What Do Korean Women Know and Want to Know about Thyroid Cancer? A Qualitative Study

  • Lee, Bomyee (National Cancer Control Institute) ;
  • Park, Jae Young (Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Shin, Hye Young (National Cancer Control Institute) ;
  • Park, Sang Hee (Graduate School of Communication, Sogang University) ;
  • Choi, Eun-Bi (National Cancer Control Institute) ;
  • Yoo, Jisu (National Cancer Control Institute) ;
  • Choi, Kui Son (Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Jun, Jae Kwan (National Cancer Control Institute)
  • Published : 2016.06.01

Abstract

Background: Despite increasing debate about overdiagnosis and overtreatment of thyroid cancer in Korea, information to guide decisions on whether or not to undergo screening for and treatment of abnormal lesions of the thyroid is lacking. Moreover, studies have yet to outline what lay people know and want to know about thyroid cancer. The primary aim of this study was to explore general awareness of thyroid cancer among Korean women, their sources of information, and their satisfaction with the information they are provided. The secondary aim was to investigate information needs about thyroid cancer. Materials and Methods: A qualitative study using focus group interviews was conducted. Twenty-nine women were divided into four groups: (1) participants who had never undergone thyroid ultrasound screening; (2) those who had undergone screening, (3) those who continued to undergo regular check-ups with ultrasonography for benign nodules of the thyroid; and (4) participants who had undergone surgery for thyroid cancer. Results: A widespread lack of awareness of information on thyroid cancer was noted among participants in groups 1 and 2 who were not well aware of thyroid cancer and generally recognized it as a 'good cancer'. Surprisingly, instead of doctors and medical personnel, most participants reported obtaining information from acquaintances and media outlets. Moreover, most participants described dissatisfaction with their experience with screening and a lack of explanation on treatment and test results from medical personnel. Conclusions: Women in Korea seek reliable information on thyroid cancer that could help them to better understand the disease and make informed decisions regarding screening and treatment. More effort is needed from medical personnel to communicate the implications of thyroid cancer, screening results, and treatments thereof to lay people.

Keywords

Qualitative study;focus group;thyroid cancer;information needs;lay Korean females

Acknowledgement

Supported by : National Cancer Center

References

  1. Ahn HS, Kim HJ, Welch HG (2014). Korea's thyroid-cancer "epidemic": screening and overdiagnosis. N Engl J Med, 371, 1765-7. https://doi.org/10.1056/NEJMp1409841
  2. Ankem K (2006). Factors influencing information needs among cancer patients: A meta-analysis. Libr Inf Sci Res, 28, 7-23. https://doi.org/10.1016/j.lisr.2005.11.003
  3. Bolderston A (2008). Mixed messages? A comparison between the perceptions of radiation therapy patients and radiation therapists regarding patients' educational needs. Radiography, 14, 111-9. https://doi.org/10.1016/j.radi.2006.09.001
  4. Davies L, Welch HG (2014). Current thyroid cancer trends in the United States. JAMA Otolaryngol Head Neck Surg, 140, 317-22. https://doi.org/10.1001/jamaoto.2014.1
  5. Degner LF, Kristjanson LJ, Bowman D, et al (1997). Information needs and decisional preferences in women with breast cancer. JAMA, 277, 1485-92. https://doi.org/10.1001/jama.1997.03540420081039
  6. Esserman LJ, Thompson IM, Reid B, et al (2014). Addressing overdiagnosis and overtreatment in cancer: a prescription for change. Lancet Oncol, 15, 234-42. https://doi.org/10.1016/S1470-2045(13)70598-9
  7. Gamper MDE-M, Sztankay M (2015). Lebensqualität und psychische Belastungen von Schilddrüsenkrebspatienten. Der Onkologe, 21, 625-9. https://doi.org/10.1007/s00761-015-2918-0
  8. Graydon J, Galloway S, Palmer-Wickham S, et al (1997). Information needs of women during early treatment for breast cancer. J Adv Nurs, 26, 59-64. https://doi.org/10.1046/j.1365-2648.1997.1997026059.x
  9. Hummelinck A, Pollock K (2006). Parents' information needs about the treatment of their chronically ill child: A qualitative study. Patient Educ Couns, 62, 228-34. https://doi.org/10.1016/j.pec.2005.07.006
  10. Ito Y, Nikiforov YE, Schlumberger M, et al (2013). Increasing incidence of thyroid cancer: controversies explored. Nat Rev Endocrinol, 9, 178-84. https://doi.org/10.1038/nrendo.2012.257
  11. Jung KW, Won YJ, Kong HJ, et al (2015). Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat, 47, 127-41. https://doi.org/10.4143/crt.2015.060
  12. Luker KA, Beaver K, Lemster SJ, et al (1996). Information needs and sources of information for women with breast cancer: a follow-up study. J Adv Nurs, 23, 487-95. https://doi.org/10.1111/j.1365-2648.1996.tb00010.x
  13. Reyna VF, Nelson WL, Han PK, et al (2015). Decision making and cancer. Am Psychol, 70, 105-18. https://doi.org/10.1037/a0036834
  14. Rutten LJF, Arora NK, Bakos AD, et al (2005). Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). Patient Educ Couns, 57, 250-61. https://doi.org/10.1016/j.pec.2004.06.006
  15. Smith TJ, Dow LA, Virago E, et al (2010). Giving honest information to patients with advanced cancer maintains hope. Oncol, 24, 521-5.
  16. Squiers L, Finney Rutten LJ, Treiman K, et al (2005). Cancer patients' information needs across the cancer care continuum: evidence from the cancer information service. J Health Commun, 10, 15-34. https://doi.org/10.1080/10810730500263620
  17. Tsuchiya M, Horn S (2009). An exploration of unmet information needs among breast cancer patients in Japan: a qualitative study. Eur J Cancer Care, 18, 149-55. https://doi.org/10.1111/j.1365-2354.2008.00936.x
  18. Vecchia C, Malvezzi M, Bosetti C, et al (2014). Thyroid cancer mortality and incidence: A global overview. Int J Cancer. 136, 2187-95.
  19. Yi KH, Kim SY, Kim DH, et al (2015). The Korean guideline for thyroid cancer screening. J Korean Med Assoc, 58, 302-12. https://doi.org/10.5124/jkma.2015.58.4.302
  20. Zevallos JP, Hartman CM, Kramer JR, et al (2014). Increased thyroid cancer incidence corresponds to increased use of thyroid ultrasound and fine-needle aspiration: A study of the Veterans Affairs health care system. Cancer, 121, 741-6.