ArticleEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists2026
A Qualitative Study of Clinician Barriers and Facilitators to De-escalation of Thyroid Stimulating Hormone Suppression in Thyroid Cancer Survivors.
Article in Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Association of radioactive iodine treatment with survivorship symptoms and primary care utilisation in women of reproductive age with thyroid cancer: a retrospective cohort study.Family medicine and community health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveMost patients with differentiated thyroid cancer have low-risk disease and excellent prognosis. Thyroid stimulating hormone (TSH) suppression therapy after initial treatment may be unnecessary and potentially harmful for survivors with recurrence-free, low- or intermediate-risk thyroid cancer. Little is known about clinician-reported barriers and facilitators to reducing thyroid cancer survivors' thyroid hormone dose with the goal of aiming for TSH in the normal reference range.
methodsClinicians from the fields of endocrinology (n = 8) and primary care (n = 7) were recruited through convenience/snowball sampling to participate in semistructured focus groups. Data collection and analyses were informed by the Theoretical Domains Framework for behavior change, a valuable integrative framework which can facilitate comprehensive assessment of behavioral determinants in qualitative studies. Deductive coding and inductive thematic analysis were conducted.
resultsParticipants were majority female (73%) and averaged 14 years in clinical practice (range, 1-22). Barriers and facilitators emerged at the patient-level, clinician-level, and system-level. Key clinician-reported barriers included patient distress/anxiety and misinformation, unclear shared patient survivorship goals and plans between specialties, and clinic visit time constraints. Clinician-reported facilitators included building a trusting relationship, delivery of patient-centered education, and communication and collaboration between specialties to establish shared long-term survivorship plans.
conclusionsWe identified barriers and facilitators to de-escalating TSH suppression therapy in thyroid cancer survivors at multiple levels. Understanding these factors will enable clinicians to provide high-value, patient-centered care in order to reduce overtreatment, patient harm and improve quality of life in thyroid cancer survivors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.