Imperial College London
Alternate

DrRaffaelePalladino

Faculty of Medicine, School of Public Health

Visiting Professor
 
 
 
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Contact

 

r.palladino Website

 
 
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Location

 

309Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Palladino:2020:10.1007/s12020-020-02559-z,
author = {Palladino, R and Migliatico, I and Sgariglia, R and Nacchio, M and Iaccarino, A and Malapelle, U and Vigliar, E and Salvatore, D and Troncone, G and Bellevicine, C},
doi = {10.1007/s12020-020-02559-z},
journal = {Endocrine},
pages = {20--25},
title = {Thyroid fine-needle aspiration trends before, during, and after the lockdown: what we have learned so far from the COVID-19 pandemic},
url = {http://dx.doi.org/10.1007/s12020-020-02559-z},
volume = {71},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - PurposeNowadays, the clinical management of thyroid nodules needs to be multi-disciplinary. In particular, the crosstalk between endocrinologists and cytopathologists is key. When FNAs are properly requested by endocrinologists for nodules characterised by relevant clinical and ultrasound features, cytopathologists play a pivotal role in the diagnostic work-up. Conversely, improper FNA requests can lead to questionable diagnostic efficiency. Recently, recommendations to delay all non-urgent diagnostic procedures, such as thyroid FNAs, to contain the spread of COVID-19 infection, have made the interplay between endocrinologists and cytopathologists even more essential. The objective of this study was to assess the impact of COVID-19 pandemic on our practice by evaluating the total number of FNAs performed and the distribution of the Bethesda Categories before, during, and after the lockdown.MethodsWe analysed the FNA trends before (1st January 2019 to March 13th 2020), during (March 14th to May 15th), and after (May 16th to July 7th) the lockdown.ResultsAlthough the total number of weekly FNAs dropped from 62.1 to 23.1, our referring endocrinologists managed to prioritise patients with high-risk nodules. In fact, in the post-lockdown, the weekly proportion of benign diagnoses dropped on average by 12% and that of high-risk diagnoses increased by 6%.ConclusionsThe lesson we have learned so far from this pandemic is that by applying safety protocols to avoid contagion and by increasing the threshold for FNA requests for thyroid nodules, we can continue to guarantee our services to high-risk patients even in times of a health crisis.
AU  - Palladino,R
AU  - Migliatico,I
AU  - Sgariglia,R
AU  - Nacchio,M
AU  - Iaccarino,A
AU  - Malapelle,U
AU  - Vigliar,E
AU  - Salvatore,D
AU  - Troncone,G
AU  - Bellevicine,C
DO  - 10.1007/s12020-020-02559-z
EP  - 25
PY  - 2020///
SN  - 1355-008X
SP  - 20
TI  - Thyroid fine-needle aspiration trends before, during, and after the lockdown: what we have learned so far from the COVID-19 pandemic
T2  - Endocrine
UR  - http://dx.doi.org/10.1007/s12020-020-02559-z
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000598987900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://link.springer.com/article/10.1007%2Fs12020-020-02559-z
UR  - http://hdl.handle.net/10044/1/85201
VL  - 71
ER  -
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