Factors associated with physicians’ recommendations for managing low-risk papillary thyroid cancer - 15/06/21
, Benjamin R. Roman b , Megan C. Saucke c , Catherine B. Jensen c , Nick Zaborek d , Jamia Linn Jennings e , Louise Davies f , Juan P. Brito g , Susan C. Pitt c Abstract |
Background |
The 2015 American Thyroid Association endorsed less aggressive management for low-risk papillary thyroid cancer (LR-PTC). We aimed to identify factors influencing physicians’ recommendations for LR-PTC.
Methods |
We surveyed members of three professional societies and assessed respondents’ recommendations for managing LR-PTC using patient scenarios. Multivariable logistic regression models identified clinical and non-clinical factors associated with recommending total thyroidectomy (TT) and active surveillance (AS).
Results |
The 345 respondents included 246 surgeons and 99 endocrinologists. Physicians’ preference for their own management if diagnosed with LR-PTC had the strongest association with their recommendation for TT and AS (TT: OR 12.3; AS: OR 7.5, p < 0.001). Physician specialty and stated patient preference were also significantly associated with their recommendations for both management options. Respondents who received information about AS had increased odds of recommending AS.
Conclusions |
Physicians’ recommendations for LR-PTC are strongly influenced by non-clinical factors, such as personal treatment preference and specialty.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Physician recommendations for low-risk papillary thyroid cancer are multifactorial. |
• | Physicians’ personal treatment preference is associated with their recommendations. |
• | Physician specialty and stated patient preference also influence recommendations. |
Keywords : Thyroid cancer, Overtreatment, Low-risk, Active surveillance, Survey, Thyroidectomy
Mappa
Vol 222 - N° 1
P. 111-118 - luglio 2021 Ritorno al numero
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