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Updated: May 7, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Shared decision-making during surgical thyroid consultation.

Ida Lund Lorenzen¹, Anne Louise Kjær Olesen¹, Christian Sander Danstrup^1,2

¹Department of Otorhinolaryngology - Head and Neck Surgery and Audiology, Aalborg University Hospital.

Danish Medical Journal

|January 3, 2025

Summary

This summary is machine-generated.

Patients and surgeons reported high shared decision-making (SDM) in thyroid nodule consultations. However, factors influencing SDM perceptions and decisional regret require further investigation.

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Area of Science:

Endocrinology and Surgical Oncology
Health Services Research
Patient-Centered Care

Background:

Shared decision-making (SDM) is crucial for personalized treatment plans.
This study investigated patient and surgeon perceptions of SDM for thyroid nodules.
The research also explored discrepancies, influencing factors, and decisional regret.

Purpose of the Study:

To assess patient and surgeon perceptions of shared decision-making (SDM) in thyroid nodule consultations.
To identify factors influencing patients' perceived SDM levels.
To evaluate the incidence and correlates of decisional regret.

Main Methods:

A prospective survey study involving patients and surgeons consulting for thyroid nodules.
Utilized validated questionnaires to measure perceived levels of SDM.
Assessed six-month decisional regret using the Decisional Regret Scale.

Main Results:

Patients reported significantly higher median SDM scores (86.7) than surgeons (80.0).
Higher SDM was associated with preliminary examinations but not sociodemographic factors.
12.2% of patients experienced decisional regret, which was not correlated with their SDM score.

Conclusions:

High levels of perceived SDM were reported by both patients and surgeons.
SDM and decisional regret were largely independent of sociodemographic factors, except for consultation type.
Further research with objective SDM measures is needed to understand influencing factors.