High prevalence of self‐reported shoulder complaints after thyroid carcinoma surgery

Roerink, Sean H.P.P.; Coolen, Lique M.; Schenning, M.E.; Husson, Olga; Smit, Johannes W. A.; Marres, H.A.M.; Wilt, Johannes H. W. de; Netea‐Maier, Romana T.

doi:10.1002/hed.24579

Cited by 14 publications

(10 citation statements)

References 26 publications

(51 reference statements)

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“…Interestingly, a considerable number of patients said they felt there should be more items on shoulder functioning which was why we added another item on this issue. This is in line with a recent study (Roerink et al 2017) which found that more than half of the thyroid cancer survivors suffer from shoulder problems.…”

Section: Discussionsupporting

confidence: 93%

The EORTC module for quality of life in patients with thyroid cancer: phase III

Schnittger¹,

Jordan

Locati

et al. 2017

Endocrine-Related Cancer

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The purpose of the study was to pilot-test a questionnaire measuring health-related quality of life (QoL) in thyroid cancer patients to be used with the European Organisation for Research and Treatment of Cancer (EORTC) core questionnaire EORTC QLQ-C30. A provisional questionnaire with 47 items was administered to patients treated for thyroid cancer within the last 2 years. Patients were interviewed about time and help needed to complete the questionnaire, and whether they found the items understandable, confusing or annoying. Items were kept in the questionnaire if they fulfilled pre-defined criteria: relevant to the patients, easy to understand, not confusing, few missing values, neither floor nor ceiling effects, and high variance. A total of 182 thyroid cancer patients in 15 countries participated ( = 115 with papillary, = 31 with follicular, = 22 with medullary, = 6 with anaplastic, and = 8 with other types of thyroid cancer). Sixty-six percent of the patients needed 15 min or less to complete the questionnaire. Of the 47 items, 31 fulfilled the predefined criteria and were kept unchanged, 14 were removed, and 2 were changed. Shoulder dysfunction was mentioned by 5 patients as missing and an item covering this issue was added. To conclude, the EORTC quality of life module for thyroid cancer (EORTC QLQ-THY34) is ready for the final validation phase IV.

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Section: Discussionsupporting

confidence: 93%

The EORTC module for quality of life in patients with thyroid cancer: phase III

Schnittger¹,

Jordan

Locati

et al. 2017

Endocrine-Related Cancer

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“…The negative HRQOL repercussions of neck dissection was highlighted, in particular shoulder complaints, loss of neck sensation, swallowing discomfort, and reduced chewing ability. 17 , 20 , 22 , 33 Almeida et al 20 found patients who had level II to VI neck dissections to have significantly worse chewing and shoulder scores relative to QOL, in comparison to those who underwent level VI alone. Lee et al 22 reported the potential benefit from robotic surgery in patients undergoing neck dissection.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of health-related quality of life following thyroid cancer

Walshaw

Smith

Kim

et al. 2021

Tumori

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This systematic review provides a summary of all studies published between 2000 and 2019 using a health-related quality of life (HRQOL) patient-completed questionnaire to report outcomes following diagnosis and treatment of thyroid cancer. The search terms were “thyroid cancer” or “thyroid carcinoma,” “quality of life” or “health related quality of life,” and “questionnaire” or “patient reported outcome.” EMBASE, PubMed, Medline, PsycINFO, CINAHL, and HaNDLE-On-QOL search engines were searched between 2 February and 23 February 2020. A total of 811 identified articles were reduced to 314 when duplicates were removed. After exclusion criteria (not thyroid specific, no quality of life questionnaires, and conference abstracts) were applied, 92 remained. Hand searching identified a further 2 articles. Of the 94 included, 16 had a surgical, 26 a primarily medical, and 52 a general focus. There were articles from 27 countries. A total of 49 articles were published from 2015 through 2019 inclusive. A total of 72 questionnaires were used among the articles and a range of 7 to 2215 participants were included within each article. This review demonstrated an increasing number of publications annually. The scope of enquiry into aspects of HRQOL following thyroid cancer is broad, with relatively few addressing surgical aspects and many focusing on the impact of radio-iodine. More research is required into shared decision-making in initial management decisions and HRQOL and interventions aimed specifically at addressing long-term HRQOL difficulties.

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“…Spinal accessory nerve injury is a common complication of neck dissection and leads to reduced shoulder mobility and pain (33). Other nerval complications include impaired arm mobility (brachial plexus) and facial muscle mobility (facial nerve).…”

Section: Special Aspects and Late Term Functional Impairments In Hncmentioning

confidence: 99%

Monitoring and Evaluation of Late Functional Outcome in Post-treatment Follow-Up in Clinical Routine Setting

2019

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Patients treated for head and neck cancer (HNC) often suffer from severe and visible loss of function as the cancer itself and the side effects of aggressive treatments have the potential to severely affect quality of life. Therefore, the aim of follow-up is not only the early detection of potentially curable recurrences and second primary tumors but also the diagnosis and rehabilitation of functional impairments. Clear guidelines determining the frequency of follow-up visits are missing, and the impact of follow-up visits on patient's prognosis is unclear. An intensive post-treatment follow-up is needed to detect functional impairments and to initiate their treatment. The aim is an optimal rehabilitation of the patients. This article focusses on goals of aftercare treatment and describes the spectrum of long-term sequelae, and the impact of Patient Reported Outcome (PRO) instruments of which three will be introduced.

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High prevalence of self‐reported shoulder complaints after thyroid carcinoma surgery

Cited by 14 publications

References 26 publications

The EORTC module for quality of life in patients with thyroid cancer: phase III

The EORTC module for quality of life in patients with thyroid cancer: phase III

Systematic review of health-related quality of life following thyroid cancer

Monitoring and Evaluation of Late Functional Outcome in Post-treatment Follow-Up in Clinical Routine Setting

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