Cancer-related Fear and Worry in Patients With Low-risk Thyroid Cancer: A Longitudinal Cohort Study
Authors' conclusion
Patients with LR-TC report lower levels of fear and worry 9 months after surgery regardless of the extent of surgery, suggesting that both surgeries provide an emotional benefit to some patients. Thyroid cancer-related fear and worry do not appear to influence patients' decisions to undergo hemi- or TT.
Study context
- Population
- Adults with confirmed or likely low-risk thyroid cancer (LR-TC), 15 institutions114 completed both surveys
- Participants
- 125 adults
- Exposure
- Hemithyroidectomy vs total thyroidectomy
- Hemithyroidectomyn = 41
- Total thyroidectomy (TT)n = 73reference
- Outcome
- Thyroid cancer-related fear and worry
- Follow-up
- At treatment decision and 9 months later
Methodological detailsmulticentre (15 institutions), longitudinal
- Multicentre (15 institutions)
- Longitudinal
Main finding
As reported in the abstract
before vs 9 months after surgery
Fear decreased after surgery (mean ± SD)
25.8 ± 6.4 to 23.1 ± 7.4
Worry decreased after surgery (mean ± SD)
8.2 ± 2.4 to 5.4 ± 2.1
P < .001
High fear proportion decreased
64.9% to 50.9%
P < .001
High worry proportion decreased
75.4% to 41.2%
P < .001
Observational data: associations, not effects.
Original publication
Cancer-related Fear and Worry in Patients With Low-risk Thyroid Cancer: A Longitudinal Cohort Study. J Clin Endocrinol Metab. Published 14 October 2024. doi:10. 1210/ clinem/ dgae688
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