Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment - Scorecard - 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 Scorecard: Understanding Patient Choices: Major Influencers in the Selection of Surgical Options for Thyroid Cancer - A Discrete Choice Analysis

At a Glance

CategoryDetail
ConditionPapillary Thyroid Carcinoma (PTC)
Key MechanismsPatient preferences for surgical options based on recurrence rates, incision location, and complication rates.
Target PopulationPatients diagnosed with PTC scheduled for thyroidectomy.
Care SettingThyroid surgery department at Hunan Cancer Hospital, Changsha, China.

Key Highlights

  • 271 patients participated in the study.
  • Recurrence rate was the most important factor influencing surgical choice.
  • Patients preferred scarless surgical options.
  • Willingness to pay for reduced recurrence rates and better cosmetic outcomes was significant.
  • Demographic factors influenced postoperative cosmetic concerns.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of PTC confirmed by fine-needle aspiration or intraoperative pathology.

Management

  • Consider patient-specific values during preoperative consultations.

Monitoring & Follow-up

  • Evaluate patient preferences and concerns regarding surgical options.

Risks

  • Discuss the risks associated with conventional open thyroidectomy and TOETVA.

Patient & Prescribing Data

Adults aged 18 years or older with diagnosed PTC.

Patients showed a strong preference for lower recurrence rates and internal incision locations.

Clinical Best Practices

  • Engage in detailed discussions about surgical options with patients.
  • Utilize discrete choice experiments to assess patient preferences.
  • Incorporate patient feedback into surgical decision-making.

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