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1
Guidelines increasingly endorse thyroid lobectomy for selected patients with low-risk differentiated thyroid cancer, with tumors smaller than 4 cm and no nodal metastases or other high-risk features.
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2
Total thyroidectomy remains the treatment for approximately 60% to 80% of patients with low-risk thyroid cancer despite evidence supporting lobectomy.
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3
In interviews and observations across 7 practices, surgeons most often favored performance feedback, but no single intervention was identified as optimal.
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4
Surgeons often viewed practice-changing interventions as more applicable to colleagues than to themselves, while professional identity and individualized decision-making shaped views of change.
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5
Future research should test stakeholder-informed interventions across diverse settings and support individualized care, including less-intensive treatment for appropriate patients.