Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment - Report - MDSpire

Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment

  • By

  • Shiwei Zhou

  • Yu Mao

  • Peng Wu

  • Wu Li

  • Hui Li

  • Xiaohua Song

  • Xiaoyong Wen

  • Zeyu Li

  • Guangji Chen

  • Xiaowei Peng

  • June 17, 2026

  • 0 min

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Clinical Report: Understanding Patient Choices in Thyroid Cancer Surgery

Overview

Expand on the implications of patients' willingness to pay for lower recurrence rates and cosmetic outcomes.

Background

Enhance the discussion on how surgical techniques affect quality of life and patient satisfaction.

Data Highlights

AttributeWillingness to Pay (¥)
Recurrence Rate (10% to 1%)201,409.60
Incision Location (external to internal)19,141.14

Key Findings

  • 271 patients participated in the discrete choice experiment.
  • Recurrence rate was the most significant factor influencing surgical choice (β = 8.18, P < 0.001).
  • Incision location ranked second in importance (β = 0.78, P < 0.001).
  • Patients were willing to pay significantly more for lower recurrence rates and scarless approaches.
  • Postoperative cosmetic concerns varied significantly across demographic factors such as gender and age.

Clinical Implications

Surgeons should prioritize discussions about recurrence risk and cosmetic outcomes during preoperative consultations. Tailoring surgical options to align with patient preferences can enhance shared decision-making and improve patient satisfaction.

Conclusion

The findings underscore the necessity of incorporating patient-specific values into surgical decision-making for PTC, particularly regarding recurrence risk and cosmetic outcomes.

Related Resources & Content

  1. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Emotional Responses to Low-risk Thyroid Cancer: A Longitudinal Analysis of Fear and Anxiety in Surgical Decision-making
  2. Patient Preferences Regarding Surgical Approaches for Esophageal Cancer: Insights from a Discrete Choice Analysis, 2015
  3. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Managing Patients with Thyroid Cancer: Criteria and Strategies for Lobectomy Candidates
  4. What Has Changed in the 2025 American Thyroid Association Management Guidelines for Adult Patients with Differentiated Thyroid Cancer? Part 1: Preoperative Evaluation, Diagnosis and Surgery, 2025
  5. Analysis of Surgical Volume, Outcomes, and Quality Metrics in Thyroid Surgery: A Position Statement from the European Society of Endocrine Surgeons (ESES)
  6. 2025 American Thyroid Association Guidelines
  7. Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis - Nguyen - 2024 - Head & Neck - Wiley Online Library
  8. Treatment preferences in low-risk papillary thyroid microcarcinoma: a discrete choice experiment - PubMed

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