{"id":"https://openalex.org/W7225813451","doi":"https://doi.org/10.3389/fendo.2026.1983957","title":"From technical feasibility to patient-centered selection in remote-access thyroidectomy: the AGES framework in the single-port robotic era","display_name":"From technical feasibility to patient-centered selection in remote-access thyroidectomy: the AGES framework in the single-port robotic era","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225813451","doi":"https://doi.org/10.3389/fendo.2026.1983957"},"language":"en","primary_location":{"id":"doi:10.3389/fendo.2026.1983957","doi":"https://doi.org/10.3389/fendo.2026.1983957","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fendo.2026.1983957","pdf_url":null,"source":{"id":"https://openalex.org/S2597401208","display_name":"Frontiers in Endocrinology","issn_l":"1664-2392","issn":["1664-2392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Endocrinology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3389/fendo.2026.1983957","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161441656","display_name":"Yi-Ju Wu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801318138","display_name":"Jen-Ai Hospital","ror":"https://ror.org/02vt4z508","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I2801318138"]},{"id":"https://openalex.org/I4210140009","display_name":"Taipei Municipal Jen-Ai Hospital","ror":"https://ror.org/048dt4c25","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210140009"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Yi-Ju Wu","raw_affiliation_strings":["Department of Surgery, Jen-Ai Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Jen-Ai Hospital","institution_ids":["https://openalex.org/I2801318138","https://openalex.org/I4210140009"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026082899","display_name":"Yi\u2010Chia Chan","orcid":"https://orcid.org/0000-0003-1779-7338","observed_orcids":["https://orcid.org/0000-0003-1779-7338"]},"institutions":[{"id":"https://openalex.org/I4210093821","display_name":"Kaohsiung Chang Gung Memorial Hospital","ror":"https://ror.org/00k194y12","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210093821"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Yi-Chia Chan","raw_affiliation_strings":["Department of Surgery, Kaohsiung Chang Gung Memorial Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Kaohsiung Chang Gung Memorial Hospital","institution_ids":["https://openalex.org/I4210093821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091728770","display_name":"Shun\u2010Yu Chi","orcid":"https://orcid.org/0000-0002-3780-3806","observed_orcids":["https://orcid.org/0000-0002-3780-3806"]},"institutions":[{"id":"https://openalex.org/I4210093821","display_name":"Kaohsiung Chang Gung Memorial Hospital","ror":"https://ror.org/00k194y12","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210093821"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Shun-Yu Chi","raw_affiliation_strings":["Department of Surgery, Kaohsiung Chang Gung Memorial Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Kaohsiung Chang Gung Memorial Hospital","institution_ids":["https://openalex.org/I4210093821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084762687","display_name":"Fong\u2010Fu Chou","orcid":"https://orcid.org/0000-0001-5635-1684","observed_orcids":["https://orcid.org/0000-0001-5635-1684"]},"institutions":[{"id":"https://openalex.org/I4210093821","display_name":"Kaohsiung Chang Gung Memorial Hospital","ror":"https://ror.org/00k194y12","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210093821"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Fong-Fu Chou","raw_affiliation_strings":["Department of Surgery, Kaohsiung Chang Gung Memorial Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Kaohsiung Chang Gung Memorial Hospital","institution_ids":["https://openalex.org/I4210093821"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108252295","display_name":"Wei-Che Lin","orcid":"https://orcid.org/0000-0002-1326-0587","observed_orcids":["https://orcid.org/0000-0002-1326-0587"]},"institutions":[{"id":"https://openalex.org/I4210093821","display_name":"Kaohsiung Chang Gung Memorial Hospital","ror":"https://ror.org/00k194y12","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210093821"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Wei-Che Lin","raw_affiliation_strings":["Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital","institution_ids":["https://openalex.org/I4210093821"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5161441656"],"corresponding_institution_ids":["https://openalex.org/I2801318138","https://openalex.org/I4210140009"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.7588000297546387,"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"}},"topics":[{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.7588000297546387,"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/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.23880000412464142,"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/T12631","display_name":"Head and Neck Anomalies","score":9.999999747378752e-05,"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"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.7562999725341797},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4975000023841858},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.4693000018596649},{"id":"https://openalex.org/C60641444","wikidata":"https://www.wikidata.org/wiki/Q841602","display_name":"Delphi method","level":2,"score":0.4551999866962433},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.40380001068115234},{"id":"https://openalex.org/C81917197","wikidata":"https://www.wikidata.org/wiki/Q628760","display_name":"Selection (genetic algorithm)","level":2,"score":0.39969998598098755},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.3952000141143799},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3702999949455261},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.35370001196861267},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.34450000524520874},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.34369999170303345},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.32249999046325684},{"id":"https://openalex.org/C2779495148","wikidata":"https://www.wikidata.org/wiki/Q487378","display_name":"Delphi","level":2,"score":0.3111000061035156},{"id":"https://openalex.org/C103203806","wikidata":"https://www.wikidata.org/wiki/Q942348","display_name":"Robotic surgery","level":2,"score":0.3003000020980835},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.29030001163482666},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.2822999954223633},{"id":"https://openalex.org/C201995342","wikidata":"https://www.wikidata.org/wiki/Q682496","display_name":"Systems engineering","level":1,"score":0.26930001378059387},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.2551000118255615}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fendo.2026.1983957","doi":"https://doi.org/10.3389/fendo.2026.1983957","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fendo.2026.1983957","pdf_url":null,"source":{"id":"https://openalex.org/S2597401208","display_name":"Frontiers in Endocrinology","issn_l":"1664-2392","issn":["1664-2392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Endocrinology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fendo.2026.1983957","doi":"https://doi.org/10.3389/fendo.2026.1983957","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fendo.2026.1983957","pdf_url":null,"source":{"id":"https://openalex.org/S2597401208","display_name":"Frontiers in Endocrinology","issn_l":"1664-2392","issn":["1664-2392"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Endocrinology","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W2091701292","https://openalex.org/W2302490905","https://openalex.org/W2760829034","https://openalex.org/W2886571254","https://openalex.org/W3112183296","https://openalex.org/W3186999793","https://openalex.org/W4293792340","https://openalex.org/W4319985137","https://openalex.org/W4321107647","https://openalex.org/W4321163526","https://openalex.org/W4376108013","https://openalex.org/W4383710624","https://openalex.org/W4385411858","https://openalex.org/W4387012228","https://openalex.org/W4388730125","https://openalex.org/W4389819859","https://openalex.org/W4392203864","https://openalex.org/W4406033285","https://openalex.org/W4410037196","https://openalex.org/W4413143591","https://openalex.org/W4413972333","https://openalex.org/W4414623951","https://openalex.org/W4415570616","https://openalex.org/W7122781051","https://openalex.org/W7123354540","https://openalex.org/W7130735983","https://openalex.org/W7155404508","https://openalex.org/W7160136407","https://openalex.org/W7161063338","https://openalex.org/W7164937990","https://openalex.org/W7167218018","https://openalex.org/W7167844266","https://openalex.org/W7169759823","https://openalex.org/W7170168763","https://openalex.org/W7171926208","https://openalex.org/W7202244134","https://openalex.org/W7204159322"],"related_works":[],"abstract_inverted_index":{"Remote-access":[0],"thyroidectomy":[1],"now":[2],"includes":[3],"established":[4],"endoscopic":[5],"and":[6,25,47,57,66,83,90,104,110,123,129,131,138,152,159,164,175,197,200,213],"multi-port":[7,58],"robotic":[8,42,59],"operations":[9],"alongside":[10,108],"emerging":[11],"single-port":[12],"(SP)":[13],"techniques.":[14],"Selection":[15],"requires":[16],"consideration":[17],"of":[18],"disease":[19],"requirements,":[20],"access":[21,40,151],"burden,":[22],"patient":[23,162],"priorities,":[24,136],"the":[26,145,156],"treating":[27],"center\u2019s":[28],"capabilities.":[29],"This":[30],"narrative":[31],"review":[32],"synthesizes":[33],"literature":[34],"through":[35],"31":[36],"August":[37],"2026":[38],"on":[39],"routes,":[41],"platforms,":[43],"recovery,":[44],"patient-reported":[45,109],"outcomes,":[46,92],"resource":[48],"use.":[49],"Comparative":[50],"evidence":[51,69],"is":[52],"more":[53],"developed":[54],"for":[55,62],"TOETVA":[56],"approaches":[60],"than":[61],"newer":[63,72],"GOSTA,":[64],"SPRA,":[65],"SAM":[67],"techniques;":[68],"from":[70],"these":[71,173],"routes":[73],"remains":[74],"concentrated":[75],"in":[76],"selected":[77],"institutional":[78],"cohorts.":[79],"Lateral":[80],"neck":[81],"dissection":[82],"reoperative":[84],"SP":[85],"reports":[86],"demonstrate":[87],"technical":[88],"capability":[89],"short-term":[91],"without":[93],"establishing":[94],"long-term":[95],"oncologic":[96],"equivalence.":[97],"Inflammatory":[98],"biomarkers":[99],"are":[100,217],"surrogate":[101],"biological":[102],"endpoints":[103],"should":[105],"be":[106,224],"interpreted":[107],"functional":[111,199],"outcomes.":[112],"We":[113],"propose":[114],"AGES":[115,167],"as":[116],"a":[117],"provisional,":[118],"non-numeric":[119],"conceptual":[120],"heuristic:":[121],"Age":[122],"physiologic":[124],"reserve;":[125],"Gland":[126],"disease;":[127],"Extension":[128],"Economics;":[130],"prior":[132],"Surgery,":[133],"Shape/anatomy,":[134],"Scar":[135],"Surgeon,":[137],"System":[139],"capability.":[140],"Its":[141],"proposed":[142],"sequence":[143],"documents":[144],"operation":[146],"required":[147],"by":[148,171],"disease,":[149],"assesses":[150],"platform":[153],"feasibility":[154],"within":[155],"available":[157],"evidence,":[158],"then":[160],"considers":[161],"preference":[163],"local":[165],"value.":[166],"supplements":[168],"existing":[169],"guidance":[170],"organizing":[172],"discussions":[174],"candidate":[176],"research":[177],"variables;":[178],"it":[179],"does":[180],"not":[181],"supply":[182],"indications,":[183],"validated":[184],"thresholds,":[185],"risk":[186],"predictions,":[187],"or":[188],"treatment":[189],"recommendations.":[190],"Psychosocial":[191],"readiness,":[192],"equitable":[193],"access,":[194],"multidisciplinary":[195],"capability,":[196],"longitudinal":[198],"hormonal":[201],"outcomes":[202],"require":[203],"explicit":[204],"consideration.":[205],"Multidisciplinary":[206],"Delphi":[207],"refinement,":[208],"prospective":[209],"registration,":[210],"external":[211],"assessment,":[212],"clinical":[214],"utility":[215],"testing":[216],"needed":[218],"before":[219],"any":[220],"decision-support":[221],"role":[222],"can":[223],"claimed.":[225]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}