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What is TIRO?

TIRO helps medical professionals optimize the care of their patients by guiding them through the existing evidence.

TIRO Thyroid International Recommendations Online monogram logo

TIRO (Thyroid International Recommendations Online) is a compilation of multiple, widely-recognized international thyroid nodule and thyroid cancer guidelines from the United States, Europe and Japan. TIRO puts all of the most up-to-date guidelines in one easy to access site.

In addition, it compares and contrasts international thyroid cancer and thyroid nodule guidelines, white papers and recommendations in a way that identifies where guidelines align and where discrepancies exist. It acts as a dynamic resource for clinicians on contemporary topics via weekly journal clubs, lectures, tumor boards and round table discussions. This program is led by a multidisciplinary board composed of top thyroid specialists from around the world.

Why We Created TIRO

TIRO was developed in an effort to place guideline-based recommendations at the fingertips of clinicians who are managing patients with both thyroid nodules and thyroid cancer. In many respects, by collating information from multiple sources, TIRO is the thyroid guideline of all guidelines.

The current published guidelines are static and both difficult to access and challenging to navigate. TIRO is designed to address these issues and to facilitate the delivery of optimal patient care at the point of care. In addition, the current guidelines are often outdated soon after they are published. In many instances, the published recommendations are based on less than optimal evidence, as well as expert opinion where quality evidence does not exist.

TIRO aims to offset these traditional handicaps. The goal of TIRO is to provide relevant, updated information in specific areas where the evidence is weak and where discrepancies exist across guidelines that have been reviewed. This process is based on the tremendous amount of new studies that are published in the literature on a regular basis and which are highlighted in our weekly virtual educational sessions that are delivered and recorded and then strategically placed in the relevant locations within the recommendation sections of TIRO. In this way, we intend to provide a dynamic and continually updated resource.

TIRO Thyroid International Recommendations Online global collaboration
Who Developed TIRO?

Created by a Multidisciplinary & International Advisory Board

Endocrinology

Michael Tuttle, MD

Executive Member

Memorial Sloan Kettering Cancer Center

Camilo Gonzalez-Velazquez, MD

Executive Member

Universidad Autonoma de Nuevo León

Erik Alexander, MD

Executive Member

Andrew Bauer, MD

University of Pennsylvania

Juan Pablo Brito, MD

International Leadership Council

Naifa Busaidy, MD

Fabian Pitoia, MD, PhD

Mara Y. Roth, MD

University of Washington

Eyal Robenshtok, MD

International Leadership Council

Rabin Medical Center

Nuclear Medicine

Monica Rossleigh, MD

Executive Member

Prince of Wales Hospital

David Pattison, MD

Royal Brisbane Hospital

Radiation Oncology

Jill Langer, MD

Penn Medicine

Kate Newbold, MD

The Royal Marsden

Cytopathology
& Histopathology

Zubair Baloch, MD, PhD

Penn Medicine

Jeffrey Krane, MD, PhD

UCLA Health

Endocrine Surgery

Janice Pasieka, MD, FRCSC, FACS

Executive Member

University of Calgary

Carrie Cunningham, MD

Massachusetts General Hospital

Iwao Sugitani, MD, PhD

International Leadership Council

Head & Neck Surgery

Mark Urken, MD, FACS, FACE

Executive Member

Dana Hartl, MD

International Leadership Council

Lisa Orloff, MD

Mark Zafereo, MD

Medical Oncology

Lori Wirth, MD

Executive Member

Massachusetts General Hospital

Frank Worden, MD

University of Michigan

The Creators of TIRO Practice All Over the World

  • Alberta, Canada
  • Monterrey, Mexico
  • Boston, MA
  • New York, NY
  • Los Angeles, CA
  • San Francisco, CA
  • Ann Arbor, MI
  • Rochester, MN
  • Philadelphia, PA
  • Houston, TX
  • Seattle, WA
  • Buenos Aires, Argentina
  • Brisbane, Australia
  • Sydney, Australia
  • Tokyo, Japan
  • Paris, France
  • Tel Aviv, Israel
  • London, UK

Upcoming Webinars

Rajam Raghunathan, MD

Guest Presenter

Journal Club

Molecular Testing for Indeterminate Thyroid Nodules Past, Present & Future

Apr. 26, 2024

Mark L. Urken, MD

Moderator

Panel Discussion

History of Thyroid Surgery in the Last Century

May 3, 2024

Aime Franco, MD

Guest Presenter

Journal Club

Survivorship, Quality of Life, and Transition to Adult Care for Pediatric and Adolescent Thyroid Cancer Survivors

May 10, 2024