患有原发性副甲状腺症手术的患者的与健康相关的生活质量:患者报告的结果衡量结果
Lily N Trinh1,2, Okenwa C Okose1,3, Amr H Abdelhamid-Ahmed1
1Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Head & neck
|December 15, 2025
概括
原发性甲状腺功能障碍症 (PHPT) 的手术显著改善了患者的健康相关生活质量 (HRQL). 患者报告说身体和精神健康改善,并减少了对甲状腺切除术后的担忧.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 生活质量研究 研究 生命质量研究
背景情况:
- 原发性甲状腺功能障碍症 (PHPT) 通常用甲状腺切除术来治疗,这种手术可以提高与健康有关的生活质量 (HRQL).
- 评估患者报告的结果对于了解PHPT治疗的全部影响至关重要.
研究的目的:
- 从患者的角度来看,评估PHPT副甲状腺切除术后一般和疾病特定HRQL的变化.
- 量化PHPT手术干预后患者福祉的改善情况.
主要方法:
- 一组44名为PHPT进行甲状腺切除术的患者完成了经过验证的患者报告结果测量 (PROM).
- 调查包括"担忧"调查,语音障碍指数-10 (VHI-10) 和患者报告结果测量信息系统全球-10 (PROMIS).
- 术前和术后使用PROM来追踪HRQL的变化.
主要成果:
- 手术后评估显示,患者对甲状腺癌,手术和相关问题的担忧显著减少 (p < 0.05).
- PROMIS评估显示,手术后身体健康,精神健康和一般健康领域的统计学上显著改善 (p < 0.05).
- 该研究包括44名患者 (39名女性,平均年龄65岁),其中73%患有单一腺瘤,27%患有多腺体疾病.
结论:
- 副甲状腺切除术导致PHPT患者与健康相关的生活质量的显著改善.
- 手术治疗有效地解决了PHPT患者的疾病特异性问题和一般健康问题.
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