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Link: Ethical Issues in the Management of Thyroid Disease

KEY POINTS  The focus of this article is on clinical ethics issues in the thyroid disease context.  In the context of thyroid disease management, clinical ethics dilemmas affect a wide range of health care providers: endocrinologists, primary care physicians, surgeons, oncologists, nuclear medicine specialists and technologists, genetic counselors, nurses, and physician assistants.  In autoimmune thyroid disease, there are unique challenges to informed consent, and potential duties to warn in severe hypothyroidism.  In thyroid cancer, the most common ethical issues revolve around truth-telling and advance care planning, and genetic screening for medullary thyroid cancer.  Novel ethical issues in thyroid disease include end of life discussions in poorly differentiated thyroid cancers; priority-set


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