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Assessment of quality of life in thyroid cancer patients using the EORTC thyroid-specific questionnaire: a prospective cross-sectional study

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Abstract

Background

Many studies on the quality of life (QoL) among the thyroid cancer survivors have shown conflicting results. This may be since many of these studies have not used thyroid cancer-specific questionnaires.

Patients and methods

In our study we have translated the EORTC THY-34, validated and served it in a cross-sectional study to the assess the QoL among thyroid cancer patients free of disease during their routine follow-up. Patients were categorized based on the duration from treatment completion, ATA risk stratification, treatment received, number of RAI sessions and thyroid function status during analysis.

Results

Overall, 220 thyroid cancer survivors were included in this study. In general, in the EORTC QLQ–C30, the global QoL of thyroid cancer patients were good with a mean score of 72.99. The highest score was that for social functioning (89.55). In the EORTC–THY34 all the patients in the cohort had relatively lower scores (on symptom scales). Overall, there was no difference in the QLQ–C30 and THY-34 QoL with respect to any of the categorization mentioned above. However, our thyroid cancer patients QoL scores were better and/or comparable to those in published literature and they were also better or comparable to the QoL of the general population those were available in literature.

Conclusions

There was no difference in the QoL scores based on various categories. To better understand the quality of life of these patients a prospective longitudinal study with baseline values and values at regular intervals might give us a better insight.

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Data availability

The data can be made available on reasonable request.

References

  1. Vaccarella S, Franceschi S, Bray F et al (2016) Worldwide thyroid-cancer epidemic? The increasing impact of overdiagnosis. N Engl J Med 375(7):614–617

    Article  PubMed  Google Scholar 

  2. Panato C, Vaccarella S, Dal Maso L et al (2020) Thyroid cancer incidence in India between 2006 and 2014 and impact of overdiagnosis. J Clin Endocrinol Metab 105(8):2507–2514

    Article  PubMed  PubMed Central  Google Scholar 

  3. Sathishkumar K, Chaturvedi M, Das P, Stephen S, Mathur P (2022) Cancer incidence estimates for 2022 & projection for 2025: result from National Cancer Registry Programme, India. Indian J Med Res 156(45):598–607

    PubMed  Google Scholar 

  4. Ito Y, Miyauchi A, Kihara M, Fukushima M, Higashiyama T, Miya A (2018) Overall survival of papillary thyroid carcinoma patients: a single-institution long-term follow-up of 5897 patients. World J Surg 42(3):615–622

    Article  PubMed  PubMed Central  Google Scholar 

  5. Pacini F, Catagana MG, Brilli L et al (2010) Thyroid cancer: ESMO clinical practice guidelines for diagnosis, treatment, and follow-up. Ann Oncol 21(Suppl 5):v214–v219

    Article  PubMed  Google Scholar 

  6. Druz AK, Chaukar DA, Gupta T (2012) Guidelines for head and neck cancers. Tata Memorial Center, Mumbai

    Google Scholar 

  7. Edafe O, Wadsley J, Harrison BJ, Balasubramanian SP (2014) Treatment-related morbidity in differentiated thyroid cancer-a survey of clinicians. Thyroid Res 7(1):3

    Article  PubMed  PubMed Central  Google Scholar 

  8. Parker WA, Edafe O, Balasubramanian SP (2017) Long-term treatment-related morbidity in differentiated thyroid cancer: a systematic review of the literature. Pragmat Obs Res 16(8):57–67

    Google Scholar 

  9. Borget I, Corone C, Nocaudie M et al (2007) Sick leave for follow-up control in thyroid cancer patients: comparison between stimulation with Thyrogen and thyroid hormone withdrawal. Eur J Endocrinol 156(5):531–538

    Article  CAS  PubMed  Google Scholar 

  10. Dow KH, Ferrell BR, Anello C (1997) Quality-of-life changes in patients with thyroid cancer after withdrawal of thyroid hormone therapy. Thyroid 7(4):613–619

    Article  CAS  PubMed  Google Scholar 

  11. Crevenna R, Zettinig G, Keilani M et al (2003) Quality of life in patients with non-metastatic differentiated thyroid cancer under thyroxine supplementation therapy. Support Care Cancer 11(9):597–603

    Article  PubMed  Google Scholar 

  12. Schroeder PR, Haugen BR, Pacini F et al (2006) A comparison of short-term changes in health-related quality of life in thyroid carcinoma patients undergoing diagnostic evaluation with recombinant human thyrotropin compared with thyroid hormone withdrawal. J Clin Endocrinol Metab 91(3):878–884

    Article  CAS  PubMed  Google Scholar 

  13. Hoftijzer HC, Heemstra KA, Corssmit EP, van der Klaauw AA, Romijn JA, Smit JW (2008) Quality of life in cured patients with differentiated thyroid carcinoma. J Clin Endocrinol Metab 93(1):200–203

    Article  CAS  PubMed  Google Scholar 

  14. Lloyd S, Devesa-Martinez P, Howard DJ, Lund VJ (2003) Quality of life of patients undergoing surgical treatment of head and neck malignancy. Clin Otolaryngol Allied Sci 28(6):524–532

    Article  CAS  PubMed  Google Scholar 

  15. Walshaw EG, Smith M, Kim D, Wadsley J, Kanatas A, Rogers SN (2022) A systematic review of health-related quality of life following thyroid cancer. Tumori 108(4):291–314

    Article  PubMed  Google Scholar 

  16. Husson O, Haak HR, Mols F, Nieuwenhuijzen GA, Nieuwlaat W-A, Reemst PH, Huysmans DA, Toorians AW, van de Poll-Franse LV (2013) Development of a disease-specific health-related quality of life questionnaire (THYCA-QoL) for thyroid cancer survivors. Acta Oncol 52:447–454

    Article  PubMed  Google Scholar 

  17. Singer S, Jordan S, Locati LD, On behalf of the EORTC Quality of Life Group and the EORTC Endocrine Task Force the EH and NCG et al (2017) The EORTC module for quality of life in patients with thyroid cancer: phase III. Endocr Relat Cancer 24:197–207

    Article  PubMed  Google Scholar 

  18. Kuliś D, Bottomley A, Velikova G, Greimel E, Koller M (2017) EORTC quality of life group translation procedure, 4th edn. EORTC Quality of Life Group

    Google Scholar 

  19. Büttner M, Hinz A, Singer S, Musholt TJ (2020) Quality of life of patients more than 1 year after surgery for thyroid cancer. Hormones (Athens) 19(2):233–243

    Article  PubMed  Google Scholar 

  20. Lee JI, Kim SH, Tan AH et al (2010) Decreased health-related quality of life in disease-free survivors of differentiated thyroid cancer in Korea. Health Qual Life Outcomes 15(8):101

    Article  Google Scholar 

  21. Roberts KJ, Lepore SJ, Urken ML (2008) Quality of life after thyroid cancer: an assessment of patient needs and preferences for information and support. J Cancer Educ 23(3):186–191

    Article  PubMed  Google Scholar 

  22. Gamper EM, Wintner LM, Rodrigues M et al (2015) Persistent quality of life impairments in differentiated thyroid cancer patients: results from a monitoring programme. Eur J Nucl Med Mol Imaging 42(8):1179–1188

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Chen C, Cao J, Wang Y, Han X, Zhang Y, Zhuang S (2023) Health-related quality of life and thyroid cancer-specific symptoms in patients treated for differentiated thyroid cancer: a single-center cross-sectional survey from Mainland China. Thyroid 33(4):474–483

    Article  CAS  PubMed  Google Scholar 

  24. Singer S, Lincke T, Gamper E, Bhaskaran K, Schreiber S, Hinz A, Schulte T (2012) Quality of life in patients with thyroid cancer compared with the general population. Thyroid 22(2):117–124

    Article  PubMed  Google Scholar 

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Acknowledgements

Dr. Atanu Bhattacharjee, Biostatistician, EORTC—Susanne Singer, Dagmara Kulis, Alena Niculae. Dr.Vidhubala, Chennai. Dr. Jayita Deodhar, Psycho-oncologist, TMH, Mumbai. The necessary permission from EORTC for the use of the questionnaires have been taken. (user agreement: https://qol.eortc.org/questionnaires) (Request ID: 78277).

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Correspondence to Shivakumar Thiagarajan.

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The study was approved by our institution’s ethics committee. It was also registered with the clinical trials registry of India (CTRI) (CTRI/2018/02/012089).

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Thiagarajan, S., Fatehi, K., Menon, N. et al. Assessment of quality of life in thyroid cancer patients using the EORTC thyroid-specific questionnaire: a prospective cross-sectional study. Eur Arch Otorhinolaryngol 281, 1953–1960 (2024). https://doi.org/10.1007/s00405-024-08471-w

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  • DOI: https://doi.org/10.1007/s00405-024-08471-w

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