“…In this review, we identified 20 studies reporting on physical HrQoL following TT or HT [ 18 , 34 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 64 , 65 , 67 , 68 , 70 , 73 ] ( Table 5 ). Eight studies compared postoperative TT HrQoL with community reference values using seven different QoL instruments (i.e., SF-36, MFI-20, ThyPRO, PSQI, Billewicz Score, visual analog scale, and 15D) [ 18 , 34 , 51 , 53 , 55 , 58 , 61 , 68 ]. Among these studies, six found a significant decrease in HrQoL for at least one of the following items: bodily pain ( n = 1), vitality ( n = 2), physical functioning ( n = 3), speech ( n = 1), general or physical fatigue ( n = 1), and sleep ( n = 1) [ 18 , 34 , 53 , 55 , 58 , 61 ].…”