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01-12-2011 | Original Article

Quality of life is not influenced by the extent of surgery in patients with benign goiter

Authors: F. Hubertus Schmitz-Winnenthal, Simon Schimmack, Ben Lawrence, Uwe Maier, Miriam Heidmann, Markus W. Buchler, Moritz von Frankenberg

Published in: Langenbeck's Archives of Surgery | Issue 8/2011

Abstract

Introduction

The surgical approach to benign goiter is becoming increasingly radical due to the risk of recurrent goiter. The aim of this prospective study was to evaluate the impact of surgery on health-related quality of life (HRQoL) of patients with benign goiter.

Material and methods

HRQoL data from 115 patients with benign goiter were analyzed. Thirty-three patients (group 1) had a hemithyroidectomy. Sixty-five patients (group 2) had a so-called Dunhill operation (hemithyroidectomy + near-total thyroidectomy of the opposite side), and in 17 patients, a total resection of the goiter was performed. The validated HRQoL instrument, the EuroQol-5D, was applied to measure the health-related quality of life.

Results

With an overall complication rate of 10% and no permanent recurrent laryngeal nerve palsy, it was shown that surgery for benign goiter is safe. In the validated HRQoL questionnaire (EQ-5D), no significant variance could be found between different surgical procedures such as thyroidectomy, hemithyroidectomy, or Dunhill procedure. Further, no significant differences in QoL were found in EQ-5D questionnaire compared to normal population.

Conclusion

Thyroid surgery can be done safely and without impairment of life quality, regardless of the extent of the operation.

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Title: Quality of life is not influenced by the extent of surgery in patients with benign goiter
Authors: F. Hubertus Schmitz-Winnenthal
Simon Schimmack
Ben Lawrence
Uwe Maier
Miriam Heidmann
Markus W. Buchler
Moritz von Frankenberg
Publication date: 01-12-2011
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 8/2011
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-011-0822-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quality of life is not influenced by the extent of surgery in patients with benign goiter

Abstract

Introduction

Material and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusion

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