{"id":"https://openalex.org/W4408246776","doi":"https://doi.org/10.1038/s41467-025-57627-7","title":"A multicenter cohort study of thyroidectomy-related decision regret in patients with low-risk papillary thyroid microcarcinoma","display_name":"A multicenter cohort study of thyroidectomy-related decision regret in patients with low-risk papillary thyroid microcarcinoma","publication_year":2025,"publication_date":"2025-03-08","ids":{"openalex":"https://openalex.org/W4408246776","doi":"https://doi.org/10.1038/s41467-025-57627-7","pmid":"https://pubmed.ncbi.nlm.nih.gov/40057484","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11890561"},"language":"en","primary_location":{"id":"doi:10.1038/s41467-025-57627-7","doi":"https://doi.org/10.1038/s41467-025-57627-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41467-025-57627-7","pdf_url":null,"source":{"id":"https://openalex.org/S64187185","display_name":"Nature Communications","issn_l":"2041-1723","issn":["2041-1723"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nature Communications","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1038/s41467-025-57627-7","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035423338","display_name":"Genpeng Li","orcid":"https://orcid.org/0000-0002-9771-221X","observed_orcids":["https://orcid.org/0000-0002-9771-221X"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Genpeng Li","raw_affiliation_strings":["Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080895831","display_name":"Ruicen Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I2800091995","display_name":"West China Medical Center of Sichuan University","ror":"https://ror.org/040nggs60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I24185976","https://openalex.org/I2800091995"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ruicen Li","raw_affiliation_strings":["Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038702831","display_name":"Jinjing Zhong","orcid":"https://orcid.org/0000-0002-9387-967X","observed_orcids":["https://orcid.org/0000-0002-9387-967X"]},"institutions":[{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jinjing Zhong","raw_affiliation_strings":["Department of Pathology, West China Hospital of Sichuan University, Chengdu, China"],"raw_orcid":"https://orcid.org/0000-0002-9387-967X","affiliations":[{"raw_affiliation_string":"Department of Pathology, West China Hospital of Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100462250","display_name":"Wenjie Chen","orcid":"https://orcid.org/0000-0001-5970-3569","observed_orcids":["https://orcid.org/0000-0001-5970-3569"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wenjie Chen","raw_affiliation_strings":["Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111040107","display_name":"Jinhao Shuai","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jinhao Shuai","raw_affiliation_strings":["Department of Thyroid and Breast Surgery, Meishan City People's Hospital, Meishan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thyroid and Breast Surgery, Meishan City People's Hospital, Meishan, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108115486","display_name":"Mei-Zhu Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134288","display_name":"Sanya Central Hospital","ror":"https://ror.org/03t65z939","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210134288"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Meizhu Chen","raw_affiliation_strings":["Department of General Surgery, Sanya People's Hospital, Sanya, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, Sanya People's Hospital, Sanya, China","institution_ids":["https://openalex.org/I4210134288"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Feng Deng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I158842170","display_name":"Chongqing University","ror":"https://ror.org/023rhb549","country_code":"CN","type":"education","lineage":["https://openalex.org/I158842170"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Feng Deng","raw_affiliation_strings":["Department of Stomach/Thyroid/Blood Vessel Surgery, Chongqing University Three Gorges Hospital, Chongqing, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Stomach/Thyroid/Blood Vessel Surgery, Chongqing University Three Gorges Hospital, Chongqing, China","institution_ids":["https://openalex.org/I158842170"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100761832","display_name":"Tao Wei","orcid":"https://orcid.org/0000-0002-9993-5054","observed_orcids":["https://orcid.org/0000-0002-9993-5054"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tao Wei","raw_affiliation_strings":["Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054751899","display_name":"Huairong Tang","orcid":"https://orcid.org/0000-0001-7449-8188","observed_orcids":["https://orcid.org/0000-0001-7449-8188"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I2800091995","display_name":"West China Medical Center of Sichuan University","ror":"https://ror.org/040nggs60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I24185976","https://openalex.org/I2800091995"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Huairong Tang","raw_affiliation_strings":["Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China. thrhuaxi11@163.com","Health and Management Center, General Practice Medical Center, West China Tianfu Hospital, Sichuan University, Chengdu, China. thrhuaxi11@163.com","Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":"https://orcid.org/0000-0001-7449-8188","affiliations":[{"raw_affiliation_string":"Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China. thrhuaxi11@163.com","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"Health and Management Center, General Practice Medical Center, West China Tianfu Hospital, Sichuan University, Chengdu, China. thrhuaxi11@163.com","institution_ids":["https://openalex.org/I24185976"]},{"raw_affiliation_string":"Health and Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100461833","display_name":"Zhihui Li","orcid":"https://orcid.org/0000-0003-2447-9645","observed_orcids":["https://orcid.org/0000-0003-2447-9645"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I2800091995","display_name":"West China Medical Center of Sichuan University","ror":"https://ror.org/040nggs60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I24185976","https://openalex.org/I2800091995"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Zhihui Li","raw_affiliation_strings":["Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. lizhihui@wchscu.cn","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. lizhihui@wchscu.cn","Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. lizhihui@wchscu.cn","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. lizhihui@wchscu.cn","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5076520837","display_name":"Jianyong Lei","orcid":"https://orcid.org/0000-0001-7594-1671","observed_orcids":["https://orcid.org/0000-0001-7594-1671"]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I2800091995","display_name":"West China Medical Center of Sichuan University","ror":"https://ror.org/040nggs60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I24185976","https://openalex.org/I2800091995"]},{"id":"https://openalex.org/I4210089761","display_name":"West China Hospital of Sichuan University","ror":"https://ror.org/007mrxy13","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210089761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jianyong Lei","raw_affiliation_strings":["Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. leijianyong@scu.edu.cn","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. leijianyong@scu.edu.cn","Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China"],"raw_orcid":"https://orcid.org/0000-0001-7594-1671","affiliations":[{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China. leijianyong@scu.edu.cn","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. leijianyong@scu.edu.cn","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]},{"raw_affiliation_string":"The Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210089761"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5054751899","https://openalex.org/A5076520837","https://openalex.org/A5100461833"],"corresponding_institution_ids":["https://openalex.org/I24185976","https://openalex.org/I2800091995","https://openalex.org/I4210089761"],"apc_list":{"value":6990,"currency":"USD","value_usd":6990},"apc_paid":{"value":6990,"currency":"USD","value_usd":6990},"fwci":18.4591,"has_fulltext":true,"cited_by_count":35,"citation_normalized_percentile":{"value":0.99504038,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"16","issue":"1","first_page":"2317","last_page":"2317"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.5532000064849854,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.5532000064849854,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.367900013923645,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.025800000876188278,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/papillary-thyroid-microcarcinoma","display_name":"papillary thyroid microcarcinoma","score":0.9269999861717224},{"id":"https://openalex.org/keywords/low-risk-thyroid-cancer","display_name":"low-risk thyroid cancer","score":0.7829999923706055},{"id":"https://openalex.org/keywords/thyroidectomy","display_name":"thyroidectomy","score":0.9480000138282776},{"id":"https://openalex.org/keywords/decision-regret","display_name":"decision regret","score":0.9660000205039978},{"id":"https://openalex.org/keywords/active-surveillance","display_name":"active surveillance","score":0.9150000214576721},{"id":"https://openalex.org/keywords/postoperative-quality-of-life","display_name":"postoperative quality of life","score":0.9319999814033508},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.5559999942779541},{"id":"https://openalex.org/keywords/patient-counseling","display_name":"patient counseling","score":0.7649999856948853},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.4580000042915344}],"concepts":[{"id":"https://openalex.org/C50817715","wikidata":"https://www.wikidata.org/wiki/Q79895177","display_name":"Regret","level":2,"score":0.8834706544876099},{"id":"https://openalex.org/C2777074255","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Thyroidectomy","level":3,"score":0.7298254370689392},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6456491947174072},{"id":"https://openalex.org/C3017431592","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Total thyroidectomy","level":4,"score":0.538704514503479},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5369183421134949},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.50685054063797},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.4923814535140991},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.4497700035572052},{"id":"https://openalex.org/C2781461381","wikidata":"https://www.wikidata.org/wiki/Q2292945","display_name":"Papillary thyroid cancer","level":4,"score":0.43498438596725464},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.32277339696884155},{"id":"https://openalex.org/C2779761222","wikidata":"https://www.wikidata.org/wiki/Q826522","display_name":"Thyroid cancer","level":3,"score":0.29739683866500854},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.07525530457496643},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.06321471929550171},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002291","descriptor_name":"Carcinoma, Papillary","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D002291","descriptor_name":"Carcinoma, Papillary","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D002291","descriptor_name":"Carcinoma, Papillary","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013964","descriptor_name":"Thyroid Neoplasms","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013964","descriptor_name":"Thyroid Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013965","descriptor_name":"Thyroidectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D013965","descriptor_name":"Thyroidectomy","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1038/s41467-025-57627-7","doi":"https://doi.org/10.1038/s41467-025-57627-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41467-025-57627-7","pdf_url":null,"source":{"id":"https://openalex.org/S64187185","display_name":"Nature Communications","issn_l":"2041-1723","issn":["2041-1723"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nature Communications","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11890561","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11890561/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11890561/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nat Commun","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:10703190","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11890561","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40057484","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40057484","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nature communications","raw_type":"Journal Article"},{"id":"pmh:oai:RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-57627-7","doi":null,"is_oa":false,"landing_page_url":"https://www.nature.com/articles/s41467-025-57627-7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},{"id":"pmh:oai:doaj.org/article:8e04eb900e5645c8bdaa09d2c297975e","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/8e04eb900e5645c8bdaa09d2c297975e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Nature Communications, Vol 16, Iss 1, Pp 1-11 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41467-025-57627-7","doi":"https://doi.org/10.1038/s41467-025-57627-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41467-025-57627-7","pdf_url":null,"source":{"id":"https://openalex.org/S64187185","display_name":"Nature Communications","issn_l":"2041-1723","issn":["2041-1723"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nature Communications","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408246776.pdf","grobid_xml":"https://content.openalex.org/works/W4408246776.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W1949758479","https://openalex.org/W2057806081","https://openalex.org/W2094306565","https://openalex.org/W2125360878","https://openalex.org/W2145150141","https://openalex.org/W2170994552","https://openalex.org/W2171251693","https://openalex.org/W2342380158","https://openalex.org/W2518780644","https://openalex.org/W2521241892","https://openalex.org/W2592832375","https://openalex.org/W2611964643","https://openalex.org/W2771959634","https://openalex.org/W2793072590","https://openalex.org/W2884995419","https://openalex.org/W2891653457","https://openalex.org/W2921806543","https://openalex.org/W2941152055","https://openalex.org/W2943654215","https://openalex.org/W2948787817","https://openalex.org/W2964408209","https://openalex.org/W2975387808","https://openalex.org/W3049321958","https://openalex.org/W3092387317","https://openalex.org/W3118920359","https://openalex.org/W3143042143","https://openalex.org/W3203080603","https://openalex.org/W3212629569","https://openalex.org/W3213075933","https://openalex.org/W4224701894","https://openalex.org/W4294308719","https://openalex.org/W4295900964","https://openalex.org/W4302023721","https://openalex.org/W4303433536","https://openalex.org/W4310465323","https://openalex.org/W4319461342","https://openalex.org/W4321495618","https://openalex.org/W4324018050","https://openalex.org/W4362576241","https://openalex.org/W4362692381","https://openalex.org/W4380480517","https://openalex.org/W4387798711","https://openalex.org/W4387931693","https://openalex.org/W4388035348","https://openalex.org/W4392828201","https://openalex.org/W4394689328","https://openalex.org/W4399265509","https://openalex.org/W4403243007"],"related_works":["https://openalex.org/W4392828201","https://openalex.org/W4398140569","https://openalex.org/W7135048658","https://openalex.org/W4402514095","https://openalex.org/W2004172854","https://openalex.org/W3192024062","https://openalex.org/W3131661020","https://openalex.org/W7097118512","https://openalex.org/W2640254665","https://openalex.org/W4408244703"],"abstract_inverted_index":{"The":[0],"level":[1],"of":[2,17,29,80,95,101,108,143,180,193,196,209],"thyroidectomy-related":[3],"regret":[4,19,44,49,72,94,187],"in":[5,53],"patients":[6,69,127,162,181,200],"with":[7,70,163,182],"clinically":[8,138,197],"low-risk":[9,125,139,164,198],"papillary":[10,165],"thyroid":[11,77,166],"microcarcinoma":[12,167],"(PTMC)":[13],"and":[14,34,63,84,111,145,201],"the":[15,54,64,88,134,141,158,170],"determinants":[16],"decision":[18,48],"are":[20,128],"largely":[21],"unknown.":[22],"Here,":[23,169],"we":[24],"show":[25],"that":[26,74,118,185],"319":[27],"(24.2%)":[28],"those":[30],"who":[31,37],"undergo":[32,38],"thyroidectomy":[33,144],"4":[35],"(3.4%)":[36],"active":[39],"surveillance":[40],"(AS)":[41],"express":[42],"heightened":[43,71,93,186],"based":[45],"on":[46],"validated":[47],"scale":[50],"(DRS)":[51],"scores":[52],"first":[55],"online":[56,66,175],"survey":[57,67,176],"(P":[58],"<":[59],"0.001).":[60],"Multivariable":[61],"analysis":[62],"second":[65],"for":[68,92,130,137],"confirm":[73],"postoperative":[75,146,207],"lower":[76,206],"cancer-specific":[78],"quality":[79,208],"life":[81],"(QoL)":[82],"(scar":[83],"psychology)":[85],"(75.5%)":[86],"is":[87,156,202],"most":[89],"common":[90],"factor":[91],"thyroidectomy,":[96],"followed":[97],"by":[98],"preoperative":[99],"understanding":[100],"disease":[102],"[not":[103],"at":[104],"all]":[105],"(15.0%),":[106],"presentation":[107],"complications":[109],"(3.8%)":[110],"other":[112],"factors":[113],"(5.7%).":[114],"These":[115],"results":[116],"highlight":[117],"more":[119],"caution":[120],"should":[121,148],"be":[122,149,190],"exercised":[123],"when":[124],"PTMC":[126,183,199],"scheduled":[129],"thyroidectomy.":[131],"Information":[132],"about":[133],"various":[135],"treatments":[136],"PTMC,":[140],"risk":[142],"QoL":[147],"fully":[150],"communicated":[151],"during":[152],"initial":[153],"counseling.":[154],"Thyroidectomy":[155],"frequently":[157],"treatment":[159],"offered":[160],"to":[161,177,205],"(PTMC).":[168],"authors":[171],"perform":[172],"a":[173,178,194],"multicentre":[174],"cohort":[179],"showing":[184],"may":[188],"not":[189],"an":[191],"experience":[192],"minority":[195],"primarily":[203],"due":[204],"life.":[210]},"counts_by_year":[{"year":2026,"cited_by_count":18},{"year":2025,"cited_by_count":17}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2025-03-08T00:00:00"}
