Endocrine oncology

Cancer-related Fear and Worry in Patients With Low-risk Thyroid Cancer: A Longitudinal Cohort Study

J Clin Endocrinol MetabPublished Prospective 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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