@article{64beb7a190474080ae6b1d7b0a70d241,
title = "Factors associated with physicians{\textquoteright} recommendations for managing low-risk papillary thyroid cancer",
abstract = "Background: The 2015 American Thyroid Association endorsed less aggressive management for low-risk papillary thyroid cancer (LR-PTC). We aimed to identify factors influencing physicians{\textquoteright} recommendations for LR-PTC. Methods: We surveyed members of three professional societies and assessed respondents{\textquoteright} recommendations for managing LR-PTC using patient scenarios. Multivariable logistic regression models identified clinical and non-clinical factors associated with recommending total thyroidectomy (TT) and active surveillance (AS). Results: The 345 respondents included 246 surgeons and 99 endocrinologists. Physicians{\textquoteright} preference for their own management if diagnosed with LR-PTC had the strongest association with their recommendation for TT and AS (TT: OR 12.3; AS: OR 7.5, p < 0.001). Physician specialty and stated patient preference were also significantly associated with their recommendations for both management options. Respondents who received information about AS had increased odds of recommending AS. Conclusions: Physicians{\textquoteright} recommendations for LR-PTC are strongly influenced by non-clinical factors, such as personal treatment preference and specialty.",
keywords = "Active surveillance, Low-risk, Overtreatment, Survey, Thyroid cancer, Thyroidectomy",
author = "McDow, {Alexandria D.} and Roman, {Benjamin R.} and Saucke, {Megan C.} and Jensen, {Catherine B.} and Nick Zaborek and Jennings, {Jamia Linn} and Louise Davies and Brito, {Juan P.} and Pitt, {Susan C.}",
note = "Funding Information: Support for this research included the University of Wisconsin Carbone Cancer Center Support Grant P30 CA014520 and the National Cancer Institute of the National Institutes of Health (NIH) award number K08CA230204 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. In addition, the NIH did not play a role in the design or conduct of the study; data collection, management, analysis or interpretation; manuscript preparation, review, or approval; and decision to submit the manuscript for publication. The authors would like to acknowledge Margarete Wichman, PhD and Kelly M. Elver, PhD from the University of Wisconsin Survey Center for their assistance with survey preparation and critical review. Funding Information: Support for this research included the University of Wisconsin Carbone Cancer Center Support Grant P30 CA014520 and the National Cancer Institute of the National Institutes of Health (NIH) award number K08CA230204. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. In addition, the NIH did not play a role in the design or conduct of the study; data collection, management, analysis or interpretation; manuscript preparation, review, or approval; and decision to submit the manuscript for publication. The authors would like to acknowledge Margarete Wichman, PhD and Kelly M. Elver, PhD from the University of Wisconsin Survey Center for their assistance with survey preparation and critical review. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",
year = "2021",
month = jul,
doi = "10.1016/j.amjsurg.2020.11.021",
language = "English (US)",
volume = "222",
pages = "111--118",
journal = "American journal of surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "1",
}