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Patient satisfaction after thyroid RFA versus surgery for benign thyroid nodules: a telephone survey.
Bernardi, Stella; Dobrinja, Chiara; Carere, Anna; Giudici, Fabiola; Calabrò, Veronica; Zanconati, Fabrizio; de Manzini, Nicolò; Fabris, Bruno; Stacul, Fulvio.
Afiliação
  • Bernardi S; a Department of Medical Sciences , University of Trieste, Cattinara Teaching Hospital , Trieste , Italy.
  • Dobrinja C; b Cattinara Teaching Hospital , ASUITS , Trieste , Italy.
  • Carere A; b Cattinara Teaching Hospital , ASUITS , Trieste , Italy.
  • Giudici F; a Department of Medical Sciences , University of Trieste, Cattinara Teaching Hospital , Trieste , Italy.
  • Calabrò V; c Department of Medical, Surgical and Health Sciences, Biostatistic Unit , Cattinara Teaching Hospital , Trieste , Italy.
  • Zanconati F; b Cattinara Teaching Hospital , ASUITS , Trieste , Italy.
  • de Manzini N; a Department of Medical Sciences , University of Trieste, Cattinara Teaching Hospital , Trieste , Italy.
  • Fabris B; b Cattinara Teaching Hospital , ASUITS , Trieste , Italy.
  • Stacul F; a Department of Medical Sciences , University of Trieste, Cattinara Teaching Hospital , Trieste , Italy.
Int J Hyperthermia ; 35(1): 150-158, 2018.
Article em En | MEDLINE | ID: mdl-30107758
ABSTRACT

INTRODUCTION:

Minimally invasive nonsurgical techniques are gaining ground as alternatives to surgery for the treatment of benign thyroid nodules. Here, we aimed at comparing patient satisfaction after radiofrequency ablation (RFA) to that after surgery.

METHODS:

In this cross-sectional study, we recruited 126 patients treated with RFA and 84 treated with surgery for a single benign thyroid nodule. All patients were contacted by phone call and were asked the following questions Are you satisfied with the symptom resolution?; Are you satisfied with the cosmetic results?; Are you satisfied overall with the procedure?; Are you taking any medication for your thyroid? Patients' general characteristics were collected from our database.

RESULTS:

In the surgery group, there was a higher percentage of patients fully satisfied with the resolution of nodule-related symptoms (p = .02). In the RFA group, there was a higher percentage of patients fully satisfied with the cosmetic results (p = .001). In terms of overall satisfaction, there were no differences between the groups (p = .26). Nevertheless, RFA led to differing results based on thyroid nodule function. In patients with nonfunctioning thyroid nodules, RFA was as effective as surgery in terms of satisfaction with symptom resolution, while it was not in patients with autonomously functioning thyroid nodules (AFTN).

CONCLUSION:

Our data on postoperative patient satisfaction support the notion that both RFA and surgery are valid therapeutic options for nonfunctioning thyroid nodules, while surgery should be still preferred for AFTN.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nódulo da Glândula Tireoide / Ablação por Radiofrequência Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nódulo da Glândula Tireoide / Ablação por Radiofrequência Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article