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Preferences for thyroidectomy technique: Comparing traditional and transoral approaches
Author(s) -
Chen Lena W.,
Assadi Niddal,
HefetzKirshenbaum Lior,
Hong Hanna,
Razavi Christopher R.,
Grogan Raymon H.,
Tufano Ralph P.,
Khafif Avi,
Russell Jonathon O.
Publication year - 2021
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26627
Subject(s) - thyroidectomy , medicine , preference , subtotal thyroidectomy , total thyroidectomy , general surgery , surgery , thyroid , economics , microeconomics
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.