Focus on Values to Stimulate Shared Decisions
Thyroid Cancer
About this trial
This is an interventional treatment trial for Thyroid Cancer focused on measuring shared decision making, quality of life, patient-doctor communication, patient treatment preferences
Eligibility Criteria
Decision 1: total thyroidectomy vs. hemithyroidectomy:
Inclusion Criteria:
- patients with nodules >1 cm and <4 cm, with cytology result suspicious or malignant (Bethesda 5 or 6) with no clinical or radiological evidence of pathological lymph nodes and/or distant metastases before the primary (diagnostic) surgery
- patients with histologically (after diagnostic hemithyroidectomy) proven TC but are defined as low-risk according to the ATA classification.
Exclusion criteria:
- patients with multifocal TC
- patients with incomplete resection of the primary tumor
- patients with ATA defined intermediate risk or high risk
Decision 2: no treatment with RAI vs. treatment with RAI:
Inclusion criteria:
• patients with ATA defined low-risk and patients with multifocal papillary TC in the absence of other adverse features
Exclusion criteria:
• patients with ATA defined intermediate and high risk
Decision 3: active surveillance vs. systemic treatment
Inclusion criteria:
• patients with asymptomatic or mildly symptomatic RAI-refractory (slowly) progressive metastatic disease
Exclusion criteria:
• patients with coexisting conditions that do not allow prescription of TKI's
Other exclusion Criteria:
- lack of Dutch language proficiency
- mental incompetence hampering the process of shared decision making as judged by the physician
Sites / Locations
- Rijnstate hospitalRecruiting
- CWZRecruiting
- RadboudumcRecruiting
- MUMCRecruiting
- Catharina hospitalRecruiting
- AUMC
- AVLRecruiting
- HagaRecruiting
- LUMCRecruiting
- UMCGRecruiting
- UMC UtrechtRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Decision aid, SDM booster and deliberation training
Deliberation training
In the first arm, patients have COMBO, consisting of the decision aid, the SDM-booster, and the values deliberation training for physicians
In the second arm, patients have the values deliberation training for physicians alone.