{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:16:15Z","timestamp":1783008975159,"version":"3.54.5"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003062","name":"Erciyes University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003062","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Thyroidectomy, a standard surgical procedure, can lead to various postoperative issues that can significantly affect a patient\u2019s sleep quality. This study, addressing a topic of significant importance to thyroid surgery and patient care, engages healthcare professionals, researchers, and academics, providing crucial insights into the challenges faced by patients in the early period after thyroidectomy and their effects on sleep quality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>The primary aim of this study was to investigate the prevalence of postoperative issues experienced by patients in the early period after thyroidectomy and their influence on sleep quality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This descriptive and prospective study, conducted with a sample of 104 thyroidectomy patients hospitalized in a university\u2019s Ear, Nose, and Throat clinic between 2021 and 2023, employed a comprehensive set of tools for data collection. These tools included a questionnaire, Visual Analog Scale for pain and nausea, Symptom Severity Scale, and Richard Campbell Sleep Scale, ensuring a thorough investigation into the prevalence of postoperative issues and their influence on sleep quality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The most frequently reported postoperative issues were pain, difficulty swallowing, sore throat, dry mouth, nausea-vomiting, tingling, hoarseness, Chvostek\u2019s sign, tremors (tetany), Trousseau\u2019s sign, and bleeding. Analysis of the pre-and postoperative Richard Campbell Sleep Scale scores revealed a significant decrease in sleep quality post-surgery, particularly in patients experiencing sore throat, difficulty swallowing, pain, Chvostek\u2019s sign, and Trousseau\u2019s sign.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Our study has revealed that patients\u2019 three most commonly reported problems after thyroidectomy are pain, difficulty swallowing, and sore throat. Importantly, these issues significantly impact sleep quality, underscoring the need for effective management to improve patient recovery. This study enhances our understanding of postoperative issues after thyroidectomy and inspires improved clinical practices in managing these challenges.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00520-025-09483-w","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T23:43:43Z","timestamp":1746056623000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The challenges experienced by patients in the early period after thyroidectomy and the effects on sleep quality"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2876-5772","authenticated-orcid":false,"given":"G\u00fclseren","family":"Mara\u015f Baydo\u011fan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0851-0254","authenticated-orcid":false,"given":"Yeliz","family":"S\u00fcrme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song\u00fcl","family":"K\u00fct\u00fck Karasungur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"9483_CR1","unstructured":"Karunarathna I, Disanayaka D, Kurukulasooriya P (2024) Anaesthetic challenges and complications in thyroidectomy patients: a comprehensive review. Uva clinical Lab. Retrieved from anaesthetic challenges and complications in thyroidectomy patients: a comprehensive review. https:\/\/www.researchgate.net\/publication\/380401319_Anaesthetic_Challenges_and_Complications_in_Thyroidectomy_Patients_A_Comprehensive_Review"},{"issue":"2","key":"9483_CR2","first-page":"180","volume":"3","author":"A T\u00fcrkmen","year":"2022","unstructured":"T\u00fcrkmen A (2022) Tiroid cerrahisi ve perioperatif hem\u015firelik bakimi. Sel\u00e7uk Sa\u011fl\u0131k Derg 3(2):180\u2013191","journal-title":"Sel\u00e7uk Sa\u011fl\u0131k Derg"},{"key":"9483_CR3","doi-asserted-by":"publisher","first-page":"CD010576","DOI":"10.1002\/14651858.CD010576.pub2","volume":"11","author":"Z Liu","year":"2015","unstructured":"Liu Z, Masterson L, Fish B, Jani P, Chatterjee K (2015) Thyroid surgery for graves\u2019 disease and graves\u2019 ophthalmopathy. Cochrane Database Syst Rev 11:CD010576. https:\/\/doi.org\/10.1002\/14651858.CD010576.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"9483_CR4","doi-asserted-by":"publisher","first-page":"77","DOI":"10.2147\/OAS.S428155","volume":"16","author":"SA Daba","year":"2023","unstructured":"Daba SA, Teklewold B, Suga Y, Biratu TD, Hassen IK (2023) Post-thyroidectomy complications at St Paul\u2019s Hospital Millennium Medical College, Ethiopia: associated factors and outcomes. Open Access Surg 16:77\u201386. https:\/\/doi.org\/10.2147\/OAS.S428155","journal-title":"Open Access Surg"},{"key":"9483_CR5","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.jss.2020.11.008","volume":"260","author":"S Fassas","year":"2021","unstructured":"Fassas S, Mamidi I, Lee R et al (2021) Postoperative complications after thyroidectomy: time course and incidence before discharge. J Surg Res 260:210\u2013219. https:\/\/doi.org\/10.1016\/j.jss.2020.11.008","journal-title":"J Surg Res"},{"issue":"11","key":"9483_CR6","doi-asserted-by":"publisher","first-page":"e0207088","DOI":"10.1371\/journal.pone.0207088","volume":"13","author":"B Bai","year":"2018","unstructured":"Bai B, Chen Z, Chen W (2018) Risk factors and outcomes of incidental parathyroidectomy in thyroidectomy: a systematic review and meta-analysis. PLoS One 13(11):e0207088. https:\/\/doi.org\/10.1371\/journal.pone.0207088","journal-title":"PLoS One"},{"issue":"10","key":"9483_CR7","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1001\/jamaoto.2016.1954","volume":"142","author":"I Vasileiadis","year":"2016","unstructured":"Vasileiadis I, Karatzas T, Charitoudis G et al (2016) Association of intraoperative neuromonitoring with reduced recurrent laryngeal nerve injury in patients undergoing total thyroidectomy. JAMA Otolaryngol Head Neck Surg 142(10):994\u20131001. https:\/\/doi.org\/10.1001\/jamaoto.2016.1954","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"6","key":"9483_CR8","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1111\/nicc.12309","volume":"24","author":"S Bakon","year":"2019","unstructured":"Bakon S, Craft J, Christensen M (2019) Hypocalcaemia-induced tetany secondary to total thyroidectomy: a nursing case review. Nurs Crit Care 24(6):349\u2013354","journal-title":"Nurs Crit Care"},{"issue":"5","key":"9483_CR9","doi-asserted-by":"publisher","first-page":"564","DOI":"10.21614\/chirurgia.114.5.564","volume":"114","author":"DN P\u00e3duraru","year":"2019","unstructured":"P\u00e3duraru DN, Ion D, Carsote M, Andronic O, Bolocan A (2019) Post-thyroidectomy hypocalcemia-risk factors and management. Chirurgia 114(5):564. https:\/\/doi.org\/10.21614\/chirurgia.114.5.564","journal-title":"Chirurgia"},{"key":"9483_CR10","doi-asserted-by":"publisher","first-page":"1876","DOI":"10.1007\/s00268-020-05422-4","volume":"44","author":"BM Finnerty","year":"2020","unstructured":"Finnerty BM, Gray KD, Ullmann TM et al (2020) Frailty is more predictive than age for complications after thyroidectomy for multinodular goiter. World J Surg 44:1876\u20131884. https:\/\/doi.org\/10.1007\/s00268-020-05422-4","journal-title":"World J Surg"},{"key":"9483_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/1179550617724428","volume":"10","author":"D Butler","year":"2017","unstructured":"Butler D, Oltmann S (2017) Is outpatient thyroid surgery for everyone? Clin Med Insights: Ear Nose Throat 10:1\u20136. https:\/\/doi.org\/10.1177\/1179550617724428","journal-title":"Clin Med Insights: Ear Nose Throat"},{"issue":"4","key":"9483_CR12","doi-asserted-by":"publisher","first-page":"160","DOI":"10.5388\/aon.2020.20.4.160","volume":"20","author":"DH Kim","year":"2020","unstructured":"Kim DH, Park JS (2020) The effect of saline gargling on dry mouth and sore throat in patients with thyroidectomy. Asian Oncol Nurs 20(4):160\u2013170. https:\/\/doi.org\/10.5388\/aon.2020.20.4.160","journal-title":"Asian Oncol Nurs"},{"issue":"1","key":"9483_CR13","doi-asserted-by":"publisher","first-page":"18823","DOI":"10.1038\/s41598-022-23549-3","volume":"12","author":"DL Koo","year":"2022","unstructured":"Koo DL, Park Y, Nam H, Chai YJ (2022) Sleep quality of patients with papillary thyroid carcinoma: a prospective longitudinal study with 5-year follow-up. Sci Rep 12(1):18823. https:\/\/doi.org\/10.1038\/s41598-022-23549-3","journal-title":"Sci Rep"},{"issue":"6","key":"9483_CR14","doi-asserted-by":"publisher","first-page":"e0130634","DOI":"10.1371\/journal.pone.0130634","volume":"10","author":"Y He","year":"2015","unstructured":"He Y, Meng Z, Jia Q et al (2015) Sleep quality of patients with differentiated thyroid cancer. PloS One 10(6):e0130634. https:\/\/doi.org\/10.1371\/journal.pone.0130634","journal-title":"PloS One"},{"key":"9483_CR15","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1007\/s40618-022-01751-4","volume":"45","author":"S Afrashteh","year":"2022","unstructured":"Afrashteh S, Fararouei MA-OX, Parad MT, Mirahmadizadeh A (2022) Sleep quality, stress and thyroid cancer: a case-control study. J Endocrinol Investig 45:1219. https:\/\/doi.org\/10.1007\/s40618-022-01751-4","journal-title":"J Endocrinol Investig"},{"issue":"1","key":"9483_CR16","doi-asserted-by":"publisher","first-page":"e174593","DOI":"10.1001\/jamasurg.2017.4593","volume":"153","author":"JB Liu","year":"2018","unstructured":"Liu JB, Sosa JA, Groga RH et al (2018) Variation of thyroidectomy-specific outcomes among hospitals and their association with risk adjustment and hospital performance. JAMA Surg 153(1):e174593\u2013e174593. https:\/\/doi.org\/10.1001\/jamasurg.2017.4593","journal-title":"JAMA Surg"},{"key":"9483_CR17","first-page":"34","volume":"14","author":"K Richards","year":"1987","unstructured":"Richards K (1987) Techniques for measurement of sleep in critical care. Focus Crit Care 14:34\u201340","journal-title":"Focus Crit Care"},{"key":"9483_CR18","doi-asserted-by":"crossref","first-page":"29","DOI":"10.4274\/jtsm.02.008","volume":"2","author":"ZK \u00d6zl\u00fc","year":"2015","unstructured":"\u00d6zl\u00fc ZK, \u00d6zer N (2015) Richard-campbell uyku \u00f6l\u00e7e\u011fi ge\u00e7erlilik ve g\u00fcvenilirlik \u00e7ali\u015fmas\u0131. J Turk Sleep Med 2:29\u201332","journal-title":"J Turk Sleep Med"},{"issue":"2","key":"9483_CR19","first-page":"35","volume":"2","author":"K Y\u0131ld\u0131r\u0131m","year":"2018","unstructured":"Y\u0131ld\u0131r\u0131m K, \u00d6zlem N (2018) Tiroidektomi uygulanan hastalarin retrospektif analizi. Ahi Evran Med J 2(2):35\u201338","journal-title":"Ahi Evran Med J"},{"issue":"1","key":"9483_CR20","doi-asserted-by":"publisher","first-page":"14","DOI":"10.4103\/abr.abr_3_19","volume":"8","author":"E Chahardahmasumi","year":"2019","unstructured":"Chahardahmasumi E, Salehidoost R, Amini M et al (2019) Assessment of the early and late complication after thyroidectomy. Adv Biomed Res 8(1):14","journal-title":"Adv Biomed Res"},{"key":"9483_CR21","doi-asserted-by":"publisher","first-page":"15832","DOI":"10.1038\/s41598-017-14963-z","volume":"7","author":"HX Yan","year":"2017","unstructured":"Yan HX, Pang P, Wang FL et al (2017) Dynamic profile of differentiated thyroid cancer in male and female patients with thyroidectomy during 2000\u20132013 in China: a retrospective study. Sci Rep 7:15832. https:\/\/doi.org\/10.1038\/s41598-017-14963-z","journal-title":"Sci Rep"},{"key":"9483_CR22","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.amsu.2014.11.005","volume":"4","author":"CF Huang","year":"2015","unstructured":"Huang CF, Jeng Y, Chen KD et al (2015) The preoperative evaluation prevent the postoperative complications of thyroidectomy. Ann Med Surg (Lond) 4:5\u201310. https:\/\/doi.org\/10.1016\/j.amsu.2014.11.005","journal-title":"Ann Med Surg (Lond)"},{"issue":"2","key":"9483_CR23","doi-asserted-by":"publisher","first-page":"53","DOI":"10.36516\/jocass.2019.2","volume":"2","author":"H Yabano\u011flu","year":"2019","unstructured":"Yabano\u011flu H (2019) 23 saatlik\/g\u00fcn\u00fcbirlik hastanede kali\u015f s\u00fcresi ile yapilan tiroidektomi vakalarimiz ve klinik sonu\u00e7larimiz. \u00c7ukurova Anestezi ve Cerrahi Bilimler Derg 2(2):53\u201360","journal-title":"\u00c7ukurova Anestezi ve Cerrahi Bilimler Derg"},{"key":"9483_CR24","unstructured":"Aslan F (2023) Cerrah g\u00f6z\u00fcnden tiroidektomi komplikasyonlari. Iksad Publications. Ankara, T\u00fcrkiye"},{"issue":"1","key":"9483_CR25","doi-asserted-by":"crossref","first-page":"36","DOI":"10.5505\/kjms.2017.82542","volume":"8","author":"F \u00c7ift\u00e7i","year":"2018","unstructured":"\u00c7ift\u00e7i F (2018) Total tiroidektomi sonrasi hipokalsemi. Kafkas J Med Sci 8(1):36\u201344","journal-title":"Kafkas J Med Sci"},{"issue":"5","key":"9483_CR26","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.asjsur.2015.11.005","volume":"40","author":"M Suwannasarn","year":"2017","unstructured":"Suwannasarn M, Jongjaroenprasert W, Chayangsu P, Suvikapakornkul R, Sriphrapradang C (2017) Single measurement of intact parathyroid hormone after thyroidectomy can predict transient and permanent hypoparathyroidism: a prospective study. Asian J Surg 40(5):350\u2013356. https:\/\/doi.org\/10.1016\/j.asjsur.2015.11.005","journal-title":"Asian J Surg"},{"issue":"2","key":"9483_CR27","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1002\/hed.25484","volume":"41","author":"H Kwon","year":"2019","unstructured":"Kwon H, Kim JK, Lim W, Moon BI, Paik NS (2019) Increased risk of postoperative complications after total thyroidectomy with Graves\u2019 disease. Head Neck 41(2):281\u2013285. https:\/\/doi.org\/10.1002\/hed.25484","journal-title":"Head Neck"},{"issue":"3","key":"9483_CR28","doi-asserted-by":"publisher","first-page":"64","DOI":"10.21608\/asalexu.2023.318356","volume":"25","author":"A Reizian","year":"2023","unstructured":"Reizian A, El Shatby A, Abo-Elwafa WAH, El-Deeb HA, Mohamed BS (2023) Effect of nursing interventions on patients\u2019 health outcomes post thyroidectomy. Alex Sci Nurs J 25(3):64\u201375. https:\/\/doi.org\/10.21608\/asalexu.2023.318356","journal-title":"Alex Sci Nurs J"},{"issue":"3","key":"9483_CR29","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1177\/0194599818797574","volume":"160","author":"T Tharakan","year":"2019","unstructured":"Tharakan T, Jiang S, Fastenberg J et al (2019) Postoperative pain control and opioid usage patterns among patients undergoing thyroidectomy and parathyroidectomy. Otolaryngol-Head Neck Surg 160(3):394\u2013401. https:\/\/doi.org\/10.1177\/0194599818797574","journal-title":"Otolaryngol-Head Neck Surg"},{"issue":"2","key":"9483_CR30","first-page":"177","volume":"4","author":"A T\u00fcrkmen","year":"2022","unstructured":"T\u00fcrkmen A, \u00c7avdar \u0130, Aksakal N (2022) The effect of head-neck stretching exercises after thyroidectomy on postoperative level of pain and disability. Genel Sa\u011fl\u0131k Bilimleri Derg 4(2):177\u2013186","journal-title":"Genel Sa\u011fl\u0131k Bilimleri Derg"},{"issue":"1","key":"9483_CR31","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.surg.2016.05.047","volume":"161","author":"J La","year":"2017","unstructured":"La J, Wang TS, Hammad AY et al (2017) Parathyroidectomy for primary hyperparathyroidism improves sleep quality: a prospective study. Surgery 161(1):25\u201334. https:\/\/doi.org\/10.1016\/j.surg.2016.05.047","journal-title":"Surgery"},{"issue":"5","key":"9483_CR32","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1177\/1054773817729074","volume":"28","author":"S Atasayar","year":"2019","unstructured":"Atasayar S, Guler DS (2019) Determination of the problems experienced by patients post-thyroidectomy. Clin Nurs Res 28(5):615\u2013635. https:\/\/doi.org\/10.1177\/1054773817729074","journal-title":"Clin Nurs Res"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09483-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-025-09483-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09483-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T04:30:39Z","timestamp":1746851439000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-025-09483-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["9483"],"URL":"https:\/\/doi.org\/10.1007\/s00520-025-09483-w","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was obtained from the Non-Interventional Clinical Research Ethics Committee of Erciyes University (approval no. 621\/2021). Institutional permission was obtained from the Erciyes University Health Application and Research Center. The study was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Written and verbal consent was obtained from patients willing to participate in the research using the informed consent form.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"438"}}