Evidence map›Paper›PMID 41473727›Full record

ArticleFrontiers in public health2025

Treatment preferences in low-risk papillary thyroid microcarcinoma: a discrete choice experiment.

Siming Wang, Jialiang Feng, Jinfeng Yue, Xueqin Niu, Juan He, Yuqi Yang, Jingbo Zhang, Kuo Miao

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Siming Wang *The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Jialiang Feng *Zhongnan Hospital of Wuhan University, Wuhan, China.
Jinfeng YueThe Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Xueqin NiuThe Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Juan HeSchool of Nursing, Henan University of Science and Technology, Luoyang, China.
Yuqi YangSchool of Nursing, Henan University of Science and Technology, Luoyang, China.
Jingbo ZhangCenter for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Kuo MiaoThe Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to assess treatment preferences among newly diagnosed low-risk papillary thyroid microcarcinoma (PTMC) patients and analyse the trade-offs they make in treatment decisions. Design: Cross-sectional study. Methods: Conducted at the Fourth Affiliated Hospital of Harbin Medical University from June 2023 to April 2024, this study employed a discrete choice experiment. Participants were asked to choose among three treatment options with varying levels across seven attributes. A mixed logit model was used to analyse patient preferences, calculate the relative importance (RI) of attributes, and estimate marginal willingness to pay (mWTP). Subgroup analyses were also performed. Results: The final sample of 418 participants yielded 11,286 observations. The most influential attribute affecting treatment choice was the 10-year risk of disease recurrence or progression (RI = 58.4%), followed by the risk of short-term complications (RI = 8.9%), treatment type (RI = 8.5%), length of hospital stay (RI = 7.7%), need for lifelong thyroid medication (RI = 7.3%), and out-of-pocket treatment costs (RI = 6.9%). The risk of permanent voice change had minimal impact (RI = 2.4%). Regarding treatment type, participants significantly preferred thermal ablation over open surgery, while endoscopic thyroidectomy was less preferred, and active surveillance was the least favoured option. The mWTP analysis reinforced these priorities. Additionally, sociodemographic and psychological factors also influenced preferences. Conclusion: These findings highlight the need for healthcare providers to clearly communicate the long-term impacts of different treatment options to support informed decision-making. They also underscore the importance of improving patient-centred care, enhancing health education, and addressing the issue of overtreatment in PTMC.

Indexed as

Carcinoma, PapillaryChoice BehaviorPatient PreferenceThyroid NeoplasmsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesactive surveillancediscrete choice experimentpapillary thyroid microcarcinomapartial thyroidectomythermal ablationtreatment preferences

Identifiers

PMID41473727
PMCPMC12745395

What OpenQuestion holds

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Registered trials

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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.