Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/61409
Type: Artigo de Periódico
Title: Feasibility of a snowball sampling survey to study active surveillance for thyroid microcarcinoma treatment among endocrinologists and surgeons of Brazil
Other Titles: Viabilidade de uma pesquisa por amostragem em bola de neve para estudar a vigilância ativa do tratamento do microcarcinoma de tireoide entre endocrinologistas e cirurgiões do Brasil
Authors: Isabela Matos da Silva
Taísa Quécia da Silva Nogueira
Deborah Nogueira Couto
Paula Cristina Tanajura Meira Lima
Natália Sampaio Carvalho Bonfim
Izadora Gomes Veiga de Sousa
Ana Clara Tosta Telles
Fábio Hecht
Nina Ramalho Alkmim
Gustavo Cancela e Penna
Carolina Ferraz
Eduardo Tomimori
Helton Estrela Ramos
Abstract: Objectives: This study aims to investigate if a sampling method using virtual networks is feasible to survey AS adoption among this ‘‘hard-to-reach’’ population of Brazilian doctors. Methods: An online piloted 11-point structured survey questionnaire (designed using Googleforms®) probed the actual treatment patterns for adult patients with PTMCs, including treatment decision-making nonoperative options, was undertaken between 10 November and 30 November 2020. Participants were reached by the mobile phone Application (APP) and a snowball sampling strategy was used to recruit a total of 4783 members (maximum number of potential reach), which is the total of doctors of the all 21 social media WhatsApp® groups. Results: From a total of 4783 members (maximum number of potential reach), there were 657 (13.7%) doctors (actual reach) who clicked the web link of the questionnaire, out of whom 512 (10.7%) fully completed the online survey. Among the survey respondents, 361 were endocrinologists (70.5%) and 151 were surgeons (29.5%). Overall, for low-risk PTMCs in an elderly patient, 118 responders (23%) recommend AS, while 390 (76%) recommend immediate surgery as the management, including lobectomy (18.5%) and Total Thyroidectomy (58.2%). The present responders tended to recommend surgery for PTMCs that were located adjacent to the dorsal surface of the thyroid, were multiple, or raised the size during the follow-up. Conclusion: Using snowball sampling strategy as an innovative route to conduct surveys was feasible and applicable but the rate of response was still very low. Our data also suggests the need to investigate if AS is embraced by Brazilian doctors.
Subject: Neoplasias da Glândula Tireoide
Conduta Expectante
Endocrinologistas
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.1016/j.bjorl.2022.01.005
URI: http://hdl.handle.net/1843/61409
Issue Date: 2022
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/pii/S1808869422000064?via%3Dihub
metadata.dc.relation.ispartof: Brazilian Journal of Otorhinolaryngology
Appears in Collections:Artigo de Periódico



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