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Table 2 Family Physicians opinions on thyroid nodule evaluation in primary care

From: A pilot study examining Toronto-area family physician perspectives on thyroid neoplasm evaluation

Statement Percentage strongly disagree or disagreea (number) Percentage neutrala (number) Percentage strongly agree or agreea (number) Percentage indicating “don’t know”a (number) Mean (standard deviation)a
Thyroid ultrasound (TUS) should be offered for palpable thyroid nodules (TNs) 0% (0/58) 3.5% (2/58) 96.6% (56/58) 0% (0/58) 4.7 (0.5)
TUS should be performed in patients with abnormal thyroid blood tests 40.4% (23/57) 26.3% (15/57) 33.3% (19/57) 1.7% (1/58) 2.9 (1.1)
Some of my patients expect or request a TUS, even if not medically necessary 29.3% (17/58) 17.2% (10/58) 53.4% (31/58) 0% (0/58) 3.3 (1.2)
TC screening by TUS is associated with reduced TC deaths 61.9% (26/42) 16.7% (7/42) 21.4% (9/42) 27.6% (16/58) 2.4 (1.1)
Suspicious TNs < 1 cm should always be biopsied 28.6% (16/56) 17.9% (10/56) 53.6% (30/56) 3.4% (2/58) 3.3 (1.1)
TN should be biopsied, if recommended by a radiologist on an imaging report 0% (0/58) 10.3% (6/58) 89.7% (52/58) 0% (0/58) 4.3 (0.6)
If a TN is incidentally noted on a chest computerized tomography scan, a TUS must be ordered 19.6% (11/56) 8.9% (5/56) 71.4% (40/56) 3.6% (2/58) 3.7 (1.1)
I am concerned about the risk of possible overdiagnosis of low risk TC patients 16.1% (9/56) 30.4% (17/56) 53.6% (30/56) 3.4% (2/58) 3.5 (0.9)
  1. Legend: aExcludes don’t know responses