“…A recently published study showed that the extent of thyroidectomy did not influence the QoL [20]. However, Values for variables found significant on multivariate analysis are in italics and in parentheses a Only significant correlation listed we noticed that patients who underwent total thyroidectomy had significantly better swallowing-related QoL than those who underwent hemithyroidectomy, though obviously the indications for the procedures would be different.…”
Dysphagia seems to be an underestimated problem in patients with benign goiters. Uncomplicated thyroidectomy results in significant improvement in swallowing-related QoL irrespective of patient profile and extent of thyroidectomy.
“…A recently published study showed that the extent of thyroidectomy did not influence the QoL [20]. However, Values for variables found significant on multivariate analysis are in italics and in parentheses a Only significant correlation listed we noticed that patients who underwent total thyroidectomy had significantly better swallowing-related QoL than those who underwent hemithyroidectomy, though obviously the indications for the procedures would be different.…”
Dysphagia seems to be an underestimated problem in patients with benign goiters. Uncomplicated thyroidectomy results in significant improvement in swallowing-related QoL irrespective of patient profile and extent of thyroidectomy.
“…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. Prior studies indicated that surgery extent does not influence the QoL [38] and the specific symptom Btiredness^remains one of the most affected domains [39][40][41] after thyroidectomy. It should be noted that in these studies both TT and HT are considered together.…”
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.
“…Studies evaluating the effects of treatment of nontoxic goiters on QOL, using well‐validated instruments, are few and show conflicting results . Using generic questionnaires, Short Form Health Survey‐36 and EuroQOL‐5D questionnaires, 2 studies found no improvements in QOL after thyroid surgery . A concern aired regarding these results was the possible low sensitivity of generic questionnaires in general.…”
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