ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019
Role of Patient Maximizing-Minimizing Preferences in Thyroid Cancer Surveillance.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Does Messaging for Reducing Breast Cancer Overscreening in Older Women Have Differential Responses among Medical Minimizers and Maximizers?Medical decision making : an international journal of the Society for Medical Decision Making · 2026Trial
- Patient Reactions to Artificial Intelligence-Clinician Discrepancies: Web-Based Randomized Experiment.Journal of medical Internet research · 2025Trial
- Psychometric Properties of the Turkish Medical Maximizer-Minimizer Scale.Journal of multidisciplinary healthcare · 2026Article
- Global burden of thyroid cancer in males: a comprehensive analysis of incidence, mortality, and risk factors from 1990 to 2040.Frontiers in oncology · 2026Article
- Development of a Decision Aid for Patients With Low-Risk Thyroid Cancer: A Mixed-Methods Analysis of Feedback From Both Patient and Clinicians.World journal of surgery · 2025Article
- Use of Neck Ultrasound as Surveillance in Older Adults With Thyroid Cancer.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025Article
- Assessment of levothyroxine therapy adequacy in low-risk differentiated thyroid carcinoma: a multicenter cohort study.Frontiers in endocrinology · 2025Article
- Surgeon Preference for Maximizing Medical Care Is Associated with Recommending More Extensive Surgery for Low-Risk Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2024Article
- Medical Maximizing Preferences and Beliefs About Cancer Among US Adults.JAMA network open · 2024Article
- Article
- A Framework for Detecting Thyroid Cancer from Ultrasound and Histopathological Images Using Deep Learning, Meta-Heuristics, and MCDM Algorithms.Journal of imaging · 2023Article
- Change in worry over time among Hispanic women with thyroid cancer.Journal of cancer survivorship : research and practice · 2022Article
- Medical Decision Style and COVID-19 Behavior.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Article
- Clinician Attitudes and Beliefs Associated with More Aggressive Diagnostic Testing.The American journal of medicine · 2022Article
- Disparities in Thyroid Care.Endocrinology and metabolism clinics of North America · 2022Review
- Using Tailored Messages to Target Overuse of Low-Value Breast Cancer Care in Older Women.The Journal of surgical research · 2022Article
- Preferences for More or Less Health Care and Association With Health Literacy of Men Eligible for Prostate-Specific Antigen Screening in Australia.JAMA network open · 2021Article
- Thyrotropin Suppression for Papillary Thyroid Cancer: A Physician Survey Study.Thyroid : official journal of the American Thyroid Association · 2021Article
- Physician management of thyroid cancer patients' worry.Journal of cancer survivorship : research and practice · 2021Article
- Medical Maximizing-Minimizing Preferences in Relation to Low-Value Services for Older Women with Hormone Receptor-Positive Breast Cancer: A Qualitative Study.Annals of surgical oncology · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
purposeTo understand the effect of patient preferences on thyroid cancer surveillance intensity. PATIENTS AND
methodsEligible patients diagnosed with thyroid cancer between January 1, 2014, and December 31, 2015, from the Georgia and Los Angeles County SEER registries were surveyed between February 2017 and October 2018 (N = 2,632; response rate, 63%). Patient reports on health care utilization in the past year and responses to the validated Medical Maximizer-Minimizer Scale were linked to SEER data in the 2,183 disease-free patients. Ordered logistic regression was performed using a cumulative logit with nonproportional odds.
resultsOf disease-free patients, 31.6% were classified as minimizers, 42.5% as moderate maximizers, and 25.9% as strong maximizers. In the past year, 25.2%, 27.3%, and 38.5% of minimizers, moderate maximizers, and strong maximizers, respectively, had ≥ 4 doctor visits, and 18.3%, 24.9%, and 29.5%, respectively, had ≥ 2 neck ultrasounds. When controlling for age, sex, race and ethnicity, comorbidity, stage, and SEER site, strong maximizers (compared with minimizers) were significantly more likely to report ≥ 4 doctor visits (odds ratio [OR], 1.45; 95% CI, 1.10-1.92), ≥ 2 neck ultrasounds (OR, 1.58; 95% CI, 1.17-2.14), ≥ 1 radioactive iodine scan (OR, 1.73; 95% CI, 1.19-2.50), and ≥ 1 additional imaging study (OR, 2.06; 95% CI, 1.56-2.72).
conclusionAmong patients with thyroid cancer who have been declared disease free, preference for a more maximal versus minimal approach to medical care is associated with increased number of physician visits and imaging tests. Because increased surveillance does not clearly correlate with improved outcomes, poses potential risks to patients, and contributes to increased healthcare costs, stronger consideration of the role of patient preferences is necessary when framing discussions on surveillance.
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