Evidence map›Paper›PMID 40728709›Full record

ArticleJournal of endocrinological investigation2025

Patients undergoing thyroid surgery suffer preoperatively from poor quality of life.

Juha Honkanen, Krisztina Molnár, Tuomo Karhumaa, Sanna Kakko, Petri Koivunen, Hanna Franssila, Ulla Koskela, Tiina Erkinaro, Janne Liisanantti

Abstract read
In one paragraph

Article in Journal of endocrinological investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Juha HonkanenOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland. juha.honkanen@pohde.fi.ORCID http://orcid.org/0009-0003-1100-1703
Krisztina Molnár *Oulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Tuomo Karhumaa *Oulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Sanna KakkoOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Petri KoivunenOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Hanna FranssilaOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Ulla KoskelaOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Tiina ErkinaroOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.
Janne LiisananttiOulu University Hospital and University of Oulu, Kajaanintie 50, Oulu, 90220, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThyroid surgery is performed for various indications, including goiter, suspected or diagnosed malignancy, and hyperthyroidism. While previous studies have focused on postoperative quality of life (QoL) improvements, limited data exist on preoperative QoL in different patient groups. This study aimed to assess the preoperative QoL of patients undergoing thyroid surgery and identify risk factors associated with poor QoL. Additionally, we compared the QoL of patients with thyroid cancer or suspected malignancy to those undergoing surgery for non-cancer-related indications.

methodsThis prospective study included 204 patients who underwent thyroidectomy or lobectomy at Oulu University Hospital, Finland, between September 2021 and December 2022. Patients completed preoperative QoL assessments using the RAND-36, ThyPRO-39, Beck Depression Inventory (BDI), and Voice Handicap Index (VHI) questionnaires. Patient characteristics and clinical data were collected from medical records. Statistical analyses included Mann-Whitney U tests, Pearson Chi-square tests, and logistic regression to evaluate differences between patient groups and identify factors associated with poor QoL.

resultsPatients undergoing thyroid surgery, regardless of indication, reported lower QoL compared to the general Finnish population. No significant differences were found between cancer and non-cancer patients in overall QoL scores. Poor QoL was significantly associated with younger age (< 65 years), higher BDI and VHI scores, elevated BMI, and frequent dyspnea.

conclusionPreoperative QoL is significantly lower in patients undergoing thyroid surgery compared to the general population, independent of diagnosis. Contrary to our hypothesis, patients with thyroid cancer did not report worse QoL than those with non-malignant thyroid diseases.

Indexed as

Quality of LifeThyroid DiseasesThyroidectomyThyroid NeoplasmsAdultAgedFemaleFinlandHumansMaleMiddle AgedPreoperative PeriodProspective StudiesRisk FactorsSurveys and QuestionnairesLobectomyQuality of lifeThyroid cancerThyroidectomyThyroid surgery

Identifiers

PMID40728709
PMCPMC12602594

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.