{
  "abstract": "Purpose\n\nThis study aimed to evaluate changes in the extent of surgery and radioactive iodine (RAI) use in patients with papillary thyroid carcinoma (PTC) in South Korea between 2012 and 2017.Methods\n\nA retrospective, multicenter cohort study was conducted using data from 15 tertiary hospitals. Variables included extent of thyroidectomy, lymph node dissection, and RAI use. Trends were evaluated annually. Patients with recurrent disease, non-PTC histology, or missing data were excluded, and temporal trends were assessed using linear-by-linear association.Results\n\nAmong 27,625 patients, total thyroidectomy decreased from 72.7% to 40.8%, while lobectomy increased from 27.1% to 57.3%. Central neck dissection remained >90%, while RAI use dropped from 41.4% to 17.4%. Tumor diameter gradually increased over time, with a shift toward higher tumor-node-metastasis stages.Conclusion\n\nA shift toward conservative surgery and reduced RAI use in patients with PTC reflects guideline-based deescalation of thyroid cancer treatment in South Korea. These findings demonstrate substantial changes in the real-world management of PTC across tertiary hospitals during the study period.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.",
    "Division of Endocrine Surgery, Department of Surgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine, Seoul, Korea.",
    "Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.",
    "Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.",
    "Department of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.",
    "Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.",
    "Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.",
    "Department of Surgery, Kyung Hee University College of Medicine, Seoul, Korea.",
    "Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.",
    "Department of Surgery, Jeonbuk National University Medical School, Jeonju, Korea.",
    "Department of Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University School of Medicine, Gwangmyeong, Korea.",
    "Department of Surgery, Ewha Womans University Seoul Hospital, Seoul, Korea."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 18,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Joon-Hyop Lee",
      "orcid": "0000-0003-0470-7719"
    },
    {
      "affs": [
        1
      ],
      "name": "Ra-Yeong Song",
      "orcid": "0000-0001-8994-6131"
    },
    {
      "affs": [
        2
      ],
      "name": "Hyeong Won Yu",
      "orcid": "0000-0001-7338-5157"
    },
    {
      "affs": [
        3
      ],
      "name": "Dongsik Bae",
      "orcid": "0000-0003-0617-1161"
    },
    {
      "affs": [
        4
      ],
      "name": "Hyungju Kwon",
      "orcid": "0000-0003-4979-8749"
    },
    {
      "affs": [
        2
      ],
      "name": "June Young Choi",
      "orcid": "0000-0001-9990-607X"
    },
    {
      "affs": [
        5
      ],
      "name": "Ji-Sup Yun",
      "orcid": "0000-0001-8479-997X"
    },
    {
      "affs": [
        6
      ],
      "name": "Myung-Chul Chang",
      "orcid": "0000-0001-7712-7497"
    },
    {
      "affs": [
        7
      ],
      "name": "Won Seo Park",
      "orcid": "0000-0002-0774-7911"
    },
    {
      "affs": [
        8
      ],
      "name": "Kyung Sik Park",
      "orcid": "0000-0001-9806-9839"
    },
    {
      "affs": [
        9
      ],
      "name": "Hyun Jo Youn",
      "orcid": "0000-0002-2407-8537"
    },
    {
      "affs": [
        0
      ],
      "name": "Dahyeon Lee",
      "orcid": "0000-0001-9463-6445"
    },
    {
      "affs": [
        0
      ],
      "name": "Seoa Lim",
      "orcid": "0009-0007-3581-9517"
    },
    {
      "affs": [
        0
      ],
      "name": "Jun-Ho Choe",
      "orcid": "0000-0001-6956-1840"
    },
    {
      "affs": [
        0
      ],
      "name": "Jung-Han Kim",
      "orcid": "0000-0002-2265-5556"
    },
    {
      "affs": [
        0
      ],
      "name": "Jee Soo Kim",
      "orcid": "0000-0003-0006-1834"
    },
    {
      "affs": [
        10
      ],
      "name": "Lee Su Kim",
      "orcid": "0000-0002-9965-0032"
    },
    {
      "affs": [
        11
      ],
      "name": "Kyung Ho Kang",
      "orcid": "0000-0002-9778-1725"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2ftxjyk45a3qj.bib",
  "cited_by": 0,
  "doi": "10.4174/astr.2026.111.4.203",
  "fulltext_url": "https://europepmc.org/articles/PMC13683962",
  "id": "2ftxjyk45a3qj",
  "issns": [
    "2288-6575",
    "2288-6796"
  ],
  "landing_url": "https://europepmc.org/article/MED/42909168",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2712|Thyroid Cancer Diagnosis and Treatment"
    ]
  ],
  "openalex": "W7221676421",
  "pdf_url": "https://europepmc.org/articles/PMC13683962?pdf=render",
  "pmcid": "PMC13683962",
  "pmid": "42909168",
  "published": "2026-10-08",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2ftxjyk45a3qj.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42909168",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42909168"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Thyroid Cancer Diagnosis and Treatment",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "The impact of the media coverage on the thyroid cancer overdiagnosis issue concerning the surgical trends in South Korea, 2012-2017: a retrospective multicenter cohort study.",
  "title_text": "The impact of the media coverage on the thyroid cancer overdiagnosis issue concerning the surgical trends in South Korea, 2012-2017: a retrospective multicenter cohort study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/2ftxjyk45a3qj",
  "venue": "Annals of surgical treatment and research",
  "versions": []
}