Impact of Rapid Onsite Evaluation on Adequacy of Thyroid Nodule Fine-Needle Aspiration

Utilizing rapid onsite evaluation (ROSE) during first-time fine-needle aspiration (FNA) of thyroid nodules significantly increased diagnostic adequacy from 76% to 92%. ROSE implementation raised the odds of adequate FNA by 22%, with a 28% increase seen in institutions with lower baseline diagnostic rates. Conversely, institutions with higher baseline rates saw a 5% increase. Overall, ROSE can effectively reduce the need for repeat FNAs and improve diagnostic outcomes, especially in settings with higher inadequacy rates.