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Analysis of impact and its factors of thyroid cancer screening on mental health in young people

Research Project

Project/Area Number 16K01791
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Applied health science
Research InstitutionMiyagi Gakuin Women's University (2020-2021)
Fukushima Medical University (2016-2019)

Principal Investigator

Midorikawa Sanae  宮城学院女子大学, 生活科学部, 教授 (10325962)

Co-Investigator(Kenkyū-buntansha) 大津留 晶  福島県立医科大学, 医学部, 教授 (00233198)
Project Period (FY) 2016-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords過剰診断 / 甲状腺癌 / スクリーニング / 放射線災害 / 不利益 / メンタルヘルス / リスク認知 / 放射線 / オプトアウト方式 / 甲状腺がん / メリット・デメリット / 放射線被ばく / 甲状腺
Outline of Final Research Achievements

This study regarding thyroid examinations conducted among children and young people after the Fukushima nuclear power plant accident revealed that thyroid examinations have a negative impact on the mental health of the subjects and residents, that overdiagnosis of thyroid cancer occurs even among children and young people, and that people undergo examinations without knowing of the harms of overdiagnosis. These findings highlight the ethical issues involved in the thyroid examination. Based on the findings of this study, we proposed the following: (1) the examination should be done on an opt-in basis and be voluntary, (2) information about the examination should be provided, sufficient explanation of the harms of overdiagnosis, and (3) the method of examination, including the criteria, should be reviewed to curb overdiagnosis.

Academic Significance and Societal Importance of the Research Achievements

本研究は原発事故と言う災害下で現在進行形でおこなわれている調査・研究が、住民にどのような影響を与えているかを多面的に解析し、負の影響があることや調査・研究のあり方に倫理的課題があることを指摘し、さらに甲状腺検査のよりよい方法論を提案したことに大きな社会的意義がある。さらに成人では甲状腺癌スクリーニングが過剰診断をもたらすことに加え、小児や若年者においても同様の現象が生じることを、その自然史とともに報告したことに学術的意義がある。

Report

(7 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (36 results)

All 2022 2021 2020 2019 2018 2017 2016

All Journal Article (19 results) (of which Int'l Joint Research: 11 results,  Peer Reviewed: 16 results,  Open Access: 12 results,  Acknowledgement Compliant: 1 results) Presentation (13 results) (of which Int'l Joint Research: 9 results,  Invited: 6 results) Book (4 results)

  • [Journal Article] Young people’s perspectives of thyroid cancer screening and its harms after the nuclear accident in Fukushima Prefecture: a questionnaire survey indicating opt-out screening strategy of the thyroid examination as an ethical issue2022

    • Author(s)
      Midorikawa Sanae、Ohtsuru Akira
    • Journal Title

      BMC Cancer

      Volume: 22 Issue: 1

    • DOI

      10.1186/s12885-022-09341-6

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Trajectory and factors of radiation risk perception of students aged 10?12 years at the time of the Fukushima Daiichi Nuclear Power Station accident2021

    • Author(s)
      Yasui Kiyotaka、Takebayashi Yoshitake、Motoya Ryo、Aoki Shuntaro、Horiuchi Teruko、Hatsuzawa Toshio、Nakano Kazunori、Ohba Takashi、Yoshida Kazuki、Midorikawa Sanae、Ohtsuru Akira、Murakami Michio
    • Journal Title

      Journal of Radiological Protection

      Volume: 41 Issue: 4 Pages: 1166-1183

    • DOI

      10.1088/1361-6498/ac04b7

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Lessons learned from conducting disease monitoring in low-dose exposure conditions as a counter-measure after a nuclear disaster2021

    • Author(s)
      Ohtsuru Akira、Midorikawa Sanae
    • Journal Title

      Journal of Radiation Research

      Volume: 62 Issue: Supplement_1 Pages: i64-i70

    • DOI

      10.1093/jrr/rraa105

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 日本における甲状腺癌の過剰診断2021

    • Author(s)
      緑川早苗
    • Journal Title

      糖尿病内分泌代謝科

      Volume: 53 Pages: 557-564

    • Related Report
      2021 Annual Research Report
  • [Journal Article] 【甲状腺癌の過剰診断を考える】[放射線事故後の甲状腺癌スクリーニング]原発事故後の甲状腺癌スクリーニングの是非 国際研究機関の提言を中心に(簡潔表題:甲状腺癌検診への国際的な提言)2021

    • Author(s)
      大津留晶 緑川早苗
    • Journal Title

      日本甲状腺学会雑誌

      Volume: 12 Pages: 52-56

    • Related Report
      2021 Annual Research Report
  • [Journal Article] An ethical dimension to accident management and health surveillance2021

    • Author(s)
      Oughton Deborah、Liutsko Liudmila、Midorikawa Sanae、Pirard Philippe、Schneider Thierry、Tomkiv Yevgeniya
    • Journal Title

      Environment International

      Volume: 153 Pages: 106537-106537

    • DOI

      10.1016/j.envint.2021.106537

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Factors Influencing the Proportion of Non-examinees in the Fukushima Health Management Survey for Childhood and Adolescent Thyroid Cancer: Results From the Baseline Survey2020

    • Author(s)
      Takahashi Kunihiko、Takahashi Hideto、Nakaya Tomoki、Yasumura Seiji、Ohira Tetsuya、Ohto Hitoshi、Ohtsuru Akira、Midorikawa Sanae、Suzuki Shinichi、Shimura Hiroki、Yamashita Shunichi、Tanigawa Koichi、Kamiya Kenji
    • Journal Title

      Journal of Epidemiology

      Volume: 30 Issue: 7 Pages: 301-308

    • DOI

      10.2188/jea.JE20180247

    • NAID

      130007870964

    • ISSN
      0917-5040, 1349-9092
    • Year and Date
      2020-07-05
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The impact of a misinterpretation of the term “overtreatment”2020

    • Author(s)
      Midorikawa Sanae、Ohtsuru Akira
    • Journal Title

      Endocrine Journal

      Volume: 67 Issue: 12 Pages: 1253-1255

    • DOI

      10.1507/endocrj.EJ20-0604

    • NAID

      130007962177

    • ISSN
      0918-8959, 1348-4540
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Nested matched case control study for the Japan Fukushima Health Management Survey's first full-scale (second-round) thyroid examination2020

    • Author(s)
      Takahashi Hideto、Yasumura Seiji、Takahashi Kunihiko、Ohira Tetsuya、Ohtsuru Akira、Midorikawa Sanae、Suzuki Satoru、Shimura Hiroki、Ishikawa Tetsuo、Sakai Akira、Suzuki Shinichi、Yokoya Susumu、Tanigawa Koichi、Ohto Hitoshi、Kamiya Kenji
    • Journal Title

      Medicine

      Volume: 99 Issue: 27 Pages: e20440-e20440

    • DOI

      10.1097/md.0000000000020440

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Harms of Pediatric Thyroid Cancer Overdiagnosis2020

    • Author(s)
      Murakami Michio、Midorikawa Sanae、Ohtsuru Akira
    • Journal Title

      JAMA Otolaryngology?Head & Neck Surgery

      Volume: 146 Issue: 1 Pages: 84-84

    • DOI

      10.1001/jamaoto.2019.3051

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Disaster-zone research: make participation voluntary2020

    • Author(s)
      Midorikawa Sanae、Ohtsuru Akira
    • Journal Title

      Nature

      Volume: 579 Issue: 7798 Pages: 193-193

    • DOI

      10.1038/d41586-020-00695-0

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] External Radiation Dose, Obesity, and Risk of Childhood Thyroid Cancer After the Fukushima Daiichi Nuclear Power Plant Accident2019

    • Author(s)
      Ohira Tetsuya、Ohtsuru Akira、Midorikawa Sanae、Takahashi Hideto、Yasumura Seiji、Suzuki Satoru、Matsuzuka Takashi、Shimura Hiroki、Ishikawa Tetsuo、Sakai Akira、Suzuki Shinichi、Yamashita Shunichi、Yokoya Susumu、Tanigawa Koichi、Ohto Hitoshi、Kamiya Kenji
    • Journal Title

      Epidemiology

      Volume: 30 Issue: 6 Pages: 853-860

    • DOI

      10.1097/ede.0000000000001058

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Harm of overdiagnosis or extremely early diagnosis behind trends in pediatric thyroid cancer2019

    • Author(s)
      Midorikawa Sanae、Murakami Michio、Ohtsuru Akira
    • Journal Title

      Cancer

      Volume: 125 Issue: 22 Pages: 4108-4109

    • DOI

      10.1002/cncr.32426

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 原発時事故後に福島で行われている甲状腺検査の心理社会的影響について2019

    • Author(s)
      緑川早苗 大津留晶
    • Journal Title

      内分泌・糖尿病・代謝内科

      Volume: 48 Pages: 65-70

    • NAID

      40021793191

    • Related Report
      2018 Research-status Report
  • [Journal Article] Mental health of nurses after the Fukushima complex disaster: a narative review.2018

    • Author(s)
      Hiroshi Nukui, Sanae Midorikawa, Michio Murakami, Masaharu Maeda, Akira Ohtsuru
    • Journal Title

      J Radiat Res

      Volume: 59(S2) Issue: suppl_2 Pages: ii108-ii113

    • DOI

      10.1093/jrr/rry023

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Comparative Analysis of the Growth Pattern of Thyroid Cancer in Young Patients Screened by Ultrasonography in Japan After a Nuclear Accident2017

    • Author(s)
      Midorikawa Sanae、Ohtsuru Akira、Murakami Michio、Takahashi Hideto、Suzuki Satoru、Matsuzuka Takashi、Shimura Hiroki、Ohira Tetsuya、Suzuki Shin-ichi、Yasumura Seiji、Yamashita Shunichi、Ohto Hitoshi、Tanigawa Koichi、Kamiya Kenji
    • Journal Title

      JAMA Otolaryngology?Head & Neck Surgery

      Volume: - Pages: 57-63

    • DOI

      10.1001/jamaoto.2017.2133

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 福島第一原発事故とその心理社会的影響2017

    • Author(s)
      前田正治、緑川早苗、後藤沙織
    • Journal Title

      公衆衛生

      Volume: 81 Pages: 315-319

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Psychosocial Issues Related to Thyroid Examination After a Radiation Disaster2017

    • Author(s)
      Sanae Midorikawa, Koichi Tanigawa, Satoru Suzuki, Akira Ohtsuru
    • Journal Title

      Asia Pacific Journal of Public Health

      Volume: 29 Issue: 2_suppl Pages: 63S-73S

    • DOI

      10.1177/1010539516686164

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] After Fukushima: Addressing anxiety2016

    • Author(s)
      Sanae Midorikawa, Satoru Suzuki, Akira Ohtsuru
    • Journal Title

      Science

      Volume: 352 Issue: 6286 Pages: 666667-666667

    • DOI

      10.1126/science.352.6286.666-c

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 原発事故後の子どもたちの健康と幸せのために 甲状腺検査の結果とこれからを考える2021

    • Author(s)
      緑川早苗
    • Organizer
      東北連合産科婦人科学会総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] Toward the establishment of radiation health risk science: The effect of education on radiation risk perception among young people.2019

    • Author(s)
      Sanae Midorikawa, Akira Ohtusuru
    • Organizer
      International Conference of radiation Research 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Strategies for developing an education program: communication and decision-making aids in radiation health risk science.2019

    • Author(s)
      Sanae Midorikawa
    • Organizer
      日本放射線影響学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Thyroid ultrasound examinations after the Fukushima disaster A class-dialogue challenge for school children2018

    • Author(s)
      Sanae Midorikawa, Akira Ohtsuru
    • Organizer
      2018 CUIDAR Finale Children, young people and disaster, Building resilience through participation
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Difficulty communicating with residents regarding thyroid cancer screening following a nuclear accident: knowledge obtained from our communication and educational experiences2018

    • Author(s)
      Sanae Midorikawa, Michio Murakami, Koichi Tanigawa, Akira Ohtsuru
    • Organizer
      International Symposium on Communicating Nuclear and Radiological emergencies to the publec
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Psychosocial Issues regarding Thyroid Ultrasound Examinations after the Fukushima Disaster2018

    • Author(s)
      Sanae Midorikawa
    • Organizer
      10th Asia Pacific Pediatric Endocrine Society Scientific Meeting (2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Clinical characteristics predicting growth of thyroid tumors in asymptomatic young patients screened by ultrasound examination: the Fukushima Health Management Survey2018

    • Author(s)
      Sanae Midorikawa, Michio Murakami, Takashi Matsuzuka, Satoru Suzuki, Hiroki Shimura, Akira Ohtsuru
    • Organizer
      2018 annual meeting of America Endocrine Society (ENDO)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] The difficulty to communicate with children regarding thyroid cancer screening after radiation disaster2017

    • Author(s)
      Sanae Midorikawa, Moe Sekine, Manabu Ohishi, Yuko Hino, Michio Murakami, Akira Ohtsuru
    • Organizer
      2017 annual meeting of American Thyroid Association (ATA)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Communication education for health surveillance after a nuclear accident; an experience of thyroid ultrasound examination in Fukushima2017

    • Author(s)
      Sanae Midorikawa, Michio Murakami, Manabu Ohishi, Akira Ohtsuru
    • Organizer
      IAEA Consultancy Meeting On Review and Future of Science and Technology Studies (STS)
    • Related Report
      2017 Research-status Report
  • [Presentation] 原発事故後における甲状腺検査の在り方2017

    • Author(s)
      緑川早苗 大津留晶
    • Organizer
      第90回日本内分泌学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Addressing anxiety regarding thyroid cancer screening after a radiation disaster2017

    • Author(s)
      Sanae Midorikawa
    • Organizer
      6th International Symposium Reconstructing Radiation Disaster-Affected Communities : The mediator’s role in the recovery process
    • Place of Presentation
      Hiroshima
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] The difficulty to communicate with residents2017

    • Author(s)
      Sanae Midorikawa
    • Organizer
      IAEA consultancy Meeting on STS and Risk Communication in Radiation Medicine
    • Place of Presentation
      Seoul
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Challenges of “Thyroid Examination” of the Fukushima Health Management Survey2016

    • Author(s)
      Sanae Midorikawa
    • Organizer
      5th International Expert Symposium in Fukushima on Radiation and Health
    • Place of Presentation
      Fukushima
    • Year and Date
      2016-09-26
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Book] 福島の甲状腺検査と過剰診断 子どもたちのために何ができるか2021

    • Author(s)
      髙野徹 緑川早苗 大津留晶 菊池誠 児玉一八
    • Total Pages
      210
    • Publisher
      あけび書房
    • ISBN
      9784871541909
    • Related Report
      2021 Annual Research Report
  • [Book] みちしるべ2020

    • Author(s)
      大津留晶 緑川早苗
    • Total Pages
      260
    • Publisher
      POFF
    • ISBN
      9784600005030
    • Related Report
      2020 Research-status Report
  • [Book] Thyroid FNA Cytology, Differential Diagnoses and Pitfalls. 2nd Ed2019

    • Author(s)
      Sanae Midorikawa, Akira Ohtsuru
    • Total Pages
      577
    • Publisher
      Springer
    • Related Report
      2019 Research-status Report
  • [Book] Thyroid Cancer and Nuclear Accidents Long-Term Aftereffects of Chernobyl and Fukushima2017

    • Author(s)
      Sanae Midorikawa, Akira Ohtsuru, Satoru Suzuki, Koichi Tanigawa, Hitoshi Ohto, Masafumi Abe and Kenji Kamiya
    • Total Pages
      246
    • Publisher
      Academic Press, Elsevier
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2023-01-30  

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