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<p>Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a distant second choice as compared to conventional open thyroid surgery (OTSx) in India. The aim of this study was to understand the perspectives and decision-making of patients and healthcare workers (HCWs) about OTSx and TOETVA. Patients from a single centre were enrolled. Patients’ survey was done by using an interviewer-administered questionnaire, focusing on patients’ reasons for choosing the type of surgery. HCWs, who have assisted in TOETVA, were administered a questionnaire on their perspectives on TOETVA and OTSx. <i>Patients Perspectives:</i> A total of 70 patients underwent TOETVA and 95 patients underwent OTSx. Survey response rate was 90%. More women opted for TOETVA as compared to men (<i>p </i>= 0.003). There was no significant difference in opting for TOETVA or OTSx with regards to education level, marital status, working status at the time of surgery. 33% in OTSx group said if they could choose between the two procedures again, they would opt for TOETVA instead. <i>HCWs Perspectives:</i> A total of 136 healthcare workers (HCWs) (response rate 71.5%) responded to the survey. Among those surveyed, 97% believed that patients with thyroid nodules undergoing TOETVA are more satisfied due to the lack of visible neck scars. For their own theoretical thyroid nodule, 73% of HCWs said that they would opt for TOETVA despite longer operative time. In this first study from global south, a significant portion of patients, who previously opted for OTSx, expressed regret and would opt for TOETVA if given another chance. Similarly majority of HCWs, also favor it in a theoretical situation of their own thyroid nodule. Our study highlights the complexity in balancing patient preferences with practical considerations in LMICs, contrasting with other studies that focus solely on patient preferences and cultural influences.</p>

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Understanding Perspectives and Decision-Making for Thyroid Surgery: A Survey of Patient and Healthcare Workers on Open Versus Transoral Endoscopic Approaches

  • 期刊论文

  • 发表日期：

    2025年6月5日

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  • Sanjay Kumar Yadav,
  • S. Bharath,
  • K. P. Murlikrishnan Nambiar,
  • Chandan Kumar Jha,
  • Goonj Johri,
  • Pawan Agarwal,
  • Dhananjaya Sharma

摘要

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a distant second choice as compared to conventional open thyroid surgery (OTSx) in India. The aim of this study was to understand the perspectives and decision-making of patients and healthcare workers (HCWs) about OTSx and TOETVA. Patients from a single centre were enrolled. Patients’ survey was done by using an interviewer-administered questionnaire, focusing on patients’ reasons for choosing the type of surgery. HCWs, who have assisted in TOETVA, were administered a questionnaire on their perspectives on TOETVA and OTSx. Patients Perspectives: A total of 70 patients underwent TOETVA and 95 patients underwent OTSx. Survey response rate was 90%. More women opted for TOETVA as compared to men (p = 0.003). There was no significant difference in opting for TOETVA or OTSx with regards to education level, marital status, working status at the time of surgery. 33% in OTSx group said if they could choose between the two procedures again, they would opt for TOETVA instead. HCWs Perspectives: A total of 136 healthcare workers (HCWs) (response rate 71.5%) responded to the survey. Among those surveyed, 97% believed that patients with thyroid nodules undergoing TOETVA are more satisfied due to the lack of visible neck scars. For their own theoretical thyroid nodule, 73% of HCWs said that they would opt for TOETVA despite longer operative time. In this first study from global south, a significant portion of patients, who previously opted for OTSx, expressed regret and would opt for TOETVA if given another chance. Similarly majority of HCWs, also favor it in a theoretical situation of their own thyroid nodule. Our study highlights the complexity in balancing patient preferences with practical considerations in LMICs, contrasting with other studies that focus solely on patient preferences and cultural influences.