Endocrine oncology

Health-Related Quality of Life in Patients with Low-Risk Differentiated Thyroid Cancer: A Systematic Review Examining the Extent of Thyroidectomy

ThyroidPublished Systematic review

Authors' conclusion

Differences in HRQOL after HT and TT tended to favor HT particularly when measured <6 months after surgery or when compared with TT with CND.

Study context

Population
Patients with low-risk differentiated thyroid cancer (DTC) who underwent open thyroid surgery; studies published 2011–202216 studies
Comparison
Total thyroidectomy vs hemithyroidectomy
Outcome
HRQOL in low-risk DTC survivors after TT vs HT
Methodological details5 prospective and 11 retrospective cohort studies; 14 of good quality; 11 from Asia and the Middle East
  • 5 prospective and 11 retrospective cohort studies; 14 of good quality; 11 from Asia and the Middle East

Pooled result

As reported in the abstract

HRQOL, HT vs TT

Studies concluding hemithyroidectomy (HT) led to better health-related quality of life (HRQOL) than total thyroidectomy (TT)

6

Studies concluding HT better only vs TT with central neck dissection (CND)

2

Studies concluding HT better short-term HRQOL, dissipated by 6 months postoperatively

2

Further pooled results

Factors associated with HRQOL in >1 study

Age, stage and marital status

Original publication

Health-Related Quality of Life in Patients with Low-Risk Differentiated Thyroid Cancer: A Systematic Review Examining the Extent of Thyroidectomy. Thyroid. Published 14 November 2023. doi:10.1089/thy.2023.0328

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