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Excessive prevalence of self-reported shoulder complaints after thyroid carcinoma surgical procedure.

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Excessive prevalence of self-reported shoulder complaints after thyroid carcinoma surgical procedure.

Head Neck. 2017 Feb;39(2):260-268

Authors: Roerink SH, Coolen L, Schenning ME, Husson O, Smit JW, Marres HA, de Wilt JH, Netea-Maier RT

Summary
BACKGROUND: Shoulder complaints are often reported after surgical remedy for thyroid carcinoma. Nonetheless, no particular literature on this matter is on the market for these sufferers and, therefore, its affect on high quality of life (QOL) is unknown and there aren’t any identified predictors of shoulder complaints on this particular affected person inhabitants. Subsequently, the aim of this examine was to evaluate the prevalence of shoulder-related complaints and its relation to QOL and medical traits after thyroid carcinoma surgical procedure by the use of a cross-sectional case management examine in a tertiary referral heart.
METHODS: The prevalence of shoulder complaints and its relation to medical traits and QOL after thyroid carcinoma surgical procedure (n = 109) was in comparison with a wholesome management group (n = 81). Important end result measures are prevalence of self-reported shoulder complaints, outcomes of the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH), and the European Group for Analysis and Remedy of Most cancers High quality of Life Questionnaire-Core 30-questions (EORTC-QLQ-C30).
RESULTS: Sufferers with thyroid carcinoma, on common 10.2 years after thyroid surgical procedure, reported a 58.7% prevalence of shoulder-related complaints, which was considerably greater than the 13.6% reported by wholesome controls (p < .01). Sufferers with thyroid carcinoma scored worse than wholesome controls on many of the completely different subscales of the DASH and EORTC-QLQ-C30. Bivariate affiliation evaluation recognized degree V neck dissection as being related to the prevalence of shoulder complaints and the DASH rating, and spinal accent nerve harm and employment standing as being related to the DASH rating. Prevalence of shoulder complaints and the DASH scores had been considerably correlated to a number of EORTC-QLQ-C30 scores. Solely 11.9% of sufferers with thyroid carcinoma retrospectively reported having acquired preoperative data on doable shoulder complaints and solely 34.9% of sufferers with thyroid carcinoma retrospectively reported having acquired extra care for his or her shoulder complaints.
CONCLUSION: Shoulder complaints symbolize and underestimated downside and are reported by many sufferers who had surgical procedure for thyroid carcinoma. Data provision to the affected person ought to be improved, shoulder complaints ought to be registered, and extra care ought to be supplied after thyroid carcinoma surgical procedure to enhance QOL. © 2016 Wiley Periodicals, Inc. Head Neck 39: 260-268, 2017.

PMID: 27859810 [PubMed – indexed for MEDLINE]

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