Journal
AMERICAN SURGEON
Volume 88, Issue 2, Pages 260-266Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0003134821989054
Keywords
lobectomy; total thyroidectomy; thyroid replacement; patient-reported outcomes
Categories
Funding
- Agency for Healthcare Research and Quality [5 F32 HS026363-02]
- ASCRS Research Foundation [GSRRIG 042]
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Fatigue after thyroidectomy is common, with total thyroidectomy patients more likely to experience long-term fatigue compared to thyroid lobectomy patients. Some patients reported at least moderate improvement, with a portion seeing improvement within 1-2 years.
Background Fatigue after thyroidectomy is common, but there is a paucity of data regarding its prevalence and duration. We hypothesized that total thyroidectomy (TT) patients would have more long-term fatigue than thyroid lobectomy (TL) patients. Methods Statewide survey of thyroidectomy patients (2004-2017) was carried out. Results 281 patients completed the survey. 216 respondents (77%) had TT and 65 (23%) had TL. Within one year of surgery, 172 (61%) respondents recalled being troubled by new fatigue all, most, or some of the time. Total thyroidectomy patients were more likely to report new fatigue (69% vs. 44%, aOR 2.72, 95% CI 1.44 to 5.18). Of patients (n = 172) reporting new fatigue, 67 (39%) reported at least moderate improvement. Nineteen (28%) saw improvement within 1 year, 35 (52%) saw improvement in 1-2 years, and 11 (16%) saw improvement after 2 years. Conclusion Long-term fatigue after TT can be debilitating, long-lasting, and less prevalent after TL.
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