Psychological adjustment to initial treatment for <scp>low‐risk</scp> thyroid cancer: Preliminary study

Seo, Gabriella T.; Urken, Mark L.; Wein, Lauren E.; Saturno, Michael P.; Kapustin, Danielle A.; Xing, Monica H.; Yue, Lauren E.; Dowling, E.M.; Revenson, Tracey A.; Roberts, Katherine J.; Tuttle, R. Michael

doi:10.1002/hed.27265

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…Hence, a similar approach may be of interest for DTC patients with anxiety and/or depression to properly counsel them regarding their choice for treatment or active surveillance. A recent study on DTC found that both patients undergoing immediate surgery versus patients electing active surveillance for low-risk PTC treatment had equally significantly less distress associated with their treatment decision at the 6-month and 1-year follow-up points [32]. These results suggest an approach emphasizing patient autonomy in treatment selection, especially if research points towards similar prognoses between tumor resection and active surveillance.…”

Section: Discussionmentioning

confidence: 93%

Anxiety and Depression as Potential Predictors for Shorter Time to Undergo Initial Surgical Treatment for Papillary Thyroid Cancer

Vujovic,

Alsen,

Vasan

et al. 2024

Cancers

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(1) Background: A pre-existing psychiatric condition may impact decision making by patients and/or physicians following a thyroid cancer diagnosis, such as potentially electing surgery over active surveillance, thus shortening the time to cancer removal. This is the first study to investigate the association between pre-existing anxiety and/or depression and time to receive surgical treatment for thyroid cancer. (2) Methods: Retrospective data were collected from 652 surgical thyroid cancer patients at our institution from 2018 to 2020. We investigated the time between thyroid cancer diagnosis and surgery, comparing patients with pre-existing anxiety and/or depression to those without. (3) Results: Patients with anxiety, depression, and both anxiety and depression had a significantly shorter time between diagnosis and surgery (51.6, 57, and 57.4 days, respectively) compared to patients without (111.9 days) (p = 0.002, p = 0.004, p = 0.003, respectively). (4) Conclusions: Although little is known about the impact of pre-existing psychiatric conditions in the decision-making process for thyroid cancer surgery, this present study showed that anxiety and/or depression may lead to more immediate surgical interventions. Thus, psychiatric history may be an important factor for physicians to consider when counseling patients with thyroid cancer.

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Section: Discussionmentioning

confidence: 93%

Anxiety and Depression as Potential Predictors for Shorter Time to Undergo Initial Surgical Treatment for Papillary Thyroid Cancer

Vujovic,

Alsen,

Vasan

et al. 2024

Cancers

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“…These findings are critically important in the era of shared decision-making, where the information needs and longer term HRQoL priorities must be considered when deciding on the extent of surgery for low-risk thyroid cancer. 26 , 47 , 48 …”

Section: Discussionmentioning

confidence: 99%

Hearing the Voices of Australian Thyroid Cancer Survivors: Qualitative Thematic Analysis of Semistructured Interviews Identifies Unmet Support Needs

et al. 2023

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Background: Most thyroid cancer survivors regain their physical health-related quality of life, but psychological and social deficits persist. The nature of these detriments remains poorly understood and they are insufficiently captured by survey data alone. To address this, qualitative data exploring the breadth and depth of thyroid cancer survivors' experiences and priorities for supportive care are required. Methods: Twenty semistructured interviews were undertaken with a purposive, maximum variation sample of thyroid cancer survivors. Interviews were transcribed verbatim and coded independently by two researchers. A hybrid model of inductive and realistic codebook analysis was undertaken with themes developed. Results: Patient experiences centered around three themes: (1) impact of diagnosis and treatment, (2) thyroid cancer does not happen in isolation, and (3) role of clinicians and formalized support structures. The word “cancer” had negative connotations, but for many, the reality of their experience was more positive. Despite feeling “lucky” at the relative low-risk nature of thyroid cancer, many patients reported fatigue, weight gain, and difficulty returning to usual activities; concerns that were largely dismissed or minimized by clinicians. Few were offered any support beyond their treating doctors; where patients attempted to access formalized supportive care, little was available or appropriate. Life stage and concurrent family and social stressors greatly impacted patients' ability to cope with diagnosis and treatment. Addressing thyroid cancer in isolation felt inappropriate without appreciating the broader context of their lives. Interactions with clinicians were largely positive, particularly where information was communicated as a means of empowering patients to participate in shared decision-making and where clinicians “checked in” emotionally with patients. Information about initial treatments was largely adequate but information on longer term effects and follow-up was lacking. Many patients felt that clinicians focused on physical well-being and scan results, missing opportunities to provide psychological support. Conclusions: Thyroid cancer survivors can struggle to navigate their cancer journey, particularly with regard to psychological and social functioning. There is a need to acknowledge these impacts at the time of clinical encounters, as well as develop information resources and support structures that can be individualized to optimize holistic well-being for those in need.

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Trajectory analysis of microwave ablation treatment effect on the quality of life and emotional distress in patients with papillary thyroid cancer

Chai

Liang

2023

Endocrine

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Psychological adjustment to initial treatment for low‐risk thyroid cancer: Preliminary study

Cited by 3 publications

References 42 publications

Anxiety and Depression as Potential Predictors for Shorter Time to Undergo Initial Surgical Treatment for Papillary Thyroid Cancer

Anxiety and Depression as Potential Predictors for Shorter Time to Undergo Initial Surgical Treatment for Papillary Thyroid Cancer

Hearing the Voices of Australian Thyroid Cancer Survivors: Qualitative Thematic Analysis of Semistructured Interviews Identifies Unmet Support Needs

Trajectory analysis of microwave ablation treatment effect on the quality of life and emotional distress in patients with papillary thyroid cancer

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