Preferences for thyroidectomy technique: Comparing traditional and transoral approaches.
TOETVA
scarless surgery
surgical preferences
thyroidectomy
transoral thyroidectomy
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
revised:
14
12
2020
received:
28
09
2020
accepted:
21
01
2021
pubmed:
9
2
2021
medline:
1
7
2021
entrez:
8
2
2021
Statut:
ppublish
Résumé
We investigated preferences between the transcervical and transoral thyroidectomy approach in the United States and Israel. An online survey assessing scar attitudes and surgical preferences, in English and Hebrew, was distributed on ThyCa.com and other platforms. 928 and 339 responses from the United States and Israel cohorts, respectively, were analyzed. In both countries, individuals without prior thyroidectomy preferred a scarless approach when hypothetical risks equaled those of traditional thyroidectomy (77% United States, 76% Israel, p = 0.61). U.S. respondents without thyroidectomy had greater preference to avoid a scar and would pay more to do so than those with thyroidectomy (both p < 0.001). Many respondents with prior thyroidectomy still expressed interest in scarless alternatives (57% United States). Populations in Israel and the United States prefer scarless thyroidectomy when risks equal the traditional approach. While individuals without prior thyroidectomy are more likely to favor a scarless option, former thyroidectomy patients may have preferred avoiding a scar.
Sections du résumé
BACKGROUND
We investigated preferences between the transcervical and transoral thyroidectomy approach in the United States and Israel.
METHODS
An online survey assessing scar attitudes and surgical preferences, in English and Hebrew, was distributed on ThyCa.com and other platforms.
RESULTS
928 and 339 responses from the United States and Israel cohorts, respectively, were analyzed. In both countries, individuals without prior thyroidectomy preferred a scarless approach when hypothetical risks equaled those of traditional thyroidectomy (77% United States, 76% Israel, p = 0.61). U.S. respondents without thyroidectomy had greater preference to avoid a scar and would pay more to do so than those with thyroidectomy (both p < 0.001). Many respondents with prior thyroidectomy still expressed interest in scarless alternatives (57% United States).
CONCLUSIONS
Populations in Israel and the United States prefer scarless thyroidectomy when risks equal the traditional approach. While individuals without prior thyroidectomy are more likely to favor a scarless option, former thyroidectomy patients may have preferred avoiding a scar.
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1747-1758Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001079
Pays : United States
Informations de copyright
© 2021 Wiley Periodicals LLC.
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