Comparative assessment of the quality of life of patients with thyroid pathology after simultaneous and isolated surgical interventions

Abstract

ABSTRACT Background: In connection with the widespread of simultaneous surgical interventions, there is an insignificant number of works, indicating the deterioration of perioperative condition and subsequent rehabilitation of patients after such operations. Aims: To conduct a comparative assessment of the quality of life of patients after simultaneous and isolated surgical interventions using a survey using a standardised questionnaire "SF – 36". Materials and methods: The leading group included 35 patients with combined pathology of the thyroid gland (TG) and cholelithiasis (CL) / gallbladder polyposis who underwent simultaneous operations. The comparison group included 35 patients with thyroid disease who underwent isolated interventions. Six months following the surgery, the patients of both groups were interviewed using a questionnaire "SF-36". Results: The level of physical health of patients of the main group was estimated at 49.4 ± 4.1 points. In patients of the comparison group the physical health index was 47.9 ± 3.8 points, U = 461.0; p = 0.076. Mental health index in patients of the main group was at the level of 46.9 ± 3.5 points; comparison group - 45.4 ± 3.9 points, U = 587.0; p = 0.769. Conclusions: The level of physical health of patients after simultaneous surgical interventions in the postoperative period statistically does not differ from the same indicator in patients who underwent isolated operations: U = 461.0; p = 0.076. The indicator of mental health in patients of the main group does not differ statistically from its level in the comparison group: U = 587.0; p = 0.769. Simultaneous surgical interventions in patients with thyroid pathology do not worsen the quality of life of patients compared with isolated operations.