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Quality of life is not affected by thyroid surgery in nontoxic benign goitre in long-term surveillance-A prospective observational study.
Endocrinol Diabetes Metab. 2020 Apr; 3(2):e00115.ED

Abstract

Objective

Quality of life (QoL) has so far seldom been taken into account by default in decision-making for surgical indication in thyroid surgery. Therefore, we compared pre- and postoperative QoL of patients using the EuroQoL-5D (EQ-5D) questionnaire. The influence of certain socio-economic factors on QoL as a second end-point was considered.

Design

Prospective cohort study.

Patients

About 153 patients with euthyroid symptomatic benign goitre after hemi- and total thyroidectomy (follow-up 83.6%) have been included.

Measurements

The EQ-5D questionnaire was used prior to and 1 year after surgery. In addition, a questionnaire for assessment of socio-economic status was collected.

Results

For n = 90 (n = 67 female, n = 23 male), total thyroidectomy (TT) and, for n = 63 (n = 45 female, n = 18 male), hemithyroidectomy (HT) were performed. None permanent dysfunction of the vocal cord was recorded. Transient symptomatic hypocalcaemia was detected in 9% of the thyroidectomy group (8/90 patients). At follow-up, 86% of patients showed either no change or improved QoL. About 14% of patients complained of deteriorated QoL, regardless of the extent of surgery. Socio-economic factors did not influence postoperative QoL.

Conclusions

Results indicate that in pre-operative consultation of patients with benign goitre, the improvement of QoL should be taken into account for decision-making in cases of ambiguous surgical indication. Contrary to current discussions that too much thyroid surgery is performed in Germany, we can recommend presenting surgery as an equivalent option to watchful waiting as QoL is at least preserved or improved. The extension of the resection should, however, be decided individually.

Authors+Show Affiliations

University Hospital for Visceral Surgery Medical Campus University of Oldenburg Pius-Hospital Oldenburg Germany.University Hospital for Visceral Surgery Medical Campus University of Oldenburg Pius-Hospital Oldenburg Germany.University Hospital for Visceral Surgery Medical Campus University of Oldenburg Pius-Hospital Oldenburg Germany.University Hospital for Visceral Surgery Medical Campus University of Oldenburg Pius-Hospital Oldenburg Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32318633

Citation

Tabriz, Navid, et al. "Quality of Life Is Not Affected By Thyroid Surgery in Nontoxic Benign Goitre in Long-term surveillance-A Prospective Observational Study." Endocrinology, Diabetes & Metabolism, vol. 3, no. 2, 2020, pp. e00115.
Tabriz N, Uslar VN, Tabriz I, et al. Quality of life is not affected by thyroid surgery in nontoxic benign goitre in long-term surveillance-A prospective observational study. Endocrinol Diabetes Metab. 2020;3(2):e00115.
Tabriz, N., Uslar, V. N., Tabriz, I., & Weyhe, D. (2020). Quality of life is not affected by thyroid surgery in nontoxic benign goitre in long-term surveillance-A prospective observational study. Endocrinology, Diabetes & Metabolism, 3(2), e00115. https://doi.org/10.1002/edm2.115
Tabriz N, et al. Quality of Life Is Not Affected By Thyroid Surgery in Nontoxic Benign Goitre in Long-term surveillance-A Prospective Observational Study. Endocrinol Diabetes Metab. 2020;3(2):e00115. PubMed PMID: 32318633.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life is not affected by thyroid surgery in nontoxic benign goitre in long-term surveillance-A prospective observational study. AU - Tabriz,Navid, AU - Uslar,Verena N, AU - Tabriz,Inga, AU - Weyhe,Dirk, Y1 - 2020/02/26/ PY - 2019/11/01/received PY - 2020/01/10/revised PY - 2020/01/21/accepted PY - 2020/4/23/entrez PY - 2020/4/23/pubmed PY - 2020/4/23/medline KW - EQ‐5D KW - PRO KW - QoL KW - health‐related quality of life KW - hemithyroidectomy KW - patient‐reported outcome KW - total thyroidectomy SP - e00115 EP - e00115 JF - Endocrinology, diabetes & metabolism JO - Endocrinol Diabetes Metab VL - 3 IS - 2 N2 - Objective: Quality of life (QoL) has so far seldom been taken into account by default in decision-making for surgical indication in thyroid surgery. Therefore, we compared pre- and postoperative QoL of patients using the EuroQoL-5D (EQ-5D) questionnaire. The influence of certain socio-economic factors on QoL as a second end-point was considered. Design: Prospective cohort study. Patients: About 153 patients with euthyroid symptomatic benign goitre after hemi- and total thyroidectomy (follow-up 83.6%) have been included. Measurements: The EQ-5D questionnaire was used prior to and 1 year after surgery. In addition, a questionnaire for assessment of socio-economic status was collected. Results: For n = 90 (n = 67 female, n = 23 male), total thyroidectomy (TT) and, for n = 63 (n = 45 female, n = 18 male), hemithyroidectomy (HT) were performed. None permanent dysfunction of the vocal cord was recorded. Transient symptomatic hypocalcaemia was detected in 9% of the thyroidectomy group (8/90 patients). At follow-up, 86% of patients showed either no change or improved QoL. About 14% of patients complained of deteriorated QoL, regardless of the extent of surgery. Socio-economic factors did not influence postoperative QoL. Conclusions: Results indicate that in pre-operative consultation of patients with benign goitre, the improvement of QoL should be taken into account for decision-making in cases of ambiguous surgical indication. Contrary to current discussions that too much thyroid surgery is performed in Germany, we can recommend presenting surgery as an equivalent option to watchful waiting as QoL is at least preserved or improved. The extension of the resection should, however, be decided individually. SN - 2398-9238 UR - https://www.unboundmedicine.com/medline/citation/32318633/Quality_of_life_is_not_affected_by_thyroid_surgery_in_nontoxic_benign_goitre_in_long-term_surveillance-A_prospective_observational_study L2 - https://doi.org/10.1002/edm2.115 DB - PRIME DP - Unbound Medicine ER -
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