Feasibility of a snowball sampling survey to study active surveillance for thyroid microcarcinoma treatment among endocrinologists and surgeons of Brazil

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dc.creatorIsabela Matos da Silva
dc.creatorTaísa Quécia da Silva Nogueira
dc.creatorDeborah Nogueira Couto
dc.creatorPaula Cristina Tanajura Meira Lima
dc.creatorNatália Sampaio Carvalho Bonfim
dc.creatorIzadora Gomes Veiga de Sousa
dc.creatorAna Clara Tosta Telles
dc.creatorFábio Hecht
dc.creatorNina Ramalho Alkmim
dc.creatorGustavo Cancela e Penna
dc.creatorCarolina Ferraz
dc.creatorEduardo Tomimori
dc.creatorHelton Estrela Ramos
dc.date.accessioned2023-11-27T19:36:54Z
dc.date.accessioned2025-09-08T23:50:35Z
dc.date.available2023-11-27T19:36:54Z
dc.date.issued2022
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.bjorl.2022.01.005
dc.identifier.issn1808-8686
dc.identifier.urihttps://hdl.handle.net/1843/61409
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.rightsAcesso Aberto
dc.subjectNeoplasias da Glândula Tireoide
dc.subjectConduta Expectante
dc.subjectEndocrinologistas
dc.subject.otherMicrocarcinoma
dc.subject.otherSlow-risk thyroid cancer
dc.subject.otherActive surveillance
dc.subject.otherSurvey
dc.titleFeasibility of a snowball sampling survey to study active surveillance for thyroid microcarcinoma treatment among endocrinologists and surgeons of Brazil
dc.title.alternativeViabilidade 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
dc.typeArtigo de periódico
local.citation.epageS169
local.citation.issuesup4
local.citation.spageS163
local.citation.volume88
local.description.resumoObjectives: 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.
local.identifier.orcidhttps://orcid.org/0000-0002-2405-3700
local.identifier.orcidhttps://orcid.org/0000-0002-8763-6049
local.identifier.orcidhttps://orcid.org/0000-0001-9427-822X
local.identifier.orcidhttps://orcid.org/0000-0003-1821-3496
local.identifier.orcidhttps://orcid.org/0000-0002-4766-5654
local.identifier.orcidhttps://orcid.org/0000-0002-0704-1628
local.identifier.orcidhttps://orcid.org/0000-0002-2855-5855
local.identifier.orcidhttps://orcid.org/0000-0001-9110-2587
local.identifier.orcidhttps://orcid.org/0000-0002-0317-4087
local.identifier.orcidhttps://orcid.org/0000-0003-2125-7051
local.identifier.orcidhttps://orcid.org/0000-0002-6620-8926
local.identifier.orcidhttps://orcid.org/0000-0002-8206-4862
local.identifier.orcidhttps://orcid.org/0000-0002-2900-2099
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S1808869422000064?via%3Dihub

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