Implementing active surveillance for low-risk thyroid carcinoma into clinical practice: collaborative recommendations...

Area of Science:

• Endocrinology
• Oncology
• Public Health

Background:

• Thyroid cancer incidence is rising globally, yet mortality remains stable.
• A significant proportion of thyroid cancers are low-risk, intrathyroidal tumors.
• Active surveillance is underutilized in Latin America despite demonstrated benefits.

Purpose of the Study:

• To identify strategies for enhancing active surveillance adoption for low-risk thyroid cancer in Latin America.
• To address cultural and geographic barriers to active surveillance implementation.
• To outline a patient-centered approach for active surveillance in thyroid carcinoma.

Main Methods:

• Review of current recommendations for active surveillance in low-risk thyroid cancer.
• Analysis of factors influencing patient participation and decision-making.
• Development of a three-step approach involving patient education and tailored monitoring.

Main Results:

• Effective implementation requires managing patient anxiety and explaining terms like "overdiagnosis" and "overtreatment".
• Clear communication about the nonprogressive nature of the disease is crucial.
• Flexible monitoring and patient education on ultrasound findings are key components.

Conclusions:

• A structured, patient-centered approach can improve active surveillance uptake for thyroid cancer in Latin America.
• Addressing patient concerns and providing clear information are essential for successful implementation.
• Tailored monitoring and physician guidance enhance the effectiveness of active surveillance.