Evidence map›Paper›PMID 38356210›Full record

ReviewEndocrinology and metabolism (Seoul, Korea)2024

Active Surveillance for Low-Risk Thyroid Cancers: A Review of Current Practice Guidelines.

Min Joo Kim, Jae Hoon Moon, Eun Kyung Lee, Young Shin Song, Kyong Yeun Jung, Ji Ye Lee, Ji-Hoon Kim, Kyungsik Kim, Sue K Park, Young Joo Park

Abstract readReview
In one paragraph

Review in Endocrinology and metabolism (Seoul, Korea), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Ablative Technologies for Thyroid Nodules: A Health Technology Assessment.Ontario health technology assessment series · 2026
    Pooled it
  3. Guideline
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Current evidence and strategies for preventing tumor recurrence following thermal ablation of papillary thyroid carcinoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Min Joo KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Jae Hoon MoonDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Eun Kyung LeeDepartment of Internal Medicine, National Cancer Center, Goyang, Korea.
Young Shin SongDepartment of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
Kyong Yeun JungDepartment of Internal Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
Ji Ye LeeDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.
Ji-Hoon KimDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.
Kyungsik KimDeparment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sue K ParkDeparment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Young Joo ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Funding

Ministry of Education 5120200513755Ministry of Health and Welfare HV23C1828National Research Foundation of Korea
6 · The paper itself

Abstract

The indolent nature and favorable outcomes associated with papillary thyroid microcarcinoma have prompted numerous prospective studies on active surveillance (AS) and its adoption as an alternative to immediate surgery in managing low-risk thyroid cancer. This article reviews the current status of AS, as outlined in various international practice guidelines. AS is typically recommended for tumors that measure 1 cm or less in diameter and do not exhibit aggressive subtypes on cytology, extrathyroidal extension, lymph node metastasis, or distant metastasis. To determine the most appropriate candidates for AS, factors such as tumor size, location, multiplicity, and ultrasound findings are considered, along with patient characteristics like medical condition, age, and family history. Moreover, shared decision-making, which includes patient-reported outcomes such as quality of life and cost-effectiveness, is essential. During AS, patients undergo regular ultrasound examinations to monitor for signs of disease progression, including tumor growth, extrathyroidal extension, or lymph node metastasis. In conclusion, while AS is a feasible and reliable approach for managing lowrisk thyroid cancer, it requires careful patient selection, effective communication for shared decision-making, standardized follow-up protocols, and a clear definition of disease progression.

Indexed as

ThyroidectomyThyroid NeoplasmsDisease ProgressionHumansLymphatic MetastasisPractice Guidelines as TopicProspective StudiesQuality of LifeWatchful WaitingActive surveillanceGuidelinePapillary thyroid cancerPractice guidelineThyroid neoplasmsWatchful waiting

Identifiers

PMID38356210
PMCPMC10901665

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.