Postoperative quality of life among patients with thyroid cancer

Huang, Sheng-Miauh; Lee, Chen Hsen; Chien, Li Yin; Liu, Hsueh Erh; Tai, Chen Jeng

doi:10.1111/j.1365-2648.2004.03128.x

Cited by 42 publications

(33 citation statements)

References 25 publications

(36 reference statements)

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“…The authors 11 found that more than 90% of the patients assessed believed their scar cosmesis to be excellent or good. Another study 22 examining the QOL in patients with thyroid cancer following CON-T surgery showed that 121 of 141 patients noticed very little or no impact of their surgical scar on their appearance, whereas 122 of 141 patients noticed very little or no impact of their surgical scars on their social relationships. With such excellent cosmetic results and minimal QOL impact following CON-P or CON-T surgery, it would be difficult to improve scar cosmesis enough to result in a clinically significant change to the patient.…”

Section: Commentmentioning

confidence: 99%

Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

O’Connell¹,

Diamond²,

Seikaly³

et al. 2008

Arch Otolaryngol Head Neck Surg

108

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To determine if performing parathyroidectomy surgery through minimal access (MA) incisions has any notable aesthetic or quality-of-life impact on patients compared with conventional access (CON) techniques.Design: Paired cohort with (1) a prospective MA incision and scar cohort and (2) a sex-and age-matched (within 3 years) retrospective CON incision and scar cohort.Setting: Tertiary care center.Patients: Fifteen patients enrolled in prospective study protocol over a 2-year period; 11 patients met inclusion criteria. A sex-and age-matched retrospective cohort of patients was selected from a patient population undergoing surgical treatment of thyroid neoplastic diseases using a CON approach. Inclusion criteria were use of MA incision for parathyroidectomy and return for longterm follow-up scar assessment.Interventions: Minimal access parathyroidectomy surgery vs CON thyroidectomy surgical procedures, postoperative follow-up assessment of scar aesthetics by patient and naive viewers, and digital photography and analysis of the surgical incision site. All patients were followed for at least 8 months after surgery. Main Outcome Measures:The Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale, and photographic scar analysis by naive viewers.Results: There was no significant difference in scar assessment scale scores between the MA and CON cohorts and no clinically significant difference in overall patient satisfaction with scars between cohorts (POSAS: Patient Scar Assessment Scale, P=.14, and Observer Scar Assessment Scale, P=.79; Vancouver Scar Scale, P=.76). There was increased visibility of scars in the CON cohort to naive viewers.Conclusions: Although they were more readily visible to naive viewers, CON (larger) cervical scars created in parathyroidectomy or thyroidectomy surgery do not translate into decreased patient satisfaction with their scar result. This may indicate a limited quality-of-life benefit in using MA approaches in transcervical surgical procedures.

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Section: Commentmentioning

confidence: 99%

Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

O’Connell¹,

Diamond²,

Seikaly³

et al. 2008

Arch Otolaryngol Head Neck Surg

108

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“…Wound cellulitis and infection and injury to surrounding structures, such as the carotid artery, jugular vein, trachea, and esophagus are infrequent (10). In our study, 24 patients (24%) had some side effects, including no permanent nerve injury but transient nerve injury (Hoarsness) (14%), organ pressure due to hematoma (2%) and tracheal rupture (1%), and transient hypocalcaemia (5%).…”

Section: Discussionmentioning

confidence: 91%

Overall Survival and Complications of Thyroidectomy in Patients with Thyroid Cancer

et al. 2017

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Background: Recognizing complications, survival rates, and contributing factors would result in better diseases control in patients with thyroid cancer under thyroidectomy. Accordingly, this study was performed to determine the overall survival and complications in patients with thyroid cancer under thyroidectomy procedure. Methods: In this retrospective, 100 patients with thyroid cancer under thyroidectomy, who were admitted in the affiliated centers of cancer research centers at Shahid Beheshti University of Medical Sciences in recent 5 years from summer 2011 to summer 2016, were enrolled. Data collection was done by census sampling and the required data were collected via existing medical documents and were recorded by checklist from April 2016 to February 2017. Results: Thyroidectomy was total in 97% of the patients, and 3 were under subtotal thyroidectomy (two patients had anaplastic and 1 had micro papillary carcinoma). Twenty-four patients (24%) had some side effects, including no permanent nerve injury but transient nerve injury (Hoarseness) (14%), organ pressure due to hematoma (4%) and tracheal rupture (1%), and transient hypocalcaemia (5%). The recurrence and death were seen in 5% and 3%. The recurrence was related to side effects, but it was not related to death (P > 0.05). Conclusions:We studied overall survival and complications of thyroidectomy in 100 patients with thyroid cancer from summer 2011 to summer 2016 and compared them with statistics on the articles. Thyroidectomy completion is an important procedure in the treatment of a malignant thyroid tumor because of the high rate of contralateral involvement (23.8%). It is a procedure with zero mortality and very low complication rate, not bearing relevant risks. Totally, according to the obtained results in current study, it may be concluded that thyroidectomy complications are seen in 1 out of 20 patients, especially neck hematoma (4%) and tracheal rupture (1%). The survival in current study is good.

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“…type of thyreopathy) and confusion or incorrect usage of basic notions is quite typical for current studies dealing with patients in thyreopathy. Only a few studies research patients' quality of life in the true sense of the word (Abraham-Nordling, 2005;Dow, Ferrell, Anello, 1997;Huang et al, 2004;McMillan et al, 2004Terwee 1998Terwee , 1999Terwee , 2002. A lot of works confuse the evaluation of the quality of life for the measurement of symptoms non/presence, health status, psychical status, eventually mental well-being are often incorrectly described as the quality of life.…”

Section: Researches Concerning Quality Of Life and Perception Of Healmentioning

confidence: 99%

“…Sawka et al (2011) have developed a computerized educational tool (called a decision aid) to inform patients about available treatment options and have been utilized in oncologic decision-making. Huang et al (2004) rightfully assume that a big potential is hidden in nurses' care (comp. Filická & Hadačová, 2006;Olosová & Filická, 2006).…”

Section: Psychological Means Usage With Treatment Of Thyroid Diseasementioning

confidence: 99%

“…Hou et al (2001) have found out that the quality of life in patients with non-papillary carcinoma was worse in some aspects in comparison with other patients. Huang et al (2004) have carried out measurement of patients' quality of life after removing the carcinoma surgically when the level of the result score was analogous to other chronically ill.…”

Section: Researches In Thyroid Carcinomamentioning

confidence: 99%

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