Evidence map›Paper›PMID 40057484›Full record

ArticleNature communications2025

A multicenter cohort study of thyroidectomy-related decision regret in patients with low-risk papillary thyroid microcarcinoma.

Genpeng Li, Ruicen Li, Jinjing Zhong, Wenjie Chen, Jinhao Shuai, Meizhu Chen, Feng Deng, Tao Wei, Huairong Tang, Zhihui Li and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Article
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  4. Cancers · 2026
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  12. Comparative Outcomes of Microwave Ablation Versus Surgery for Papillary Thyroid Microcarcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  13. Article
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  15. Review
  16. Article
  17. Review
  18. Article
  19. Traditional Chinese Medicine Treatment of Thyroid Cancer: A Review.International journal of general medicine · 2025
    Review
  20. Article
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

11 authors.

Genpeng Li *Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ruicen Li *Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Jinjing Zhong *Department of Pathology, West China Hospital of Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-9387-967X
Wenjie Chen *Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Jinhao ShuaiDepartment of Thyroid and Breast Surgery, Meishan City People's Hospital, Meishan, China.
Meizhu ChenDepartment of General Surgery, Sanya People's Hospital, Sanya, China.
Feng DengDepartment of Stomach/Thyroid/Blood Vessel Surgery, Chongqing University Three Gorges Hospital, Chongqing, China.
Tao WeiDivision of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Huairong TangHealth and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China. thrhuaxi11@163.com.ORCID http://orcid.org/0000-0001-7449-8188
Zhihui LiDivision of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. lizhihui@wchscu.cn.
Jianyong LeiDivision of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. leijianyong@scu.edu.cn.ORCID http://orcid.org/0000-0001-7594-1671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The level of thyroidectomy-related regret in patients with clinically low-risk papillary thyroid microcarcinoma (PTMC) and the determinants of decision regret are largely unknown. Here, we show that 319 (24.2%) of those who undergo thyroidectomy and 4 (3.4%) who undergo active surveillance (AS) express heightened regret based on validated decision regret scale (DRS) scores in the first online survey (P < 0.001). Multivariable analysis and the second online survey for patients with heightened regret confirm that postoperative lower thyroid cancer-specific quality of life (QoL) (scar and psychology) (75.5%) is the most common factor for heightened regret of thyroidectomy, followed by preoperative understanding of disease [not at all] (15.0%), presentation of complications (3.8%) and other factors (5.7%). These results highlight that more caution should be exercised when low-risk PTMC patients are scheduled for thyroidectomy. Information about the various treatments for clinically low-risk PTMC, the risk of thyroidectomy and postoperative QoL should be fully communicated during initial counseling.

Indexed as

Carcinoma, PapillaryDecision MakingEmotionsThyroidectomyThyroid NeoplasmsAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedQuality of LifeSurveys and Questionnaires

Identifiers

PMID40057484
PMCPMC11890561

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.