Evidence map›Paper›PMID 31869452›Full record

ArticleCancer2020

Disparities in risk perception of thyroid cancer recurrence and death.

Debbie W Chen, David Reyes-Gastelum, Lauren P Wallner, Maria Papaleontiou, Ann S Hamilton, Kevin C Ward, Sarah T Hawley, Brian J Zikmund-Fisher, Megan R Haymart

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Changes in the frequency of postoperativeSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Social Determinants of Health and Disparities in Thyroid Care.The Journal of clinical endocrinology and metabolism · 2024
    Article
  11. Article
  12. Assessing Fear of Thyroid Cancer in the General U.S. Population: A Cross-Sectional Study.Thyroid : official journal of the American Thyroid Association · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Change in worry over time among Hispanic women with thyroid cancer.Journal of cancer survivorship : research and practice · 2022
    Article
  19. Disparities in Thyroid Care.Endocrinology and metabolism clinics of North America · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Debbie W ChenDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0001-6562-7232
David Reyes-GastelumDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Lauren P WallnerDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-1279-8617
Maria PapaleontiouDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Ann S HamiltonDepartment of Preventive Medicine, University of Southern California, Los Angeles, California.
Kevin C WardDepartment of Epidemiology, Emory University, Atlanta, Georgia.
Sarah T HawleyDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Brian J Zikmund-FisherDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor, Michigan.
Megan R HaymartDivision of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-1083-1575
University of Michigan · USEmory University · USMichigan Department of Health and Human Services · USUniversity of Southern California · US

Funding

CALIFORNIA COORDINATED CANCER PREVENTION & CONTROL PROGRAMU58DP003862 · DP · CALIFORNIA STATE DEPT OF PUBLIC HEALTH · PI SNIPES, KURT P · 2012 to 2014
$31.5M
GEORGIA COMPREHENSIVE CANCER CONTROL PROGRAMU58DP003875 · DP · GEORGIA DIVISION OF PUBLIC HEALTH · PI O'CONNOR, JEAN CATHERINE · 2012 to 2014
$15.9M
TRAINING PROGRAM IN ENDOCRINOLOGY AND METABOLISM.T32DK007245 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RICHARD J. AUCHUS · 1986 to 2026
$7.2M
Treatment decision making in low-risk thyroid cancerR01CA201198 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAYMART, MEGAN RIST · 2016 to 2019
$2.4M
Imaging Practices and Overdiagnosis of Thyroid CancerR01HS024512 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAYMART, MEGAN RIST · 2016 to 2019
$861k
AHRQ HHS R01 HS024512NCCDPHP CDC HHS U58 DP003862NCCDPHP CDC HHS U58 DP003875NCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000035INCI NIH HHS HHSN261201800003CNCI NIH HHS R01 CA201198NIDDK NIH HHS T32 DK007245
6 · The paper itself

Abstract

backgroundTo the authors' knowledge, studies regarding risk perception among survivors of thyroid cancer are scarce.

methodsThe authors surveyed patients who were diagnosed with differentiated thyroid cancer from the Surveillance, Epidemiology, and End Results registries of Georgia and Los Angeles County (2632 patients; 63% response rate). The analytic cohort was defined by a ≤5% risk of disease recurrence and mortality (1597 patients). Patients estimated their recurrence and mortality risks separately (increments of 10% and endpoints of ≤5% and ≥95%). Both outcomes were dichotomized between reasonably accurate estimates (risk perception of ≤5% or 10%) versus overestimation (risk perception of ≥20%). Multivariable logistic regression was used to identify factors associated with risk overestimation, and the relationships between overestimation and both worry and quality of life were evaluated.

resultsIn the current study sample, 24.7% of patients overestimated their recurrence risk and 12.5% overestimated their mortality risk. A lower educational level was associated with overestimating disease recurrence (≤high school diploma: odds ratio [OR], 1.64 [95% CI, 1.16-2.31]; and some college: OR, 1.36 [95% CI, 1.02-1.81]) and mortality (≤high school diploma: OR, 1.86 [95% CI, 1.18-2.93]) risk compared with those attaining at least a college degree. Hispanic ethnicity was found to be associated with overestimating recurrence risk (OR, 1.44, 95% CI 1.02-2.03) compared with their white counterparts. Worry about recurrence and death was found to be greater among patients who overestimated versus those who had a reasonably accurate estimate of their risk of disease recurrence and mortality, respectively (P < .001). Patients who overestimated mortality risk also reported a decreased physical quality of life (mean T score, 43.1; 95% CI, 41.6-44.7) compared with the general population.

conclusionsLess educated patients and Hispanic patients were more likely to report inaccurate risk perceptions, which were associated with worry and a decreased quality of life.

Indexed as

Health Knowledge, Attitudes, PracticeNeoplasm Recurrence, LocalThyroid NeoplasmsAdultAgedAnxietyCancer SurvivorsFemaleGeorgiaHumansMaleMiddle AgedPerceptionQuality of LifeSEER Programhealth care disparitiesHispanicsmortalityquality of liferecurrencethyroid cancer

Identifiers

PMID31869452
PMCPMC7178109
OpenAlexW2996520504

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.