Grodski Simon, Stalberg Peter, Robinson Bruce G, Delbridge Leigh W
University of Sydney Endocrine Surgical Unit and Kolling Institute of Medical Research, University of Sydney, Sydney, Australia.
Thyroid. 2007 Feb;17(2):157-60. doi: 10.1089/thy.2006.0141.
Thyroidectomy is an option for the definitive management of Graves' disease. The aim of this study was to examine the role of patient preference for selecting surgery as definitive treatment.
This is a retrospective cohort study comprising all patients (n = 63) presenting to a single surgeon for surgical management of Graves' disease over 3 years. Documented reasons for surgery were compared with accepted indications, as well as patients' perceptions as assessed by questionnaire.
The most frequent absolute indication was the presence of a large goiter (n = 8; 13%) or associated thyroid nodule (n = 6; 10%). Ophthalmopathy, a relative indication, comprised the largest single group overall (n = 18; 29%); however, a significant number of patients (n = 17; 27%) elected surgery in the absence of a recognized indication. There was strong concordance (73%) between the recorded indication and the patients' survey response. Overall, there was a high level of satisfaction with surgery with 88% of respondents giving a satisfaction score of 7 or greater on a visual analog scale (VAS) (0-10).
One-third of all patients electing surgery as definitive management do so in the absence of a specific indication. Overall, there is a high level of satisfaction with the decision for surgery as definitive management of Graves' disease.
甲状腺切除术是Graves病确定性治疗的一种选择。本研究的目的是探讨患者偏好对选择手术作为确定性治疗的作用。
这是一项回顾性队列研究，纳入了3年内由同一位外科医生进行Graves病手术治疗的所有患者（n = 63）。将记录的手术原因与公认的手术指征进行比较，并通过问卷调查评估患者的看法。
最常见的绝对指征是存在巨大甲状腺肿（n = 8；13%）或相关甲状腺结节（n = 6；10%）。相对指征眼病是总体上最大的单一群体（n = 18；29%）；然而，相当数量的患者（n = 17；27%）在没有公认指征的情况下选择了手术。记录的指征与患者的调查回答之间有很强的一致性（73%）。总体而言，患者对手术的满意度较高，88%的受访者在视觉模拟量表（VAS，0 - 10）上给出的满意度评分≥7分。
在所有选择手术作为确定性治疗的患者中，三分之一是在没有特定指征的情况下进行手术的。总体而言，患者对将手术作为Graves病确定性治疗的决定满意度较高。
Zotero 插件