National Survey of Endocrinologists and Surgeons Regarding Active Surveillance for Low-Risk Papillary Thyroid Cancer

Nomogram prediction for the involution of the ablation zone after radiofrequency ablation treatment in patients with low-risk papillary thyroid carcinoma

“…Thyroidectomy is recommended as the first-line treatment method for PTC [5,6]. However, for lowrisk patients (defined as having intrathyroidal PTC with no evidence of extrathyroidal extension, vascular invasion, or metastases) [3], the necessity of thyroidectomy has become a focus of controversy both in China and abroad [7,8]. Active surveillance for low-risk papillary thyroid microcarcinoma (PTMC) was mentioned in the 2015 American Thyroid Association guidelines (ATA, 2015).…”

Can Active Surveillance Management be Developed for Patients With Low-Risk Papillary Thyroid Microcarcinoma? A Preliminary Investigation in a Chinese Population

“…Due to the convenience and low cost of outpatient clinics in China, patients usually seek medical advice in multiple hospitals, especially when malignant tumors J o u r n a l P r e -p r o o f are diagnosed. A survey from America that covered 345 endocrinologists and surgeons showed that 94% of these experts agreed that AS was appropriate for at least some patients, but 76% would choose surgery for themselves if diagnosed with PTMC (39). In China, inconsistent medical recommendations may further aggravate confusion in potential AS candidates.…”

Physician-Reported Barriers and Facilitators to Thyroid Cancer Active Surveillance

“…Previous studies that have also examined barriers to the implementation of active surveillance have shown that physicians largely accept surveillance as a feasible management option and see it as underused, yet many physician-related factors persist as barriers to implementation (2,9). These other studies, which used survey methodology, identified similar barriers, including physician-held beliefs about perceived negative consequences of active surveillance; in contrast, the qualitative design of the current study allowed for a more in-depth examination of these beliefs and helped to characterize barriers thematically.…”

“…Even though barriers to the implementation of active surveillance for low-risk thyroid cancer in the United States by both endocrinologists and surgeons have been previously explored, prior studies primarily used survey methodology instead of a qualitative approach (2,9).…”