Evidence map›Paper›PMID 35177356›Full record

ArticleBrazilian journal of otorhinolaryngology

Feasibility of a snowball sampling survey to study active surveillance for thyroid microcarcinoma treatment among endocrinologists and surgeons of Brazil.

Isabela Matos da Silva, Taísa Quécia da Silva Nogueira, Deborah Nogueira Couto, Paula Cristina Tanajura Meira Lima, Natália Sampaio Carvalho Bonfim, Izadora Gomes Veiga de Sousa, Ana Clara Tosta Telles, Fábio Hecht, Nina Ramalho Alkmim, Gustavo Cancela E Penna and 3 more

Open access · goldAbstract read
In one paragraph

Article in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Isabela Matos da SilvaCentro Estadual de Referência em Atenção ao Diabetes e Endocrinologia, Salvador, BA, Brazil.
Taísa Quécia da Silva NogueiraUniversidade Federal da Bahia, Faculdade de Ciências Médicas, Serviço de Endocrinologia, Salvador, BA, Brazil.
Deborah Nogueira CoutoUniversidade Federal da Bahia, Faculdade de Ciências Médicas, Serviço de Endocrinologia, Salvador, BA, Brazil.
Paula Cristina Tanajura Meira LimaCentro Estadual de Referência em Atenção ao Diabetes e Endocrinologia, Salvador, BA, Brazil.
Natália Sampaio Carvalho BonfimHospital Geral Roberto Santos, Serviço de Endocrinologia, Salvador, BA, Brazil.
Izadora Gomes Veiga de SousaCentro Estadual de Referência em Atenção ao Diabetes e Endocrinologia, Salvador, BA, Brazil.
Ana Clara Tosta TellesUniversidade Federal da Bahia, Instituto de Ciências da Saúde, Programa de Pós-Graduação em Processos Interativos de Órgãos Sistemas, Salvador, BA, Brazil.
Fábio HechtUniversidade Federal do Rio de Janeiro, Instituto de Biofísica Carlos Chagas Filho, Rio de Janeiro, RJ, Brazil.
Nina Ramalho AlkmimFaculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Gustavo Cancela E PennaFaculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Carolina FerrazIrmandade da Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas da Santa Casa, Unidade de Doenças da Tireóide ‒ Divisão de Endocrinologia, Departamento de Medicina, São Paulo, SP, Brazil.
Eduardo TomimoriInstituto da Tireoide, Indatir, SP, Brazil.
Helton Estrela RamosUniversidade Federal da Bahia, Instituto de Ciências da Saúde, Programa de Pós-Graduação em Processos Interativos de Órgãos Sistemas, Salvador, BA, Brazil; Universidade Federal da Bahia, Instituto de Ciências da Saúde, Departamento de Biorregulação, Salvador, BA, Brazil; Universidade Federal da Bahia, Faculdade de Ciências Médicas, Programa de Pós-Graduação em Medicina e Saúde, Salvador, BA, Brazil. Electronic address: ramoshelton@gmail.com.
Universidade Federal da Bahia · BRUniversidade Federal de Minas Gerais · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to investigate if a sampling method using virtual networks is feasible to survey AS adoption among this "hard-to-reach" population of Brazilian doctors.

methodsAn online piloted 11-point structured survey questionnaire (designed using Googleforms®) probed the actual treatment patterns for adult patients with PTMCs, including treatment decision-making nonoperative options, was undertaken between 10 November and 30 November 2020. Participants were reached by the mobile phone Application (APP) and a snowball sampling strategy was used to recruit a total of 4783 members (maximum number of potential reach), which is the total of doctors of the all 21 social media WhatsApp® groups.

resultsFrom a total of 4783 members (maximum number of potential reach), there were 657 (13.7%) doctors (actual reach) who clicked the web link of the questionnaire, out of whom 512 (10.7%) fully completed the online survey. Among the survey respondents, 361 were endocrinologists (70.5%) and 151 were surgeons (29.5%). Overall, for low-risk PTMCs in an elderly patient, 118 responders (23%) recommend AS, while 390 (76%) recommend immediate surgery as the management, including lobectomy (18.5%) and Total Thyroidectomy (58.2%). The present responders tended to recommend surgery for PTMCs that were located adjacent to the dorsal surface of the thyroid, were multiple, or raised the size during the follow-up.

conclusionUsing snowball sampling strategy as an innovative route to conduct surveys was feasible and applicable but the rate of response was still very low. Our data also suggests the need to investigate if AS is embraced by Brazilian doctors.

Indexed as

Thyroid NeoplasmsAdultAgedBrazilHumansThyroidectomyWatchful WaitingActive surveillanceMicrocarcinomaSlow-risk thyroid cancerSurvey

Identifiers

PMID35177356
PMCPMC9756062
OpenAlexW4210749015

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.