South Korea’s Thyroid-Cancer “Epidemic” — Turning the Tide
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Since a physician coalition called attention to the extremely high incidence of diagnoses of thyroid cancer in South Korea and proposed that thyroid screening with ultrasonography be discouraged, there has been a marked decrease in the number of thyroid operations.
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These guideline modifications have likely led to declines in thyroid cancer incidence rates in the Republic of Korea since 2010 as well as in the United States.
“This has likely led to declines in thyroid cancer incidence rates in the Republic of Korea since 2010 as well as in the United States.154,155”
From Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. (2024) · cites this paper as [155]
In “South Korea’s Thyroid-Cancer ‘Epidemic’—Turning the Tide,” preliminary insurance-claims estimates suggest a 30% reduction in South Korean thyroid-cancer incidence, alongside fewer operations in 2014–2015. The paper links these changes mainly to reduced screening and patients’ choices, not to guideline modifications; it does not report a decline beginning in 2010 or address U.S. incidence. (LLM, conf=0.86)
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Elmore, J. G. (2016) · New England Journal of Medicine · doi:10.1056/nejme1608683 · Cited by 18 · see citing works
Insufficient iodine nutrition may affect the thyroid cancer incidence in China
Fan, L., Meng, F., Gao, Y., & Liu, P. (2021) · British Journal Of Nutrition · doi:10.1017/s0007114521000593 · Cited by 17 · see citing works
Xie, L., Wang, S., Qian, Y., Jia, S., Wang, J., Li, L., Zhang, W., Yu, H., Bao, P., & Qian, B. (2021) · Endocrine Practice · doi:10.1016/j.eprac.2021.06.002 · Cited by 17 · see citing works
The use of fine needle aspiration and trends in incidence of thyroid cancer in Taiwan
Lee, K., Chen, T., Won, G.-S., Chou, Y., Chiou, H., Wang, H.-K., Lai, Y., Lin, Y.-H., & Wang, J. (2017) · Journal of the Chinese Medical Association · doi:10.1016/j.jcma.2017.09.008 · Cited by 16 · see citing works
Development of a risk scoring system for patients with papillary thyroid cancer
Pak, K., Kim, Y. H., Suh, S., Goh, T. S., Jeong, D. C., Kim, S., Kim, I. J., Han, M., & Oh, S. (2019) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.14208 · Cited by 15 · see citing works
De Novo Cancer Incidence after Kidney Transplantation in South Korea from 2002 to 2017
Kim, B., Kang, M., Kim, Y., Lee, H. S., Kim, B., Lee, J. J., Park, Y., & Lee, K. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163530 · Cited by 15 · see citing works
- Authors
- Ahn, H. S., & Welch, H. G.
- Affiliations
- Korea University (KR)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2015-12-10
- Volume
- 373
- Issue
- 24
- Pages
- 2389-2390
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2333865060
- Cited by
- 240
- References
- 2
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 23 · 2023: 22 · 2022: 26 · 2021: 27 · 2020: 29 · 2019: 21 · 2018: 26 · 2017: 35 · 2016: 17 · 2015: 1 · 2013: 1
- FWCI
- 22.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- thyroid cancer, thyroid cancer incidence, thyroid ultrasound, thyroid screening, thyroidectomy, South Korea
- MeSH terms
- Medical Overuse, Thyroid Cancer, Papillary, Carcinoma, Carcinoma, Papillary, Humans, Mass Screening, Thyroid Neoplasms, Ultrasonography, Guidelines as Topic, Republic of Korea, Epidemics
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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