Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study

Chandani Patel Patel Chavez, Eddison Godinez Leiva, Diliara Bagautdinova, Jessica Hidalgo, Sandra Hartasanchez, Diana Barb, Deepa Danan, Peter Dziegielewski, Catherine Edwards, Brian Hughley, Ashok Srihari, Sreevidya Subbarayan, M. Regina Castro, Diana Dean, John Morris, Mabel Ryder, Marius N. Stan, Ian Hargraves, Kathryn Shepel, Juan P. BritoCarma L. Bylund, Debbie Treise, Victor Montori, Naykky Singh Ospina

Research output: Contribution to journalArticlepeer-review


Purpose: To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance). Methods: Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients’ expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used. Results: In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%). Conclusion: User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.

Original languageEnglish (US)
Pages (from-to)124-133
Number of pages10
Issue number1
StatePublished - Apr 2023


  • Shared decision making
  • Thyroid cancer
  • Thyroid nodules

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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