Psychological adjustment to initial treatment for low-risk thyroid cancer: Preliminary study

Gabriella T. Seo; Mark L. Urken; Lauren E. Wein; Michael P. Saturno; Danielle Kapustin; Monica H. Xing; Lauren E. Yue; Eric M. Dowling; Tracey A. Revenson; Katherine J. Roberts; Robert Michael Tuttle

doi:10.1002/hed.27265

Psychological adjustment to initial treatment for low-risk thyroid cancer: Preliminary study

Gabriella T. Seo, Mark L. Urken, Lauren E. Wein, Michael P. Saturno, Danielle Kapustin, Monica H. Xing, Lauren E. Yue, Eric M. Dowling, Tracey A. Revenson, Katherine J. Roberts, Robert Michael Tuttle

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: Low-risk papillary thyroid carcinoma (LR-PTC) can be managed by immediate surgery (IS) or active surveillance (AS). We compare the psychological impact of these treatments on patients with LR-PTC. Methods: Psychological data were collected over 1 year, with assessments at the time of treatment decision (T1), at 6 months (T2) and 12 months (T3) follow-up. Assessments included 13 validated psychological tools. Results: Of 27 enrolled patients, 20 chose AS and 7 chose IS. The average times to T2 and T3 were 5.7 and 11.3 months, respectively. For both groups, Impact of Events Scale scores significantly decreased (p = 0.001) at T2, and depressive/anxiety symptoms remained low. Conclusions: This study demonstrates the feasibility of assessing psychological outcomes among patients treated for LR-PTC. Further studies are needed to evaluate the impact of AS versus IS on quality of life and changes that patients experience over longer time periods following their treatment decision.

Original language	English
Pages (from-to)	439-448
Number of pages	10
Journal	Head and Neck
Volume	45
Issue number	2
DOIs	https://doi.org/10.1002/hed.27265
State	Published - Feb 2023

Keywords

active surveillance
immediate surgery
low risk
papillary microcarcinoma
thyroid cancer

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title = "Psychological adjustment to initial treatment for low-risk thyroid cancer: Preliminary study",

abstract = "Background: Low-risk papillary thyroid carcinoma (LR-PTC) can be managed by immediate surgery (IS) or active surveillance (AS). We compare the psychological impact of these treatments on patients with LR-PTC. Methods: Psychological data were collected over 1 year, with assessments at the time of treatment decision (T1), at 6 months (T2) and 12 months (T3) follow-up. Assessments included 13 validated psychological tools. Results: Of 27 enrolled patients, 20 chose AS and 7 chose IS. The average times to T2 and T3 were 5.7 and 11.3 months, respectively. For both groups, Impact of Events Scale scores significantly decreased (p = 0.001) at T2, and depressive/anxiety symptoms remained low. Conclusions: This study demonstrates the feasibility of assessing psychological outcomes among patients treated for LR-PTC. Further studies are needed to evaluate the impact of AS versus IS on quality of life and changes that patients experience over longer time periods following their treatment decision.",

keywords = "active surveillance, immediate surgery, low risk, papillary microcarcinoma, thyroid cancer",

author = "Seo, {Gabriella T.} and Urken, {Mark L.} and Wein, {Lauren E.} and Saturno, {Michael P.} and Danielle Kapustin and Xing, {Monica H.} and Yue, {Lauren E.} and Dowling, {Eric M.} and Revenson, {Tracey A.} and Roberts, {Katherine J.} and Tuttle, {Robert Michael}",

note = "Publisher Copyright: {\textcopyright} 2022 Wiley Periodicals LLC.",

year = "2023",

month = feb,

doi = "10.1002/hed.27265",

language = "English",

volume = "45",

pages = "439--448",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons Inc.",

number = "2",

}

TY - JOUR

T1 - Psychological adjustment to initial treatment for low-risk thyroid cancer

T2 - Preliminary study

AU - Seo, Gabriella T.

AU - Urken, Mark L.

AU - Wein, Lauren E.

AU - Saturno, Michael P.

AU - Kapustin, Danielle

AU - Xing, Monica H.

AU - Yue, Lauren E.

AU - Dowling, Eric M.

AU - Revenson, Tracey A.

AU - Roberts, Katherine J.

AU - Tuttle, Robert Michael

PY - 2023/2

Y1 - 2023/2

N2 - Background: Low-risk papillary thyroid carcinoma (LR-PTC) can be managed by immediate surgery (IS) or active surveillance (AS). We compare the psychological impact of these treatments on patients with LR-PTC. Methods: Psychological data were collected over 1 year, with assessments at the time of treatment decision (T1), at 6 months (T2) and 12 months (T3) follow-up. Assessments included 13 validated psychological tools. Results: Of 27 enrolled patients, 20 chose AS and 7 chose IS. The average times to T2 and T3 were 5.7 and 11.3 months, respectively. For both groups, Impact of Events Scale scores significantly decreased (p = 0.001) at T2, and depressive/anxiety symptoms remained low. Conclusions: This study demonstrates the feasibility of assessing psychological outcomes among patients treated for LR-PTC. Further studies are needed to evaluate the impact of AS versus IS on quality of life and changes that patients experience over longer time periods following their treatment decision.

AB - Background: Low-risk papillary thyroid carcinoma (LR-PTC) can be managed by immediate surgery (IS) or active surveillance (AS). We compare the psychological impact of these treatments on patients with LR-PTC. Methods: Psychological data were collected over 1 year, with assessments at the time of treatment decision (T1), at 6 months (T2) and 12 months (T3) follow-up. Assessments included 13 validated psychological tools. Results: Of 27 enrolled patients, 20 chose AS and 7 chose IS. The average times to T2 and T3 were 5.7 and 11.3 months, respectively. For both groups, Impact of Events Scale scores significantly decreased (p = 0.001) at T2, and depressive/anxiety symptoms remained low. Conclusions: This study demonstrates the feasibility of assessing psychological outcomes among patients treated for LR-PTC. Further studies are needed to evaluate the impact of AS versus IS on quality of life and changes that patients experience over longer time periods following their treatment decision.

KW - active surveillance

KW - immediate surgery

KW - low risk

KW - papillary microcarcinoma

KW - thyroid cancer

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DO - 10.1002/hed.27265

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AN - SCOPUS:85144037663

SN - 1043-3074

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SP - 439

EP - 448

JO - Head and Neck

JF - Head and Neck

IS - 2

ER -

Psychological adjustment to initial treatment for low-risk thyroid cancer: Preliminary study

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Keywords

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