Patient Experiences With Thyroid Nodules: A Qualitative Interview Survey.

Area of Science:

• Endocrinology
• Patient-centered care
• Qualitative research

Background:

• Thyroid nodules are common, and patient preferences significantly impact management decisions.
• Understanding patient attitudes is crucial for shared decision-making in thyroid nodule evaluation.

Purpose of the Study:

• To qualitatively explore patient preferences and attitudes regarding thyroid nodules.
• To identify factors influencing patient decision-making processes for thyroid nodule diagnosis and treatment.

Main Methods:

• Descriptive survey design utilizing semistructured interviews with 20 patients.
• Thematic analysis of transcribed interviews to identify underlying themes in patient decision-making.

Main Results:

• Patients integrate emotional responses (fear, anxiety) with rational concerns (cancer risk).
• Physician expertise and recommendations are heavily weighted in decision-making.
• A strong bias towards active intervention over surveillance was observed, though surgical risks motivated some to consider non-surgical options.

Conclusions:

• Patient decision-making for thyroid nodules is a complex process influenced by emotions, risk assessment, personal context, and physician guidance.
• The findings highlight a patient preference for action and the significant role of physician recommendations.
• This qualitative data can inform future research on patient preferences in thyroid disease management.