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ASSESSING THE QUALITY OF LIFE PATIENTS WITH EARLY-STAGE DIFFERENTIATED THYROID CANCER AFTER TRANSORAL ENDOSCOPIC THYROIDECTOMY VESTIBULAR APPROACH
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Abstract
Background: Since 1998, the World Health Organization has officially introduced the concept of "Quality Of Life" (QOL) which is defined as an individual's subjective perception of their place in life, in the context of the cultural system and values in which they live, and in relation to their goals, expectations and standards and concerns. QOL is influenced by many different factors such as income, housing, health status, etc. In which health status is one of the most directly and important factors. In medicine in general and in the field of Oncology in particular, QOL measurement research plays an increasingly important role. At Ho Chi Minh City Oncology Hospital, Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) has been applied more since 2018, but there are still limitations in applying it to patients with thyroid cancer and there is still little research on the quality of life of thyroid cancer patients after TOETVA. Objectives: Comparison of quality of life of patients with early-stage differentiated thyroid cancer after TOETVA through the EORTC - C30 scale with the open surgery group. Method: The study compared quality of life of patients with 2 surgical methods: TOETVA compared to open surgery at the Surgical Oncology Of Thyroid Department in Ho Chi Minh City Oncology Hospital. Results: The average score of the constituent aspects should evaluate the general function of patients in 2 research groups in the following aspects: physical activity, social integration, psycho-emotional, cognitive ability, QOL in general all had an average score below the threshold of 80,00, the lowest was the psycho-emotional aspect in the open surgery group with 72,85 ± 3,68. In terms of symptoms, the results of our study showed that the average scores in the following aspects: fatigue, pain, insomnia, financial difficulties in both study groups had a higher average score of 20,00. Conclusion: Quality of life: the aspects of both functional and symptomatic aspects that make up QOL in the 2 surgical groups were similar and the differences were not statistically significant.
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Keywords
Thyroid Cancer, Transoral Endoscopic Thyroidectomy Vestibular Approach, Quality of life, Ho Chi Minh City Oncology Hospital
References
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