The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.

<h4>Background</h4>Adjuvant treatment with radioactive iodine (RAI) is often considered in the treatment of well-differentiated thyroid carcinoma (WDTC). We explored the recollections of thyroid cancer survivors on the diagnosis of WDTC, adjuvant radioactive iodine (RAI) treatment, and d...

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Autores principales:	Anna M Sawka, David P Goldstein, James D Brierley, Richard W Tsang, Lorne Rotstein, Shereen Ezzat, Sharon Straus, Susan R George, Susan Abbey, Gary Rodin, Mary Ann O'Brien, Amiram Gafni, Lehana Thabane, Jeannette Goguen, Asima Naeem, Lilian Magalhaes
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2009
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/759c999342ab43258b8d6c6fa94d1e48
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spelling	oai:doaj.org-article:759c999342ab43258b8d6c6fa94d1e482021-11-25T06:17:47ZThe impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.1932-620310.1371/journal.pone.0004191https://doaj.org/article/759c999342ab43258b8d6c6fa94d1e482009-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19142227/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Adjuvant treatment with radioactive iodine (RAI) is often considered in the treatment of well-differentiated thyroid carcinoma (WDTC). We explored the recollections of thyroid cancer survivors on the diagnosis of WDTC, adjuvant radioactive iodine (RAI) treatment, and decision-making related to RAI treatment. Participants provided recommendations for healthcare providers on counseling future patients on adjuvant RAI treatment.<h4>Methods</h4>We conducted three focus group sessions, including WDTC survivors recruited from two Canadian academic hospitals. Participants had a prior history of WDTC that was completely resected at primary surgery and had been offered adjuvant RAI treatment. Open-ended questions were used to generate discussion in the groups. Saturation of major themes was achieved among the groups.<h4>Findings</h4>There were 16 participants in the study, twelve of whom were women (75%). All but one participant had received RAI treatment (94%). Participants reported that a thyroid cancer diagnosis was life-changing, resulting in feelings of fear and uncertainty. Some participants felt dismissed as not having a serious disease. Some participants reported receiving conflicting messages from healthcare providers on the appropriateness of adjuvant RAI treatment or insufficient information. If RAI-related side effects occurred, their presence was not legitimized by some healthcare providers.<h4>Conclusions</h4>The diagnosis and treatment of thyroid cancer significantly impacts the lives of survivors. Fear and uncertainty related to a cancer diagnosis, feelings of the diagnosis being dismissed as not serious, conflicting messages about adjuvant RAI treatment, and treatment-related side effects, have been raised as important concerns by thyroid cancer survivors.Anna M SawkaDavid P GoldsteinJames D BrierleyRichard W TsangLorne RotsteinShereen EzzatSharon StrausSusan R GeorgeSusan AbbeyGary RodinMary Ann O'BrienAmiram GafniLehana ThabaneJeannette GoguenAsima NaeemLilian MagalhaesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 4, Iss 1, p e4191 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anna M Sawka David P Goldstein James D Brierley Richard W Tsang Lorne Rotstein Shereen Ezzat Sharon Straus Susan R George Susan Abbey Gary Rodin Mary Ann O'Brien Amiram Gafni Lehana Thabane Jeannette Goguen Asima Naeem Lilian Magalhaes The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
description	<h4>Background</h4>Adjuvant treatment with radioactive iodine (RAI) is often considered in the treatment of well-differentiated thyroid carcinoma (WDTC). We explored the recollections of thyroid cancer survivors on the diagnosis of WDTC, adjuvant radioactive iodine (RAI) treatment, and decision-making related to RAI treatment. Participants provided recommendations for healthcare providers on counseling future patients on adjuvant RAI treatment.<h4>Methods</h4>We conducted three focus group sessions, including WDTC survivors recruited from two Canadian academic hospitals. Participants had a prior history of WDTC that was completely resected at primary surgery and had been offered adjuvant RAI treatment. Open-ended questions were used to generate discussion in the groups. Saturation of major themes was achieved among the groups.<h4>Findings</h4>There were 16 participants in the study, twelve of whom were women (75%). All but one participant had received RAI treatment (94%). Participants reported that a thyroid cancer diagnosis was life-changing, resulting in feelings of fear and uncertainty. Some participants felt dismissed as not having a serious disease. Some participants reported receiving conflicting messages from healthcare providers on the appropriateness of adjuvant RAI treatment or insufficient information. If RAI-related side effects occurred, their presence was not legitimized by some healthcare providers.<h4>Conclusions</h4>The diagnosis and treatment of thyroid cancer significantly impacts the lives of survivors. Fear and uncertainty related to a cancer diagnosis, feelings of the diagnosis being dismissed as not serious, conflicting messages about adjuvant RAI treatment, and treatment-related side effects, have been raised as important concerns by thyroid cancer survivors.
format	article
author	Anna M Sawka David P Goldstein James D Brierley Richard W Tsang Lorne Rotstein Shereen Ezzat Sharon Straus Susan R George Susan Abbey Gary Rodin Mary Ann O'Brien Amiram Gafni Lehana Thabane Jeannette Goguen Asima Naeem Lilian Magalhaes
author_facet	Anna M Sawka David P Goldstein James D Brierley Richard W Tsang Lorne Rotstein Shereen Ezzat Sharon Straus Susan R George Susan Abbey Gary Rodin Mary Ann O'Brien Amiram Gafni Lehana Thabane Jeannette Goguen Asima Naeem Lilian Magalhaes
author_sort	Anna M Sawka
title	The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
title_short	The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
title_full	The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
title_fullStr	The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
title_full_unstemmed	The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
title_sort	impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2009
url	https://doaj.org/article/759c999342ab43258b8d6c6fa94d1e48
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The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study.

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