Analyzing the adoption of radiofrequency ablation (RFA) of thyroid nodules using the diffusion of innovations theory: understanding where we are in the United States?
Jennifer H Kuo , Catherine McManus , James A. Lee
Columbia University, New York, United States
Corresponding Author: Jennifer H Kuo ,Tel: 212-305-6969, Fax: 212-305-0445, Email:
Received: June 2, 2021;  Accepted: July 1, 2021.  Published online: July 2, 2021.
Thyroid nodules are found in 68% of the general US population on ultrasound. Although thyroidectomy has been the mainstay of treatment for malignant and symptomatic benign thyroid nodules, RFA, as well as other ablative techniques, have emerged as safe, alternative non-surgical treatment options for benign solid thyroid nodules, toxic adenomas, and thyroid cysts. However, the United States has been slow to adopt these techniques. EM Rogers’ Diffusion of Innovation Theory provides us the proper conceptual framework to carefully analyze the process of adoption of RFA for thyroid nodules—to understand where we are currently, as well as, the important next steps that must be accomplished in order for RFA to be successfully adopted in the United States.
Keywords: Thyroid; Radiofrequency ablation; Innovation; Adoption curve
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