Preferences of patients, clinicians, and healthy controls for the management of a Bethesda III thyroid nodule

Background Active surveillance is propagated as an alternative for hemithyroidectomy in the management of Bethesda III thyroid nodules. Methods A cross‐sectional survey questioned respondents on their willingness to accept risks related to active surveillance and hemithyroidectomy. Results In case o...

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Veröffentlicht in:Head & neck 2023-07, Vol.45 (7), p.1772-1781
Hauptverfasser: Kinschot, Caroline M. J., Soekhai, Vikas R., Bekker‐Grob, Esther W., Visser, W. Edward, Peeters, Robin P., Noord, Charlotte, Ginhoven, Tessa M.
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Sprache:eng
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Zusammenfassung:Background Active surveillance is propagated as an alternative for hemithyroidectomy in the management of Bethesda III thyroid nodules. Methods A cross‐sectional survey questioned respondents on their willingness to accept risks related to active surveillance and hemithyroidectomy. Results In case of active surveillance, respondents (129 patients, 46 clinicians, and 66 healthy controls) were willing to accept a risk of 10%–15% for thyroid cancer and 15% for needing more extensive surgery in the future. Respondents were willing to accept a risk of 22.5%–30% for hypothyroidism after hemithyroidectomy. Patients and controls were willing to accept a higher risk on permanent voice changes compared with clinicians (10% vs. 3%, p 
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.27389