Thyroidectomy for Graves' hyperthyroidism. Retrospective study of patients' appreciation

Area of Science:

• Endocrinology
• Surgical Oncology
• Patient-Reported Outcomes

Background:

• Graves' hyperthyroidism is a common cause of hyperthyroidism.
• Surgical intervention is a treatment option for selected patients.
• Patient perspectives on surgical outcomes are crucial for evaluating treatment efficacy.

Purpose of the Study:

• To assess patient satisfaction and outcomes following surgical treatment for Graves' hyperthyroidism.
• To identify factors influencing patient views on thyroidectomy for Graves' disease.

Main Methods:

• Retrospective analysis of 102 patients undergoing thyroidectomy (subtotal or total) between 1993-2003.
• Data collected via questionnaires from 83 patients regarding preoperative, operative, and postoperative experiences.

Main Results:

• Significant improvements in quality of life (mean score 4.7 to 7.9) and working/studying ability (63%) post-surgery.
• High patient satisfaction with hospital efficiency (89%) and interpersonal care (96%).
• While most patients were satisfied, some reported voice changes (29%), scar dissatisfaction (11%), and worsening eye symptoms in a subset of patients with endocrine ophthalmopathy (60%).

Conclusions:

• Surgical treatment for Graves' hyperthyroidism is effective and meets the expectations of most patients.
• Patient-reported outcomes indicate overall positive experiences, though specific areas for improvement exist.
• Highlights the importance of managing expectations and addressing potential complications like voice changes and ophthalmopathy.