Factors Associated with Physicians’ Recommendations for Managing Low-Risk Papillary Thyroid Cancer
dc.contributor.author | McDow, Alexandria D. | |
dc.contributor.author | Roman, Benjamin R. | |
dc.contributor.author | Saucke, Megan C. | |
dc.contributor.author | Jensen, Catherine B. | |
dc.contributor.author | Zaborek, Nick | |
dc.contributor.author | Jennings, Jamia Linn | |
dc.contributor.author | Davies, Louise | |
dc.contributor.author | Brito, Juan P. | |
dc.contributor.author | Pitt, Susan C. | |
dc.contributor.department | Surgery, School of Medicine | en_US |
dc.date.accessioned | 2023-07-18T15:04:44Z | |
dc.date.available | 2023-07-18T15:04:44Z | |
dc.date.issued | 2021 | |
dc.description.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. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | McDow AD, Roman BR, Saucke MC, et al. Factors associated with physicians' recommendations for managing low-risk papillary thyroid cancer. Am J Surg. 2021;222(1):111-118. doi:10.1016/j.amjsurg.2020.11.021 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/34463 | |
dc.language.iso | en_US | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.amjsurg.2020.11.021 | en_US |
dc.relation.journal | The American Journal of Surgery | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | PMC | en_US |
dc.subject | Thyroid cancer | en_US |
dc.subject | Overtreatment | en_US |
dc.subject | Low-risk | en_US |
dc.subject | Active surveillance | en_US |
dc.subject | Survey | en_US |
dc.subject | Thyroidectomy | en_US |
dc.title | Factors Associated with Physicians’ Recommendations for Managing Low-Risk Papillary Thyroid Cancer | en_US |
dc.type | Article | en_US |