Clinical quality control guideline for coordinated thyroid disease management in Western China (2025 quality control nodes edition)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LI Zhihui ,  CHENG Ruochuan ,  WANG Ting ,  ZHANG Kun

General Surgery Quality Control Center of Sichuan Province, Thyroid Surgery Innovation and Transformation Branch of Sichuan Medical Science and Technology Innovation Association;

Corresponding author：

LI Zhihui, Email: rockoliver@vip.sina.com; CHENG Ruochuan, Email: cruochuan@foxmail.com; WANG Ting, Email: ting_w100@126.com; ZHANG Kun, Email: zhangkun5616@wchscu.edu.cn

Keywords：

thyroid disease; quality control; differentiated thyroid carcinoma; thyroid nodule; ablation therapy

DOI：

10.7507/1007-9424.202507012

Video：

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In response to the “Healthy China 2030” strategy, the General Surgery Quality Control Center of Sichuan Province and the Thyroid Surgery Innovation and Transformation Branch of Sichuan Medical Science and Technology Innovation Association, jointly established 18 quality control (QC) nodes. This framework integrates evidence from many major domestic and international guidelines/ consensus and regional clinical QC practices in Western China. The system encompasses three core dimensions: diagnostic logic accuracy (e.g., TQC-01 for targeted screening to avoid over diagnosis by specifying high-risk ultrasonography indications); evidence-based treatment hierarchy (e.g., TQC-06/TQC-08 standardizing staging protocols for surgical indications); treatment outcome optimization (e.g., TQC-09 for intraoperative neural monitoring and TQC-16 for long-term quality-of-life tracking). A four-phase closed-loop management structure is implemented. Screening intervention: imaging restricted to high-risk populations. Standardized diagnosis: initial nodule evaluation with serological testing (TQC-02) and pathological verification (TQC-04). Treatment protocolization: stratified execution of surgery/ablation indications (TQC-10). Dynamic prognosis monitoring: 10-year survival tracking post-differentiated thyroid cancer surgery (TQC-17) and multidimensional ablation efficacy assessment (TQC-16). Under the collaborative governance of regional leading institutions, this framework has demonstrated significant impact: reduction of low-value care (e.g., avoidance of non-indicated biopsy for suspicious lesion <1 cm), elimination of critical process omissions (including mandatory TNM staging compliance), and advancement toward regional healthcare quality homogenization. These contributions establish a replicable paradigm for enhancing China’s national thyroid disease clinical quality ecosystem.

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