XXXX : a qualitative study of the wait and see approach.

@entity11 @entity1 @entity410 @entity148
BACKGROUND: There is no consensus on the best management of adults with presumed @entity11 ( @entity11 ). Studies have suggested uncertainty and @entity148 associated with a wait and see approach contribute to reduced quality of life. This study aims to explore the impact of a diagnosis of @entity11 , to address concerns regarding the uncertainty of the diagnosis and the role of wait and see from the @entity1 's perspective. METHODS: Qualitative research methodology was used. A semi-structured interview was conducted with 24 @entity1 with imaging evidence of @entity11 but no prior intervention. All @entity1 had been followed for at least one year prior to interview. Verbatim transcripts were subjected to thematic analysis. RESULTS: The median age of @entity1 was 47 (range 21-82) and the median duration of follow-up 37 months (range 12-156 months). Fifty percent presented with @entity410 . Five overarching themes emerged from the data; 1) @entity1 experience initial devastation followed by acceptance and low @entity148 ; 2) absence of symptoms mitigates @entity148 concerning the possibility of progression; 3) @entity1 would prefer to defer surgery until there is progression or a change in their quality of life; 4) @entity148 is reduced by trust in the physician; 5) quality of life is not affected by the diagnosis, as fear of morbidity from intervention is greater than the fear of uncertainty. CONCLUSIONS: The wait and see approach does not contribute to @entity148 or reduction in quality of life in @entity1 with @entity11 .
