Impact of Postthyroidectomy Scar on the Quality of Life of Thyroid Cancer Patients
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Background: Surgical scars are crucial cosmetic problem,especially when in exposed areas such as the anterior neckfollowing thyroidectomy. Objective: To evaluate the impactof post-thyroidectomy scars on quality of life (QoL) of thyroidcancer patients and identify the relationship between scarcharacteristics and QoL. Methods: Patients with post-thyroidectomyscars on the neck were recruited. QoL wasmeasured using the Dermatology Life Quality Index (DLQI). Scar characteristics were graded according to Vancouverscar scale (VSS) score. Results: Ninety-seven patients completeda battery of questions at the time of enrollment. Post-thyroidectomy scars were classified according to morphologyas linear flat scars, linear bulging scars, hypertrophicscars or adhesive scars. There were 32 patients (33.0%), 9patients (9.3%), 41 patients (42.3%) and 15 patients (15.5%),respectively, in each group. The mean total DLQI score was9.02. Domain 2 (daily activities, 2.87 points), which includesquestions about clothing, was the most greatly impactedamong patients. The total DLQI scores of patients who haveexperienced scar-related symptoms were significantly higherthan those of patients without symptoms (p＜0.05). TheVSS scores were 3.09 for linear flat scars, 6.89 for linearbulging scars, 6.29 for hypertrophic scars and 5.60 foradhesive scars. However, the DLQI scores did not significantlydiffer among scar types or VSS scores. Conclusion:Post-thyroidectomy scars on the neck affect the QoL ofthyroid cancer patients regardless of scar type. Therefore,clinicians should pay attention to the psychological effects ofscars on patients and take care to minimize post-thyroidectomyscar.
Abstract
Background: Surgical scars are crucial cosmetic problem,especially when in exposed areas such as the anterior neckfollowing thyroidectomy. Objective: To evaluate the impactof post-thyroidectomy scars on quality of life (QoL) of thyroidcancer patients and identify the relationship between scarcharacteristics and QoL. Methods: Patients with post-thyroidectomyscars on the neck were recruited. QoL wasmeasured using the Dermatology Life Quality Index (DLQI). Scar characteristics were graded according to Vancouverscar scale (VSS) score. Results: Ninety-seven patients completeda battery of questions at the time of enrollment. Post-thyroidectomy scars were classified according to morphologyas linear flat scars, linear bulging scars, hypertrophicscars or adhesive scars. There were 32 patients (33.0%), 9patients (9.3%), 41 patients (42.3%) and 15 patients (15.5%),respectively, in each group. The mean total DLQI score was9.02. Domain 2 (daily activities, 2.87 points), which includesquestions about clothing, was the most greatly impactedamong patients. The total DLQI scores of patients who haveexperienced scar-related symptoms were significantly higherthan those of patients without symptoms (p＜0.05). TheVSS scores were 3.09 for linear flat scars, 6.89 for linearbulging scars, 6.29 for hypertrophic scars and 5.60 foradhesive scars. However, the DLQI scores did not significantlydiffer among scar types or VSS scores. Conclusion:Post-thyroidectomy scars on the neck affect the QoL ofthyroid cancer patients regardless of scar type. Therefore,clinicians should pay attention to the psychological effects ofscars on patients and take care to minimize post-thyroidectomyscar.
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