Meta-synthesis of the experiences and needs of thyroid cancer patients and their stakeholders in treatment decision-making
10.3760/cma.j.cn115682-20250624-03328
- VernacularTitle:甲状腺癌患者及其利益相关者参与治疗决策体验及需求的Meta整合
- Author:
Zichen WANG
1
;
Zirong TIAN
;
Miao SHANG
;
Guang YANG
;
Mingqi WANG
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，北京 100730
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Stakeholders;
Shared decision-making;
Decision aids;
Treatment experience;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(33):4519-4527
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically synthesize the experiences and needs of thyroid cancer patients and their stakeholders in participating in treatment decision-making, so as to provide evidence-based theoretical support for the development of localized decision aids and the implementation of shared decision-making in China.Methods:A systematic search was conducted in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, China National Knowledge Infrastructure, VIP, Wanfang Data, and China Biomedical Literature Database for qualitative studies on the experiences and needs of thyroid cancer patients and their stakeholders in treatment decision-making. The search covered the period from the establishment of the databases to May 20, 2025. The 2020 version of the Joanna Briggs Institute (JBI) critical appraisal tool for qualitative research was used to assess study quality. Aggregative synthesis was applied to integrate the findings.Results:A total of 19 studies were included, from which 94 individual findings were extracted. These findings were categorized into 15 new categories and further synthesized into four overarching themes: role dynamics in treatment decision-making; challenging trade-offs between risks and benefits of treatment choices; multifactorial influences on treatment decisions; and multidimensional support needs.Conclusions:Treatment decision-making among thyroid cancer patients involves complex role identification, conflicting emotional experiences, and risk-benefit deliberations influenced by multiple factors. It is essential to build a "clinician-family-society" decision-support ecosystem encompassing informational, psychological, and social support. Future efforts should focus on developing culturally appropriate decision aids that integrate emotional support and innovative technologies to promote shared decision-making, enhance decision quality, and improve patient satisfaction.
