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Role of patient maximizing-minimizing preferences in thyroid cancer surveillance

Journal of Clinical Oncology Oct 08, 2019

Evron JM, Reyes-Gastelum D, Banerjee M, et al. - Researchers investigated how thyroid cancer surveillance intensity is influenced by patient preferences via assessing patients who received a diagnosis of thyroid cancer between January 1, 2014, and December 31, 2015, and were selected from the Georgia and Los Angeles County SEER registries (N = 2,632; response rate: 63%). They combined patient records on healthcare use in the preceding year and responses to the validated Medical Maximizer-Minimizer Scale to SEER data in the 2,183 disease-free patients. They reported an increased number of physician visits and imaging tests among patients with thyroid cancer who were declared disease-free in relation to the preference for a more maximal vs minimal approach to medical care. No clear correlation was found between increased surveillance and improved outcomes. Furthermore, increased surveillance posed potential risks to patients and was shown to have contributed to increased healthcare expenses; therefore, the role of patient preferences should be strongly considered when framing discussions on surveillance.

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