Psychological impacts of lobectomy and total thyroidectomy in PTC measuring 1 to 4 cm with low to intermediate risk of recurrence.

IF 3 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Endocrine Pub Date : 2024-11-01 Epub Date: 2024-06-01 DOI:10.1007/s12020-024-03893-2
Ziyang Ye, Lanlan Wang, Genpeng Li, Pan Zhang, Tao Wei, Jingqiang Zhu, Zhihui Li, Jianyong Lei, Juxiang Gou, Huairong Tang
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Abstract

Purpose: To investigate the implications of Lobectomy (LT) or total thyroidectomy (TT) on psychological distress and sleep quality in PTC patients with a low to intermediate risk of recurrence and tumors measuring 1 to 4 cm.

Methods: Patients who were admitted to our hospital between July 2021 and July 2022 were prospectively enrolled in this survey. Psychological distress and sleep quality were assessed at hospitalization, discharge, and 1, 3, and 6 months post-treatment using validated scales. Participants were divided into LT and TT groups, with propensity score matching (PSM) applied for analyses.

Results: Among 525 eligible PTC patients, 440 patients completed all the questionnaires throughout the follow-up. After PSM, 166 patients underwent LT, and 166 patients underwent TT were enrolled. The psychological distress and sleep quality of patients in the LT group remained relatively stable during the 6-month follow-up, but patients in the TT group may have faced greater sleep quality concerns in the longitudinal assessment. Additionally, the sleep quality of the TT group was also worse than that of the LT group postoperatively.

Conclusions: The sleep quality rather than other psychological distress of patients with PTC with a low to intermediate risk of recurrence is associated with the extent of surgery.

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对复发风险为中低的 1 至 4 厘米 PTC 进行甲状腺叶切除术和全甲状腺切除术的心理影响。
目的:调查甲状腺叶切除术(LT)或全甲状腺切除术(TT)对复发风险为中低且肿瘤大小为1至4厘米的PTC患者的心理压力和睡眠质量的影响:本调查对 2021 年 7 月至 2022 年 7 月期间入住本院的患者进行了前瞻性登记。在住院、出院、治疗后 1、3 和 6 个月时使用有效量表评估心理困扰和睡眠质量。参与者被分为LT组和TT组,并采用倾向得分匹配法(PSM)进行分析:在 525 名符合条件的 PTC 患者中,有 440 名患者在整个随访期间完成了所有问卷调查。经过倾向得分匹配后,166 名患者接受了 LT 治疗,166 名患者接受了 TT 治疗。在 6 个月的随访中,LT 组患者的心理压力和睡眠质量保持相对稳定,但 TT 组患者在纵向评估中可能面临更大的睡眠质量问题。此外,TT 组术后的睡眠质量也比 LT 组差:结论:中低复发风险的PTC患者的睡眠质量而非其他心理困扰与手术程度有关。
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来源期刊
Endocrine
Endocrine ENDOCRINOLOGY & METABOLISM-
CiteScore
6.50
自引率
5.40%
发文量
295
审稿时长
1.5 months
期刊介绍: Well-established as a major journal in today’s rapidly advancing experimental and clinical research areas, Endocrine publishes original articles devoted to basic (including molecular, cellular and physiological studies), translational and clinical research in all the different fields of endocrinology and metabolism. Articles will be accepted based on peer-reviews, priority, and editorial decision. Invited reviews, mini-reviews and viewpoints on relevant pathophysiological and clinical topics, as well as Editorials on articles appearing in the Journal, are published. Unsolicited Editorials will be evaluated by the editorial team. Outcomes of scientific meetings, as well as guidelines and position statements, may be submitted. The Journal also considers special feature articles in the field of endocrine genetics and epigenetics, as well as articles devoted to novel methods and techniques in endocrinology. Endocrine covers controversial, clinical endocrine issues. Meta-analyses on endocrine and metabolic topics are also accepted. Descriptions of single clinical cases and/or small patients studies are not published unless of exceptional interest. However, reports of novel imaging studies and endocrine side effects in single patients may be considered. Research letters and letters to the editor related or unrelated to recently published articles can be submitted. Endocrine covers leading topics in endocrinology such as neuroendocrinology, pituitary and hypothalamic peptides, thyroid physiological and clinical aspects, bone and mineral metabolism and osteoporosis, obesity, lipid and energy metabolism and food intake control, insulin, Type 1 and Type 2 diabetes, hormones of male and female reproduction, adrenal diseases pediatric and geriatric endocrinology, endocrine hypertension and endocrine oncology.
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