is qualified to the same academic level or higher than your writing requirements.


These clinical guidelines analyze the indications for thyroidectomy as well as its definitions, technique, morbidity, and outcomes. Specific topics include Pathogenesis and Epidemiology, Initial Evaluation, Imaging, Fine Needle Aspiration Biopsy Diagnosis, Molecular Testing, Indications, Extent and Outcomes of SurgeryPreoperative Care, Initial Thyroidectomy, Perioperative Tissue Diagnosis, Nodal Dissection, Concurrent Parathyroidectomy, Hyperthyroid Conditions, Goiter, Adjuncts and Approaches to Thyroidectomy, Laryngology, Familial Thyroid CancerPostoperative Care and Complications, Cancer Management, and Reoperation. Hire a reliable online essay writer who will create an original surgical content paper and deliver it on time.


Evidence-based guidelines were created to assist clinicians in the optimal surgical management of thyroid disease.