Details:

Alternative Title:
Cancer
Personal Author:
Chen, Debbie W. ; Reyes-Gastelum, David ; Wallner, Lauren P. ; Papaleontiou, Maria ; Hamilton, Ann S. ; ... More +
Chen, Debbie W. ; Reyes-Gastelum, David ; Wallner, Lauren P. ; Papaleontiou, Maria ; Hamilton, Ann S. ; Ward, Kevin C. ; Hawley, Sarah T. ; Zikmund-Fisher, Brian J. ; Haymart, Megan R. Less -
Description:
Background

Studies on risk perception among thyroid cancer survivors are scarce.

Methods

We surveyed patients with differentiated thyroid cancer from Surveillance, Epidemiology and End Results registries of Georgia and Los Angeles (N=2632; 63% response rate). Analytic cohort was defined by ≤5% risk of recurrence and mortality (N=1597). Patients estimated recurrence and mortality risk separately (increments of 10% and endpoints ≤5% and ≥95%). Both outcomes were dichotomized between reasonably accurate estimate (risk perception ≤5% or 10%) versus overestimation (risk perception ≥20%). We used multivariable logistic regression to identify factors associated with risk overestimation, and evaluated the relationships between overestimation and both worry and quality of life.

Results

In this sample, 24.7% overestimated recurrence risk and 12.5% overestimated mortality risk. Lower education was associated with overestimating recurrence (high school diploma and below: odds ratio (OR) 1.64, 95% confidence interval (CI) 1.16–2.31; some college: OR 1.36, 95% CI 1.02–1.81) and mortality risk (high school diploma and below: OR 1.86, 95% CI 1.18–2.93) compared to college degree and above. Hispanic ethnicity was associated with overestimating recurrence risk (OR 1.44, 95% CI 1.02–2.03) compared to whites. Worry about recurrence and death was greater among patients who overestimated versus had reasonably accurate estimate of recurrence and mortality risk, respectively (p<0.001). Patients who overestimated mortality risk also reported decreased physical quality of life (mean T-score 43.1, 95% CI 41.6–44.7) compared to general population.

Conclusion

Less educated and Hispanic patients were more likely to report inaccurate risk perceptions, which were associated with worry and decreased quality of life.


Subject:
[+]
Adult
Aged
Anxiety
Cancer Survivors/psychology
Female
Health Knowledge, Attitudes, Practice/ethnology
Humans
Male
Middle Aged
Neoplasm Recurrence, Local
Perception
Quality Of Life
Thyroid Neoplasms

Source:
Cancer. 126(7):1512-1521
Pubmed ID:
31869452
Pubmed Central ID:
PMC7178109
Document Type:
Journal Article
Funding:
U58 DP003875/DP/NCCDPHP CDC HHS/United States ; Grant No. R01 CA201198/CA/NCI NIH HHS/United States ; R01 HS024512/HS/AHRQ HHS/United States ; Grant T32DK07245/National Institutes of Diabetes and Digestive and Kidney Diseases/ ; University of Southern California/ ; ... More +
U58 DP003875/DP/NCCDPHP CDC HHS/United States ; Grant No. R01 CA201198/CA/NCI NIH HHS/United States ; R01 HS024512/HS/AHRQ HHS/United States ; Grant T32DK07245/National Institutes of Diabetes and Digestive and Kidney Diseases/ ; University of Southern California/ ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000035C/PC/NCI NIH HHS/United States ; T32 DK007245/DK/NIDDK NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; California Department of Public Health/ ; Grant No. R01 HS024512/Agency for Healthcare Research and Quality/ ; R01 CA201198/CA/NCI NIH HHS/United States ; HHSN261201800003C/CA/NCI NIH HHS/United States ; CC/CDC HHS/United States Less -
Name as Subject:
SEER Program
Place as Subject:
Georgia
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:52837f288fd53cb89cb17f10eada8fe849c14492748592e7a05053aaed60a864
File Type:

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