Eliciting Low-Risk Thyroid Cancer Treatment Preferences Using Clinical Vignettes: A Pilot Study
Authors' conclusion
When treatments for low-risk thyroid cancer are described clearly and accurately through clinical vignettes, patients may be more likely to choose less invasive treatment options over traditional surgical resection.
Study context
- Population
- Thyroid cancer survivors and general population volunteers ranking vignettes on small (≤1 cm) differentiated thyroid cancer treatment10 survivors, 9 general population
- Participants
- 19 participants
- Comparison
- Patient preference rankings of active surveillance (AS), radiofrequency ablation (RFA), TL and total thyroidectomy (TT) for low-risk thyroid cancer
- Outcome
- Preference ranking of clinical vignettes
Methodological detailsclinical vignettes, preference ranking, formative qualitative methods, Vignettes content validated via interviews with 5 academic subspecialists
- Clinical vignettes
- Preference ranking
- Formative qualitative methods
- Vignettes content validated via interviews with 5 academic subspecialists
Main finding
As reported in the abstract
Median ranking among uncomplicated vignettes
AS
1
median
RFA
2
median
TL
3.5
median
TT
5
median
AS vs RFA: P = 0.02 · AS vs TT: P < 0.01 · TL vs TT: P < 0.01
Further findings
Complicated vignettes ranked lower than uncomplicated counterparts
- Cases with complications ranked lower (excellent comprehension)
- 99.0%
Survivors vs general population
- Trends were consistent between thyroid cancer survivors and the general population
Original publication
Eliciting Low-Risk Thyroid Cancer Treatment Preferences Using Clinical Vignettes: A Pilot Study. Endocr Pract. Published 29 April 2023. doi:10.
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