Barriers and Facilitators to the Choice of Active Surveillance for Low-Risk Papillary Thyroid Cancer in China: A Qualitative Study Examining Patient Perspectives
Authors' conclusion
Patient's acceptability of the active surveillance as a management approach are complex with many influencing factors.
Study context
- Population
- Patients diagnosed with low-risk PTC in China, recruited July–November 2021
- Participants
- 39 patients
- Comparison
- Patients who chose vs rejected active surveillance
- Chose active surveillancen = 15
- Rejected active surveillancen = 24reference
- Outcome
- Barriers and facilitators to selecting active surveillance
Methodological detailssemistructured interviews, purposive sampling, inductive content analysis, Rigor asserted by audit trails, member checks and thematic discussions
- Semistructured interviews
- Purposive sampling
- Inductive content analysis
- Rigor asserted by audit trails, member checks and thematic discussions
Main finding
As reported in the abstract
- Barriers and facilitators classified as patient-related, disease-related and external factors
- Patient-related: patient's knowledge, attitudes and emotions
- Disease-related: response to having cancer, constant state of being diseased, perceived value of the thyroid gland
- External: residual effects of surgery, active surveillance protocol, physicians' recommendations
Original publication
Barriers and Facilitators to the Choice of Active Surveillance for Low-Risk Papillary Thyroid Cancer in China: A Qualitative Study Examining Patient Perspectives. Thyroid. Published 21 March 2023. doi:10. 1089/ thy. 2022. 0347
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