Document Details

Document Type : Thesis 
Document Title :
SATISFACTION, EXPERIENCE, AND QUALITY OF LIFE AMONG THYROID CANCER SURVIVORS.
رضا، تجربة المريض، جودة الحياة بين مرضى سرطان الغدة الدرقية.
 
Subject : Faculty of medicine 
Document Language : Arabic 
Abstract : Introduction: The incidence of thyroid cancer has increased substantially worldwide in the past several decades. while thyroid cancer incidence is increasing, the survival has remained stable with a 10-year survival rate for papillary thyroid cancer as high as 97% in some studies. Objective: To assess thyroid cancer patients’ satisfaction and experience in our institution. Objectively measure the quality of life of life among well differentiated thyroid cancer survivors. Design: Cross sectional study of well differentiated thyroid cancer survivors diagnosed between 2010 and 2020. The assessment tool was City of Hope thyroid cancer QoL. Instrument tool was modified with an incorporated section assessing patient satisfaction toward treating physician. Survey was translated into the Arabic language and validated using Cronbach’s alpha coefficient. Results: A total of 43 patients with PTC were included in the study, 83.7% were female with a median age at time of diagnosis being 30 years and 37 years at time of the survey. 81% of the patients were married. All participants were treated with total thyroidectomy and 37.2% underwent additional neck dissection surgery. Radioactive iodine was given to close to 2/3 of the participants. 11.6% of the patients experienced recurrence in the cervical region either in the thyroid bed or in the form of lymphatic metastasis. Tumor were classified in accordance to TNM cancer staging the 8th edition of AJCC, with stage I disease accounting for 73.9% of the reported cases. The median overall QoL was 4.4 and with mean of 4.5 ± 1.8. Female reported a worse score in the patient-physician related quality of life, and anxiety to different oncological outcomes domains. Population with higher education and younger than 55 years found to have worse score in the anxiety to different oncological outcomes domain. In the psychological domain married patients revealed a poor score in compare to single patients. Another predictor is the neck dissection found to have a negative impact on the social wellbeing scale. Conclusion: Thyroid cancer seems to have a greater impact on Younger, Female, Higher Education, Married and patients who had Extensive Surgery. The lower HR-QOL in younger compared with older survivors is probably caused mostly by age and greater incidence among this population not the cancer itself. Establishing a large and geographically diverse thyroid cancer survivorship cohort through collaboration with multiple institutions gives the ability to confer a better under- standing of how thyroid cancer impacts the physical, psychosocial, and social morbidity of survivors. 
Supervisor : Dr. Mazin Merdad 
Thesis Type : Master Thesis 
Publishing Year : 1441 AH
2020 AD 
Added Date : Wednesday, June 24, 2020 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
عواض الثبيتيAlthobaiti, Awwadh ResearcherMaster 

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