Sergii Cherenko - Academia.edu (original) (raw)
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P.L. Shupik National Medical Academy of Postgraduate Education
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Papers by Sergii Cherenko
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), 2021
У критичному огляді новітніх рекомендацій найавторитетнішої у світі команди фахівців Американсько... more У критичному огляді новітніх рекомендацій найавторитетнішої у світі команди фахівців Американської тиреоїдної асоціації розглянуто основні з більше ніж 100 рекомендацій щодо діагностики, лікування та тривалого спостереження пацієнтів із тиреоїдними вузлами та диференційованим раком щитоподібної залози. Дано оцінку можливостям застосування клінічних настанов в умовах вітчизняної системи охорони здоров’я. Розглянуті перспективи використання генетичних досліджень в диференціальній діагностиці тиреоїдних пухлин. Підкреслено важливість нового прогностичного підходу — динамічної оцінки ризиків залежно від відгуку на первинне лікування, а також зваженого та індивідуалізованого ставлення до застосування радіоактивного йоду та супресивної терапії препаратами тиреоїдних гормонів у пацієнтів із диференційованими карциномами.
Updates in Surgery
Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by... more Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by restricting resources for non-COVID-19 patients. As the burden of the disease escalates, routine elective surgeries are being cancelled. The aim of this paper was to provide a guideline for management of endocrine surgical disorders during a pandemic. Methods We used Delphi method with a nine-scale Likert scale on two rounds of voting involving 64 experienced eminent surgeons and endocrinologists who had the necessary experience to provide insight on endocrine disorder management. All voting was done by email using a standard questionnaire. Results Overall, 37 recommendations were voted on. In two rounds, all recommendations reached an agreement and were either endorsed or rejected. Endorsed statements include dietary change in primary hyperparathyroidism, Cinacalcet treatment in secondary hyperparathyroidism, alpha-blocker administration for pheochromocytoma, methimazole ± β-blocker combination for Graves' disease, and follow-up for fine-needle aspiration results of thyroid nodules indicated as Bethesda 3-4 cytological results and papillary microcarcinoma. Conclusion This survey summarizes expert opinion for the management of endocrine surgical conditions during unprecedented times when access to surgical treatment is severely disrupted. The statements are not applicable in circumstances in which surgical treatment is possible.
The Laryngoscope, 2010
Intraoperative neural monitoring (IONM) during thyroid and parathyroid surgery has gained widespr... more Intraoperative neural monitoring (IONM) during thyroid and parathyroid surgery has gained widespread acceptance as an adjunct to the gold standard of visual nerve identification. Despite the increasing use of IONM, review of the literature and clinical experience confirms there is little uniformity in application of and results from nerve monitoring across different centers. We provide a review of the literature and cumulative experience of the multidisciplinary International Neural Monitoring Study Group with IONM spanning nearly 15 years. The study group focused its initial work on formulation of standards in IONM as it relates to important areas: 1) standards of equipment setup/endotracheal tube placement and 2) standards of loss of signal evaluation/intraoperative problemsolving algorithm. The use of standardized methods and reporting will provide greater uniformity in application of IONM. In addition, this report clarifies the limitations of IONM and helps identify areas where additional research is necessary. This guideline is, at its forefront, quality driven; it is intended to improve the quality of neural monitoring, to translate the best available evidence into clinical practice to promote best practices. We hope this work will minimize inappropriate variations in monitoring rather than to dictate practice options.
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), 2021
У критичному огляді новітніх рекомендацій найавторитетнішої у світі команди фахівців Американсько... more У критичному огляді новітніх рекомендацій найавторитетнішої у світі команди фахівців Американської тиреоїдної асоціації розглянуто основні з більше ніж 100 рекомендацій щодо діагностики, лікування та тривалого спостереження пацієнтів із тиреоїдними вузлами та диференційованим раком щитоподібної залози. Дано оцінку можливостям застосування клінічних настанов в умовах вітчизняної системи охорони здоров’я. Розглянуті перспективи використання генетичних досліджень в диференціальній діагностиці тиреоїдних пухлин. Підкреслено важливість нового прогностичного підходу — динамічної оцінки ризиків залежно від відгуку на первинне лікування, а також зваженого та індивідуалізованого ставлення до застосування радіоактивного йоду та супресивної терапії препаратами тиреоїдних гормонів у пацієнтів із диференційованими карциномами.
Updates in Surgery
Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by... more Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by restricting resources for non-COVID-19 patients. As the burden of the disease escalates, routine elective surgeries are being cancelled. The aim of this paper was to provide a guideline for management of endocrine surgical disorders during a pandemic. Methods We used Delphi method with a nine-scale Likert scale on two rounds of voting involving 64 experienced eminent surgeons and endocrinologists who had the necessary experience to provide insight on endocrine disorder management. All voting was done by email using a standard questionnaire. Results Overall, 37 recommendations were voted on. In two rounds, all recommendations reached an agreement and were either endorsed or rejected. Endorsed statements include dietary change in primary hyperparathyroidism, Cinacalcet treatment in secondary hyperparathyroidism, alpha-blocker administration for pheochromocytoma, methimazole ± β-blocker combination for Graves' disease, and follow-up for fine-needle aspiration results of thyroid nodules indicated as Bethesda 3-4 cytological results and papillary microcarcinoma. Conclusion This survey summarizes expert opinion for the management of endocrine surgical conditions during unprecedented times when access to surgical treatment is severely disrupted. The statements are not applicable in circumstances in which surgical treatment is possible.
The Laryngoscope, 2010
Intraoperative neural monitoring (IONM) during thyroid and parathyroid surgery has gained widespr... more Intraoperative neural monitoring (IONM) during thyroid and parathyroid surgery has gained widespread acceptance as an adjunct to the gold standard of visual nerve identification. Despite the increasing use of IONM, review of the literature and clinical experience confirms there is little uniformity in application of and results from nerve monitoring across different centers. We provide a review of the literature and cumulative experience of the multidisciplinary International Neural Monitoring Study Group with IONM spanning nearly 15 years. The study group focused its initial work on formulation of standards in IONM as it relates to important areas: 1) standards of equipment setup/endotracheal tube placement and 2) standards of loss of signal evaluation/intraoperative problemsolving algorithm. The use of standardized methods and reporting will provide greater uniformity in application of IONM. In addition, this report clarifies the limitations of IONM and helps identify areas where additional research is necessary. This guideline is, at its forefront, quality driven; it is intended to improve the quality of neural monitoring, to translate the best available evidence into clinical practice to promote best practices. We hope this work will minimize inappropriate variations in monitoring rather than to dictate practice options.