70. Swallowing impairment and its relationship with quality of life in patient after thyroid cancer surgery
Main Article Content
Abstract
The study aimed to describe swallowing impairment and its association with quality of life in patients after thyroid cancer surgery at Bach Mai Hospital. A cross-sectional descriptive study was conducted on 184 patients who had undergone thyroidectomy. The Swallowing Impairment Score Index (SIS-6) was used to assess swallowing disorders, while quality of life was measured using the The EuroQol 5-Dimension 5-level questionnaire (EQ-5D-5L) and the EQ visual analogue scale (EQ-VAS). Results showed that the average age of participants was 48.8 ± 12.8 years old; the majority were female (75%), 94.6% underwent open surgery and 76.5% were diagnosed during routine health check-ups. The mean SIS-6 score was 9.2 ± 4.3. The average quality of life score by the EQ-5D-5L and EQ-VAS was 0,732 ± 0,151 and 70.76 ± 12.72 respectively. There was a statistically significant association between swallowing impairment and quality of life assessed by EQ-VAS (p < 0.05), as well as between swallowing impairment and all dimensions of the EQ-5D-5L (p < 0.05).
Article Details
Keywords
Swallowing impairment, quality of life, surgery, thyroid cancer
References
2. Elbeltagy YM, Bassiouny SE, Sobhy TS, Ismail AE, Teaima AA. Swallowing Problems after Thyroidectomy. Int Arch Otorhinolaryngol. 2021; 26(3): e327-e333. Published 2021 Oct 20. doi:10.1055/s-0041-1730302.
3. Trần Thị Mai Quỳnh. Xác định tỷ lệ nuốt vướng sau phẫu thuật tuyến giáp và tìm hiểu một số yếu tố liên quan [khóa luận tốt nghiệp cử nhân y khoa]. Trường Đại học Y Hà Nội; 2023: 39-41.
4. Krekeler BN, Wendt E, Macdonald C, et al. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study. JAMA Otolaryngol Head Neck Surg. 2018; 144(4): 342-348. doi:10.1001/jamaoto.2017.3378.
5. Lombardi CP, Raffaelli M, D’Alatri L, et al. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery. 2006; 140(6): 1026-1034. doi:10.1016/j.surg.2006.08.008.
6. Lê Văn Quảng. Atlas Phẫu Thuật, Phẫu Thuật Mở và Phẫu Thuật Nội Soi. Hà Nội: Nhà xuất bản Y học; 2021.
7. Đậu Thị Hồng Nhung, Hồ Thị Kim Thanh. Chất lượng cuộc sống của bệnh nhân ung thư biểu mô tuyến giáp thể nhú và thể nang sau phẫu thuật cắt tuyến giáp. Tạp chí Nghiên cứu Y học. 2022; 151(3): 63-72. doi:10.52852/tcncyh.v151i3.604.
8. Lombardi CP, Raffaelli M, De Crea C, et al. Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Surgery. 2009; 146(6): 1174-1181. doi:10.1016/j.surg.2009.09.010.
9. Xu W, Zhou Y, Fan Y, et al. Cross-cultural adaptation, reliability, and validity of a Chinese version of the swallowing impairment score. Front Psychol. 2025;16:1502327. Published 2025 Apr 9. doi:10.3389/fpsyg.2025.1502327.
10. EuroQol Research Foundation. EQ-5D-5L User Guide: Basic Information on How to Use the EQ-5D-5L Instrument. Version 3.0. 2023. Available from: https://euroqol.org/wp-content/uploads/2023/11/EQ-5D-5LUserguide-23-07.pdf
11. Mai VQ, Sun S, Minh HV, et al. An EQ-5D-5L Value Set for Vietnam. Qual Life Res. 2020; 29(7): 1923-1933. doi:10.1007/s11136-020-02469-7.
12. Nguyen SM, Deppen S, Nguyen GH, Pham DX, Bui TD, Tran TV. Projecting Cancer Incidence for 2025 in the 2 Largest Populated Cities in Vietnam. Cancer Control. 2019; 26(1): 1073274819865274. doi:10.1177/1073274819865274.
13. Lee J, Kwon IS, Bae EH, Chung WY. Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metab. 2013; 98(7): 2701-2708. doi:10.1210/jc.2013-1583.
14. Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Surg Endosc. 2014; 28(6): 1914-1920. doi:10.1007/s00464-013-3413-6.
15. Hajiioannou JK, Sioka E, Stavrou G, et al. Impact of uncomplicated total thyroidectomy on voice and swallowing symptoms: a prospective clinical trial. Indian J Surg. 2019; 81(6): 564-571. doi:10.1007/s12262-019-01865-9.
16. Martins NMDS, Novalo-Goto ES, Diz-Leme ICM, et al. Patient Perception of Swallowing after Thyroidectomy in the Absence of Laryngeal Nerve Injury. ORL J Otorhinolaryngol Relat Spec. 2020; 82(5): 274-284. doi:10.1159/000508683.
17. Vũ Minh Tuấn, Vũ Xuân Thịnh, Nguyễn Thị Lan, et al. Chất lượng cuộc sống của người bệnh ung thư vú tại Bệnh viện K cơ sở Tân Triều Hà Nội. Tạp chí Khoa học Điều dưỡng. 2024; 7(03): 53-63. doi:10.54436/jns.2024.03.804.
18. Wang T, Jiang M, Ren Y, et al. Health-Related Quality of Life of Community Thyroid Cancer Survivors in Hangzhou, China. Thyroid. 2018; 28(8): 1013-1023. doi:10.1089/thy.2017.0213.
19. Sawka AM, Goldstein DP, Brierley JD, et al. The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study. PLoS One. 2009; 4(1): e4191. doi:10.1371/journal.pone.0004191.
20. George RebeccaGrace, Jagtap M. Impact of Swallowing Impairment on Quality of Life of Individuals with Dysphagia. Indian J Otolaryngol Head Neck Surg. 2022; 74(S3): 5473-5477. doi:10.1007/s12070-021-02798-0.