student profile: Ms Brooke Nickel


Map

Thesis work

Thesis title: Examination of how different terminologies for early stage cancer or precancerous conditions affect patients' psychological outcomes and decision making regarding treatment

Supervisors: Kirsten MCCAFFERY , Raymond MOYNIHAN, Kirsten HOWARD , Alexandra BARRATT

Thesis abstract:

A range of disorders with indolent to fast-growing lesions are labelled as cancer. Lesions with low malignant potential are common, and with the advent and increasing use of various screening technologies these indolent lesions and their precursors are now frequently clinically identified. There have been recent recommendations from expert groups including the National Institute of Health and the National Cancer Institute in the United States to change the terminology for these lesions with low malignant potential by removing the cancer term in order to reduce the growing concern of overdiagnosis and in turn overtreatment.

Using a mixed methods approach this thesis will examine of how different terminologies for early stage cancer or precancerous conditions affect patients' psychological outcomes and decision making regarding treatment in the context of low-risk papillary thyroid cancer. The knowledge and methods generated will be applicable to translate into other contexts in which changes in terminology are more challenging to test but are an important potential strategy to reduce aggressive treatment responses to low-risk disease, including low-risk ductal carcinoma in situ (DCIS) and low-risk prostate cancer. 

Selected publications

Download citations: PDF RTF Endnote

Journals

  • Nickel, B., Brito, J., Barratt, A., Jordan, S., Moynihan, R., McCaffery, K. (2017). Clinicians' Views on Management and Terminology for Papillary Thyroid Microcarcinoma: A Qualitative Study. Thyroid, 27(5), 661-671. [More Information]
  • Jansen, J., Naganathan, V., Carter, S., McLachlan, A., Nickel, B., Irwig, L., Bonner, C., Doust, J., Colvin, J., Heaney, A., McCaffery, K., et al (2016). Too much medicine in older people? Deprescribing through shared decision making. BMJ, 353, 1-6. [More Information]
  • Nickel, B., Barratt, A., Hersch, J., Moynihan, R., Irwig, L., McCaffery, K. (2015). How different terminology for ductal carcinoma in situ (DCIS) impacts women's concern and management preferences: A qualitative study. The Breast, 24(5), 673-679. [More Information]
  • McCaffery, K., Nickel, B., Moynihan, R., Hersch, J., Teixeira-Pinto, A., Irwig, L., Barratt, A. (2015). How different terminology for ductal carcinoma in situ impacts women's concern and treatment preferences: a randomised comparison within a national community survey. BMJ Open, 5(11), 1-7. [More Information]
  • Moynihan, R., Nickel, B., Hersch, J., Beller, E., Doust, J., Compton, S., Barratt, A., Bero, L., McCaffery, K. (2015). Public Opinions about Overdiagnosis: A National Community Survey. PloS One, 10(5), 1-13. [More Information]
  • Jansen, J., McKinn, S., Bonner, C., Irwig, L., Doust, J., Glasziou, P., Nickel, B., van Munster, B., McCaffery, K. (2015). Systematic review of clinical practice guidelines recommendations about primary cardiovascular disease prevention for older adults. BMC Family Practice, 16(1), 1-13. [More Information]
  • Moynihan, R., Nickel, B., Hersch, J., Doust, J., Barratt, A., Beller, E., McCaffery, K. (2015). What do you think overdiagnosis means? A qualitative analysis of responses from a national community survey of Australians. BMJ Open, 5(5), 1-7. [More Information]

2017

  • Nickel, B., Brito, J., Barratt, A., Jordan, S., Moynihan, R., McCaffery, K. (2017). Clinicians' Views on Management and Terminology for Papillary Thyroid Microcarcinoma: A Qualitative Study. Thyroid, 27(5), 661-671. [More Information]

2016

  • Jansen, J., Naganathan, V., Carter, S., McLachlan, A., Nickel, B., Irwig, L., Bonner, C., Doust, J., Colvin, J., Heaney, A., McCaffery, K., et al (2016). Too much medicine in older people? Deprescribing through shared decision making. BMJ, 353, 1-6. [More Information]

2015

  • Nickel, B., Barratt, A., Hersch, J., Moynihan, R., Irwig, L., McCaffery, K. (2015). How different terminology for ductal carcinoma in situ (DCIS) impacts women's concern and management preferences: A qualitative study. The Breast, 24(5), 673-679. [More Information]
  • McCaffery, K., Nickel, B., Moynihan, R., Hersch, J., Teixeira-Pinto, A., Irwig, L., Barratt, A. (2015). How different terminology for ductal carcinoma in situ impacts women's concern and treatment preferences: a randomised comparison within a national community survey. BMJ Open, 5(11), 1-7. [More Information]
  • Moynihan, R., Nickel, B., Hersch, J., Beller, E., Doust, J., Compton, S., Barratt, A., Bero, L., McCaffery, K. (2015). Public Opinions about Overdiagnosis: A National Community Survey. PloS One, 10(5), 1-13. [More Information]
  • Jansen, J., McKinn, S., Bonner, C., Irwig, L., Doust, J., Glasziou, P., Nickel, B., van Munster, B., McCaffery, K. (2015). Systematic review of clinical practice guidelines recommendations about primary cardiovascular disease prevention for older adults. BMC Family Practice, 16(1), 1-13. [More Information]
  • Moynihan, R., Nickel, B., Hersch, J., Doust, J., Barratt, A., Beller, E., McCaffery, K. (2015). What do you think overdiagnosis means? A qualitative analysis of responses from a national community survey of Australians. BMJ Open, 5(5), 1-7. [More Information]

Note: This profile is for a student at the University of Sydney. Views presented here are not necessarily those of the University.