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Decisional conflict in patients considering diagnostic thyroidectomy with indeterminate fine needle aspirate cytopathology

Overview of attention for article published in Journal of Otolaryngology - Head & Neck Surgery, February 2016
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Title
Decisional conflict in patients considering diagnostic thyroidectomy with indeterminate fine needle aspirate cytopathology
Published in
Journal of Otolaryngology - Head & Neck Surgery, February 2016
DOI 10.1186/s40463-016-0130-x
Pubmed ID
Authors

Benjamin A. Taylor, Robert D. Hart, Matthew H. Rigby, Jonathan Trites, S. Mark Taylor, Paul Hong

Abstract

Fine needle aspiration (FNA) cytopathology is the gold standard work-up for thyroid nodules. However, indeterminate lesions are encountered commonly and can lead to difficult treatment decisions. We sought to determine whether patients experienced decisional conflict surrounding management with diagnostic thyroidectomy in the setting of indeterminate FNA results. Patients with indeterminate results of thyroid nodule FNA were prospectively enrolled. All consultations were carried out by three otolaryngologists in a consistent manner. After consultation, participants completed a demographics form and the Decisional Conflict Scale (DCS) questionnaire. Thirty-five patients (28 female) between the ages of 30 and 88 years (mean age 54.89) participated. The median total DCS score was 10.94 (interquartile range, 4.69-25.0). Twelve patients (34 %) scored at or above 25 on the DCS, indicating clinically significant level of decisional conflict. Patients reported feeling significantly more confident about their decision after the surgical consultation compared to before the consultation (p = 0.00). The total DCS score was significantly negatively correlated with self-reported confidence after the consultation (r = -0.421, p = 0.012). Many patients experienced clinically significant decisional conflict when considering thyroidectomy for management of a thyroid nodule with indeterminate cytopathology. Future research should be directed at developing decision support tools for this patient group, and exploring the impact of decisional conflict on health outcomes.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 8%
Unknown 24 92%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 15%
Professor > Associate Professor 4 15%
Researcher 3 12%
Other 2 8%
Student > Ph. D. Student 2 8%
Other 5 19%
Unknown 6 23%
Readers by discipline Count As %
Medicine and Dentistry 12 46%
Nursing and Health Professions 2 8%
Psychology 1 4%
Biochemistry, Genetics and Molecular Biology 1 4%
Social Sciences 1 4%
Other 1 4%
Unknown 8 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 February 2016.
All research outputs
#17,348,622
of 25,457,858 outputs
Outputs from Journal of Otolaryngology - Head & Neck Surgery
#321
of 629 outputs
Outputs of similar age
#189,132
of 312,067 outputs
Outputs of similar age from Journal of Otolaryngology - Head & Neck Surgery
#7
of 14 outputs
Altmetric has tracked 25,457,858 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 629 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.1. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 312,067 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 14 others from the same source and published within six weeks on either side of this one. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.