What question did this study set out to answer?

To compare patient-reported outcomes (PROs) between surgery and active surveillance for low-risk papillary thyroid cancer.

March 14, 2026Open Access

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Patient-Reported Outcomes Three Years After Deciding on Surgery or Active Surveillance for Small, Low-Risk Papillary Thyroid Cancer: Results of a Prospective Cohort Study

ASAnna M. SawkaUniversity Health Network SGSangeet Ghai LRLorne RotsteinUniversity Health Network

Puntos clave

To compare patient-reported outcomes (PROs) between surgery and active surveillance for low-risk papillary thyroid cancer.
Prospective cohort study design.
Patients chose between surgery or active surveillance (AS).
Evaluated PROs three years after the initial decision.
No significant difference in PROs between surgery and AS groups.
Patients switching from AS to surgery report higher cancer-related worry and decision regret.

Resumen

We observed that PROs do not significantly differ between patients who chose AS and those who chose immediate surgery a few years after the initial disease management choice. However, patients who crossover from AS to surgery may experience greater cancer-related worry and decision regret.

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Patient-Reported Outcomes Three Years After Deciding on Surgery or Active Surveillance for Small, Low-Risk Papillary Thyroid Cancer: Results of a Prospective Cohort Study

Puntos clave

Resumen

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