Thyroid disease

Quality of Life After Ethanol Ablation of Thyroid Nodules: A 1-Year Follow-Up Study

Endocr PractPublished Prospective cohort study

Authors' conclusion

EA of symptomatic and benign CTNs is associated with a great improvement of HRQoL scores of ThyPRO-39 and SF-36 at 6-month and 12-month follow-ups. Both physical and mental domains of HRQoL are positively affected by EA of CTNs. Risk factors for remaining HRQoL deficits 1 year after EA need further exploration.

Study context

Population
Consecutive patients treated with ethanol ablation (EA) for cytologically benign and symptomatic cystic thyroid nodules (CTNs) at a university hospital over 4 years, able to complete Italian questionnaires, with 1-year follow-up; median nodule volume 15.6 (7.0–32.0) mL
Participants
104 nodules
Exposure
Health-related quality of life (HRQoL) 6 and 12 months after EA vs baseline
Outcome
Thyroid-related and generic HRQoL (ThyPRO-39 and SF-36)
Follow-up
6 and 12 months after EA
Methodological detailsconsecutive patients, single university hospital
  • Consecutive patients
  • Single university hospital

Main finding

As reported in the abstract

ThyPRO-39 scores vs baseline · 6 and 12 months

ThyPRO-39 scores largely (effect size >0.5) and significantly improved across all scales vs baseline

P value adjusted <.001

SF-36 scores largely and significantly improved across all scales

P value adjusted <.001

Observational data: associations, not effects.

Further findings

Predictors of ThyPRO-39 general quality of life item · baseline, 6 and 12 months

Nodule size, but not sex, age or BMI, positively and significantly influenced (worsening) the general quality of life item

Original publication

Quality of Life After Ethanol Ablation of Thyroid Nodules: A 1-Year Follow-Up Study. Endocr Pract. Published 30 September 2025. doi:10.1016/j.eprac.2025.09.197

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