Endocrine oncology

Barriers and Facilitators to the Choice of Active Surveillance for Low-Risk Papillary Thyroid Cancer in China: A Qualitative Study Examining Patient Perspectives

ThyroidPublished Qualitative study

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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