Factors affects the implementation of active surveillance therapy for low-risk papillary thyroid microcarcinoma

• Published in: Chinese medical journal 2024-08, Vol.137 (15), p.1888-1890
• Main Authors: Zhang, Xueqi, Aihaiti, Renaguli, Teng, Weiping, Shi, Xiaoguang
• Format: Article
• Language: English
• Subjects: Adult; Cancer therapies; Carcinoma, Papillary - pathology; Carcinoma, Papillary - therapy; Cost control; Female; Humans; Male; Middle Aged; Mortality; Mutation; Patients; Physicians; Surgical outcomes; Surveillance; Thoracic surgery; Thyroid cancer; Thyroid Neoplasms - diagnosis; Thyroid Neoplasms - therapy; Thyroidectomy; Tumors; Ultrasonic imaging
• ISSN: 0366-6999; 2542-5641; 2542-5641
• DOI: 10.1097/CM9.0000000000003083

Italian scholars have pointed out that studies on Asian populations might not be suitable for European populations and it is vital to consider racial-specific differences when designing protocols. [...]Chinese studies must draw on the experience of other countries and formulate management strategies based on our situation. According to the analysis of these key factors in each of these fields, patients suitable for AS can be screened out accurately. [...]appropriate multidisciplinary teams are needed to accurately assess the appropriate population for AS to fully reach joint decisions with patients and to adhere to regular follow-up. A Japanese study compared the QoL of patients with low-risk PTMC who chose AS and surgery and found that anxiety scores were higher in the AS group than in the surgery group, but the authors mentioned that anxiety could come from how doctors explained AS to patients and clinical management strategies and the level of concern reported by patients undergoing AS decreased over time. [...]concerns about cancer should not be considered a factor against implementing AS in patients with low-risk PTMC, and high-quality studies are still warranted to compare psychological status and QoL between undergoing surgery and choosing AS.