{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:18:23Z","timestamp":1778584703205,"version":"3.51.4"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72004028"],"award-info":[{"award-number":["72004028"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["GWVI-11.2-YQ57"],"award-info":[{"award-number":["GWVI-11.2-YQ57"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.pec.2026.109532","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T16:15:08Z","timestamp":1771258508000},"page":"109532","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Trade-offs between disease label and treatment options: The case of low risk papillary thyroid cancer"],"prefix":"10.1016","volume":"148","author":[{"given":"Yuling","family":"Gan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhixu","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juntao","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuxin","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3816-9106","authenticated-orcid":false,"given":"Yuanyuan","family":"Gu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingyao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shimeng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luyang","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9079-2379","authenticated-orcid":false,"given":"Yan","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.pec.2026.109532_bib1","first-page":"209","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"issue":"11","key":"10.1016\/j.pec.2026.109532_bib2","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1038\/nrendo.2016.110","article-title":"The changing incidence of thyroid cancer","volume":"12","author":"Kitahara","year":"2016","journal-title":"Nat Rev Endocrinol"},{"issue":"6","key":"10.1016\/j.pec.2026.109532_bib3","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S2213-8587(20)30115-7","article-title":"Global trends in thyroid cancer incidence and the impact of overdiagnosis","volume":"8","author":"Li","year":"2020","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"3","key":"10.1016\/j.pec.2026.109532_bib4","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1210\/jc.2018-01933","article-title":"Thyroid Ultrasound and the Increase in Diagnosis of Low-Risk Thyroid Cancer","volume":"104","author":"Haymart","year":"2019","journal-title":"J Clin Endocrinol Metab"},{"issue":"6","key":"10.1016\/j.pec.2026.109532_bib5","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/S2213-8587(21)00083-8","article-title":"Mapping overdiagnosis of thyroid cancer in China","volume":"9","author":"Li","year":"2021","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"10387","key":"10.1016\/j.pec.2026.109532_bib6","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/S0140-6736(23)00020-X","article-title":"Thyroid cancer","volume":"401","author":"Chen","year":"2023","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.pec.2026.109532_bib7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1089\/thy.2015.0020","article-title":"American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer","volume":"26","author":"Haugen","year":"2015","journal-title":"Thyroid"},{"issue":"12","key":"10.1016\/j.pec.2026.109532_bib8","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1089\/thy.2018.0263","article-title":"Active Surveillance of Low-Risk Papillary Thyroid Microcarcinoma: A Multi-Center Cohort Study in Korea","volume":"28","author":"Oh","year":"2018","journal-title":"Thyroid"},{"issue":"10","key":"10.1016\/j.pec.2026.109532_bib9","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1001\/jamaoto.2018.1694","article-title":"Association of Preferences for Papillary Thyroid Cancer Treatment With Disease Terminology: A Discrete Choice Experiment","volume":"144","author":"Nickel","year":"2018","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"6","key":"10.1016\/j.pec.2026.109532_bib10","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1159\/000503064","article-title":"Active Surveillance of Papillary Thyroid Microcarcinoma: Where Do We Stand?","volume":"8","author":"Jeon","year":"2019","journal-title":"Eur Thyroid J"},{"issue":"7","key":"10.1016\/j.pec.2026.109532_bib11","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-014129","article-title":"Words do matter: a systematic review on how different terminology for the same condition influences management preferences","volume":"7","author":"Nickel","year":"2017","journal-title":"BMJ Open"},{"issue":"10","key":"10.1016\/j.pec.2026.109532_bib12","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1001\/jamaoto.2018.1272","article-title":"Effect of a Change in Papillary Thyroid Cancer Terminology on Anxiety Levels and Treatment Preferences: A Randomized Crossover Trial","volume":"144","author":"Nickel","year":"2018","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"6","key":"10.1016\/j.pec.2026.109532_bib13","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1001\/jamaoncol.2019.0054","article-title":"The Role of Disease Label in Patient Perceptions and Treatment Decisions in the Setting of Low-Risk Malignant Neoplasms","volume":"5","author":"Dixon","year":"2019","journal-title":"JAMA Oncol"},{"issue":"7","key":"10.1016\/j.pec.2026.109532_bib14","doi-asserted-by":"crossref","DOI":"10.1210\/jendso\/bvad063","article-title":"Active Surveillance May Be the Best Initial Management for Papillary Thyroid Microcarcinoma","volume":"7","author":"Ito","year":"2023","journal-title":"J Endocr Soc"},{"issue":"10","key":"10.1016\/j.pec.2026.109532_bib15","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1089\/thy.2019.0159","article-title":"Active Surveillance for Small Papillary Thyroid Cancer: A Systematic Review and Meta-Analysis","volume":"29","author":"Cho","year":"2019","journal-title":"Thyroid"},{"issue":"5","key":"10.1016\/j.pec.2026.109532_bib16","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1002\/1099-1255(200009\/10)15:5<447::AID-JAE570>3.0.CO;2-1","article-title":"Mixed MNL models for discrete response","volume":"15","author":"McFadden","year":"2000","journal-title":"J Appl Econ"},{"issue":"7","key":"10.1016\/j.pec.2026.109532_bib17","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1089\/thy.2021.0646","article-title":"Factors That Inform Individual Decision Making Between Active Surveillance, Hemithyroidectomy and Total Thyroidectomy for Low-Risk Thyroid Cancer: A Scoping Review","volume":"32","author":"Wei","year":"2022","journal-title":"Thyroid"},{"issue":"7","key":"10.1016\/j.pec.2026.109532_bib18","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1089\/thy.2019.0592","article-title":"A Prospective Mixed-Methods Study of Decision-Making on Surgery or Active Surveillance for Low-Risk Papillary Thyroid Cancer","volume":"30","author":"Sawka","year":"2020","journal-title":"Thyroid"},{"issue":"10","key":"10.1016\/j.pec.2026.109532_bib19","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1089\/thy.2018.0105","article-title":"Thyroid Cancer Treatment Choice: A Pilot Study of a Tool to Facilitate Conversations with Patients with Papillary Microcarcinomas Considering Treatment Options","volume":"28","author":"Brito","year":"2018","journal-title":"Thyroid"},{"issue":"2","key":"10.1016\/j.pec.2026.109532_bib20","doi-asserted-by":"crossref","first-page":"134","DOI":"10.6004\/jnccn.2021.0008","article-title":"NCCN Guidelines Insights: Prostate Cancer, Version 1.2021","volume":"19","author":"Schaeffer","year":"2021","journal-title":"J Natl Compr Canc Netw"},{"issue":"4","key":"10.1016\/j.pec.2026.109532_bib21","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"4","author":"Stacey","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"10.1016\/j.pec.2026.109532_bib22","doi-asserted-by":"crossref","first-page":"256","DOI":"10.7326\/M15-0970","article-title":"Harms of Breast Cancer Screening: Systematic Review to Update the 2009 U.S. Preventive Services Task Force Recommendation","volume":"164","author":"Nelson","year":"2016","journal-title":"Ann Intern Med"},{"issue":"1","key":"10.1016\/j.pec.2026.109532_bib23","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1600-0560.2011.01848.x","article-title":"The melanoma 'epidemic': lessons from prostate cancer","volume":"39","author":"Glusac","year":"2012","journal-title":"J Cutan Pathol"},{"issue":"2","key":"10.1016\/j.pec.2026.109532_bib24","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1001\/jamainternmed.2013.12738","article-title":"Overdiagnosis in low-dose computed tomography screening for lung cancer","volume":"174","author":"Patz","year":"2014","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.pec.2026.109532_bib25","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/1741-7015-12-26","article-title":"Empirical estimates of prostate cancer overdiagnosis by age and prostate-specific antigen","volume":"12","author":"Vickers","year":"2014","journal-title":"BMC Med"},{"issue":"19","key":"10.1016\/j.pec.2026.109532_bib26","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1001\/jamainternmed.2013.8405","article-title":"Impact of ductal carcinoma in situ terminology on patient treatment preferences","volume":"173","author":"Omer","year":"2013","journal-title":"JAMA Intern Med"},{"issue":"7","key":"10.1016\/j.pec.2026.109532_bib27","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1056\/NEJMp1604412","article-title":"Worldwide Thyroid-Cancer Epidemic? The Increasing Impact of Overdiagnosis","volume":"375","author":"Vaccarella","year":"2016","journal-title":"N Engl J Med"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000650?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126000650?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:02:20Z","timestamp":1778583740000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399126000650"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":27,"alternative-id":["S0738399126000650"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.109532","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trade-offs between disease label and treatment options: The case of low risk papillary thyroid cancer","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.109532","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109532"}}