Presented, in part, at the following scientific meeting: The 81st Annual Meeting of the American Thyroid Association Meeting in Indian Wells, California (October 26–30, 2011).
Patients' experiences following local–regional recurrence of thyroid cancer: A qualitative study
Article first published online: 26 APR 2013
© 2013 Wiley Periodicals, Inc.
Journal of Surgical Oncology
Volume 108, Issue 1, pages 47–51, July 1, 2013
How to Cite
Misra, S., Meiyappan, S., Heus, L., Freeman, J., Rotstein, L., Brierley, J. D., Tsang, R. W., Rodin, G., Ezzat, S., Goldstein, D. P. and Sawka, A. M. (2013), Patients' experiences following local–regional recurrence of thyroid cancer: A qualitative study. J. Surg. Oncol., 108: 47–51. doi: 10.1002/jso.23345
- Issue published online: 20 JUN 2013
- Article first published online: 26 APR 2013
- Manuscript Accepted: 22 MAR 2013
- Manuscript Received: 12 DEC 2012
- Cancer Care Ontario Research Chair Program
- thyroid carcinoma;
- support needs
Background and Objective
The psychosocial impact of local–regional thyroid cancer recurrence is not known. The aim of this study was to explore thyroid cancer patients' experiences relating to diagnosis and treatment of local–regional disease recurrence.
We conducted 15 semi-structured interviews with survivors of differentiated thyroid cancer who underwent neck reoperation for recurrent disease. Participants were recruited from the clinical practices of thyroid surgeons and endocrinologists at University Health Network and Mount Sinai Hospitals in Toronto, Ontario. Participant interviews were audio-recorded, transcribed verbatim, and analyzed using qualitative methods. Saturation of themes was achieved.
Local–regional recurrence of thyroid cancer was associated with significant psychological distress. Confidence in healthcare providers as well as psychosocial support from family or social relations, were helpful in coping with disease recurrence. After recovery from treatment, post-traumatic growth was reported. However, questions and worry about the risk for future recurrence lingered at follow-up.
Local–regional recurrence of thyroid cancer has a significant psychosocial impact on patients, and support needs are heightened throughout the experience. Healthcare providers should strive to ensure that medical information and psychosocial needs of such patients are met, throughout the treatment experience, as well as at follow-up. J. Surg. Oncol. 2013;108:47–51. © 2013 Wiley Periodicals, Inc.