Morbidity after thyroid surgery: Patient perspective

Grover, Gagandeep Singh; Sadler, Gregory P.; Mihai, Radu

doi:10.1002/lary.23850

Cited by 54 publications

(50 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further observations may reinforce the support of HT such as voice and swallowing disorders that have been evaluated in association with TT [35,36]. However, the data concerning these complaints after HT are limited [37]. Another important issue that could modify/influence both surgeon and patient choice in favor of a surgical option is the assessment of the QoL after thyroidectomy.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of post-thyroidectomy chronic asthenia: a prospective cohort study

Scerrino¹,

Raspanti²,

Attard³

et al. 2017

Langenbecks Arch Surg

View full text Add to dashboard Cite

Purpose Chronic asthenia (CA) is complained by some patients that have undergone thyroid surgery. We evaluate its impact in patients undergoing unilateral or bilateral thyroidectomy, the trend during a 1-year follow-up, and the possible risk factors. Methods A prospective, cohort study was carried out on 263 patients scheduled for thyroidectomy from 2012 and 2014. Exclusion criteria were as follows: Graves' disease, malignancies requiring radioiodine therapy, post-surgical hypoparathyroidism, laryngeal nerve palsy, abnormal pre-and postoperative thyroid hormone levels, and BMI outside the normal range. Demographics; smoking and alcoholism addiction; cardiac, pulmonary, renal, and hepatic failure; diabetes; anxiety; and depression were recorded. The Brief Fatigue Inventory (BFI) was used to evaluate CA and its possible association with these comorbidities 6 and 12 months after thyroidectomy. Results One hundred seventy-seven patients underwent total thyroidectomy (TT), 54 hemithyroidectomy (HT). Thirty-two patients were not recorded because of the onset of exclusion criteria. In the 6 months after thyroidectomy, in the TT group, 64 patients (36.16%) reported an impairment in the BFI score and only 1 in the TL group. The mean BFI score changed from 1.663(±1.191) to 2.16 (±11.148) in the TT group, from 1.584 (±1.371) to 1.171 (±1.093) in the TL group (p < 0.001). No further significant variations in BFI were reported 1 year after surgery. Conclusions CA worsened after TT, but not after HT. Apart from operative procedure itself, no other risk factor was found be significantly associated with post-thyroidectomy asthenia. Further investigation is needed to determine the causes of CA.

show abstract

Section: Discussionmentioning

confidence: 99%

The prevalence of post-thyroidectomy chronic asthenia: a prospective cohort study

Scerrino¹,

Raspanti²,

Attard³

et al. 2017

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…In spite of these characteristics, these symptoms are often underestimated, undiagnosed, or diagnosed late in this population (4) , which may result in worsening of the overall health and quality of life of patients. Exploring the self-perception of individuals with thyroid disease with respect to their functional condition is an attitude recommended in the literature (13) . Therefore, the aim of the present study was to verify the frequency of swallowing complaints in patients with benign nonsurgical thyroid disease and compare the self-perception of swallowing disorder intensity between the two types of thyroid disease investigated -hypothyroidism and thyroid nodules.…”

Section: Introductionmentioning

confidence: 99%

Autopercepção da deglutição em pacientes com doença tireoidiana benigna não cirúrgica

Pernambuco

Silva²,

Almeida³

et al. 2017

CoDAS

View full text Add to dashboard Cite

RESUMO Objetivo verificar a frequência de queixa para deglutir em pacientes com doença tireoidiana benigna não cirúrgica e comparar a autopercepção de intensidade da alteração de deglutição em diferentes tipos de doença tireoidiana. Método a amostra do estudo foi composta por 39 mulheres com idades entre 19 e 58 anos (38,54 ± 10,74 anos) e diagnóstico de hipotireoidismo (n=22; 56,4%) ou nódulos tireoidianos (n=17; 43,6%). Investigou-se a presença de queixa, tipo de queixa e autopercepção da intensidade da alteração de deglutição por meio da escala analógico-visual de 100 milímetros. Os dados foram analisados de forma descritiva e para comparar a autopercepção entre os diferentes diagnósticos clínicos utilizamos o teste não paramétrico de Mann-Whitney. O nível de significância foi de 5%. Resultados vinte e seis (66,7%) participantes relataram queixa para deglutir. As queixas referidas foram sensação de estase em região laringofaríngea (37,15%), engasgo (34,29%) e odinofagia (28,57%). O valor médio da autopercepção de intensidade da alteração de deglutição por meio da escala analógico-visual foi 59,35 (± 27,38) milímetros. A autopercepção não foi diferente entre os diagnósticos clínicos de doença tireoidiana. Conclusão nessa amostra, queixas para deglutir foram frequentes em mulheres com doenças tireoidianas benignas não cirúrgicas. Essas pacientes percebem a alteração de forma moderada, independentemente do diagnóstico clínico da patologia tireoidiana.

show abstract

“…These included 6 randomised controlled trials (RCTs) with 412 patients (evidence level 2B), [6][7][8][9][10][11] 7 cohort studies with 3,073 patients (level 3B) [12][13][14][15][16][17][18] and 7 non-comparative case series with 1,575 patients (level 4). [19][20][21][22][23][24][25] The remaining studies made reference to the issue of cosmesis either by assumption, referencing or general statements unsupported by methodological assessment.…”

Section: Review Resultsmentioning

confidence: 99%

“…Seven case series (level 4) report a cosmetic assessment: three for CT 25,31,32 and four for MIVAT. 20,[22][23][24] Wounds were closed with a variety of materials, and timing and method of scar assessment varied.…”

Section: 18mentioning

confidence: 99%

Short and long-term cosmesis of cervical thyroidectomy scars

Dordea

Aspinall

2016

annals

View full text Add to dashboard Cite

INTRODUCTION Multiple surgical approaches to the thyroid gland have been described via cervical or extracervical routes. Improved cosmesis, patient satisfaction, reduced pain (procedure dependent) and early discharge have all been reported for minimally invasive approaches with similar safety profiles and long-term outcomes to conventional surgery. This review summarises the current evidence base for improved cosmesis with minimally invasive cervical approaches to the thyroid gland compared with conventional surgery. METHODS A systematic review was undertaken. The MEDLINE ® , Embase™ and Cochrane databases were searched for relevant articles. RESULTS A total of 57 papers thyroid papers were identified. Of those, 20 reported some form of cosmetic outcome assessment. There were 6 randomised controlled trials with 412 patients (evidence level 2B), 7 cohort studies with 3,073 patients (level 3B) and 7 non-comparative case series with 1,575 patients (level 4). There was significant heterogeneity between studies in terms of wound closure technique, timing of scar assessment and scar assessment scales (validated and non-validated). Most studies performed early scar assessments, some using non-validated scar assessment tools. CONCLUSIONS Assessment of cosmesis is complex and requires rigorous methodology. Evidence from healing/remodelling studies suggests scar maturation is a long-term process. This calls into question the value of early scar assessment. Current evidence does not support minimally invasive surgical approaches to the thyroid gland if improved long-term cosmesis is the goal. KEYWORDSThyroidectomy -Minimally invasive video assisted thyroidectomy -Scar -Cosmesis

show abstract

Morbidity after thyroid surgery: Patient perspective

Cited by 54 publications

References 6 publications

The prevalence of post-thyroidectomy chronic asthenia: a prospective cohort study

The prevalence of post-thyroidectomy chronic asthenia: a prospective cohort study

Autopercepção da deglutição em pacientes com doença tireoidiana benigna não cirúrgica

Short and long-term cosmesis of cervical thyroidectomy scars

Contact Info

Product

Resources

About