Thyroid No Surgery 101: Surgery Reduces Your Quality of Life is Independent of Why the Surgery was done.
Dr. Guttler’s Comments:
The mean overall quality of life in thyroid cancer survivors was 65.93 ±9.00 (on a scale of 0–100, where 100 was the best).Any thyroid Surgery reduced your quality of life. (P < 0.001)
1. Always get expert opinions before you submit for thyroid surgery.The quality of your life after the thyroid surgery goes down. If it is necessary that is one thing but if you have a benign thyroid nodule or small micro-papillary cancer please consider either ethanol PEI or radiofrequency ablation RFA.
2. Call me at 310393-8860 or secure email to [email protected] and ask for Alicia for details.
Both PEI and Thyroid RF are done in my office at 1/3 to 1/6 the cost in a hospital setting with radiologists.
Authors Li J, Xue LB,et al
Materials and methods: A total of 286 patients who were diagnosed with thyroid cancer after thyroidectomy were involved in this prospective, single-center, observational study from November 2018 to June 2019. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 was used to assess the QoL 3 months after thyroidectomy. We investigated the effects of demographics (age, gender, education, marital status, area of residence, and annual mean income), tumor characteristics (histology, clinical stage, presence of metastasis, surgery type, and radiotherapy), and neurological deficits induced by recurrent nerve or superior laryngeal injury on QoL.
Results: The mean overall QoL in thyroid cancer survivors was 65.93 ±9.00 (on a scale of 0–100, where 100 was the best). Multivariate regression analysis confirmed that clinical stage (P < 0.010), surgery type (P < 0.001), histology (P < 0.001), neurological deficits (P < 0.001), and marital status (P < 0.001) were independent risk factors for decreased QoL 3 months after thyroidectomy.
Conclusion: Our study indicated that clinical stage, surgery type, histology, neurological deficits, and marital status were independent risk factors for decreased QoL at 3 months after thyroidectomy. Further exploration and validation of these findings in larger prospective studies are warranted.
Keywords: quality of life, thyroid cancer, thyroidectomy