{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:25:33Z","timestamp":1784726733042,"version":"3.55.0"},"reference-count":42,"publisher":"The Endocrine Society","issue":"6","license":[{"start":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T00:00:00Z","timestamp":1703289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The objective of this prospective study was to assess longitudinal variations in health-related quality of life (HR-QOL) in patients diagnosed with differentiated thyroid cancer (DTC) before and after thyroidectomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cohort of 185 DTC patients who underwent thyroidectomy between January 2013 and December 2017 and who completed all necessary questionnaires was evaluated. Their HR-QOL was gauged using the University of Washington Quality of Life questionnaire (UW-QOL) and the City of Hope Quality of Life-Thyroid Version questionnaire (QOL-TV) both prior to surgery and at 3 months, 6 months, 1 year, 2 years, 3 years, and 5 years postoperatively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Out of 185 patients, 150 (81.1%) were female, with an average age of 48.7 \u00b1 12.9 years. For both UW-QOL and QOL-TV, the total composite QOL scores notably declined from preoperative levels to 3 months postoperatively, then gradually improved over 5 years, ultimately exceeding preoperative scores. Factors such as total thyroidectomy, radioactive iodine (RAI) ablation, and postoperative hypoparathyroidism were associated with lower physical composite QOL scores. Patients who underwent remote-access thyroidectomy expressed significantly higher satisfaction with appearance compared with those who had conventional thyroidectomy. Mood and anxiety were major clinical concerns both before and after surgery, showing considerable improvement postoperatively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>For DTC patients, HR-QOL experienced a significant drop 3 months postsurgery, subsequently showing gradual improvement, surpassing preoperative QOL by 5 years. Factors contributing to improved physical QOL included the utilization of remote-access thyroidectomy, less extensive thyroidectomy, and the absence of RAI ablation and hypoparathyroidism.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1210\/clinem\/dgad748","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T20:51:09Z","timestamp":1703364669000},"page":"1505-1516","source":"Crossref","is-referenced-by-count":33,"title":["Longitudinal Changes in Quality of Life Before and After Thyroidectomy in Patients With Differentiated Thyroid Cancer"],"prefix":"10.1210","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2558-3658","authenticated-orcid":false,"given":"Byung Hun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Rack","family":"Ryu","sequence":"additional","affiliation":[{"name":"Biostatistical Consulting and Research Lab, Medical Research Collaborating Center, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5267-0135","authenticated-orcid":false,"given":"Chang Myeon","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Bae","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seok Hyun","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0382-2072","authenticated-orcid":false,"given":"Kyung","family":"Tae","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University , Seoul 04763 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"issue":"3","key":"2024051707041478500_dgad748-B1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"2024051707041478500_dgad748-B2","volume-title":"Annual Report of Cancer Statistics in Korea in 2019","author":"Korea Central Cancer Registry, National Cancer Center","year":"2021"},{"issue":"9","key":"2024051707041478500_dgad748-B3","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1002\/ijc.29251","article-title":"Thyroid cancer mortality and incidence: a global overview","volume":"136","author":"La Vecchia","year":"2015","journal-title":"Int J Cancer"},{"issue":"2","key":"2024051707041478500_dgad748-B4","doi-asserted-by":"crossref","first-page":"249","DOI":"10.3109\/0284186X.2012.741326","article-title":"Health-related quality of life and disease specific symptoms in long-term thyroid cancer survivors: a study from the population-based PROFILES registry","volume":"52","author":"Husson","year":"2013","journal-title":"Acta Oncol"},{"issue":"1","key":"2024051707041478500_dgad748-B5","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1210\/jc.2007-1203","article-title":"Quality of life in cured patients with differentiated thyroid carcinoma","volume":"93","author":"Hoftijzer","year":"2008","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2024051707041478500_dgad748-B6","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1002\/pon.3903","article-title":"Perception of treatment burden, psychological distress, and fatigue in thyroid cancer patients and their partners\u2013effects of gender, role, and time since diagnosis","volume":"25","author":"Drabe","year":"2016","journal-title":"Psycho-Oncology"},{"issue":"3","key":"2024051707041478500_dgad748-B7","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s00268-015-3300-5","article-title":"Quality of life in thyroid cancer is similar to that of other cancers with worse survival","volume":"40","author":"Applewhite","year":"2016","journal-title":"World J Surg"},{"key":"2024051707041478500_dgad748-B8","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.ijsu.2017.12.014","article-title":"Quality of life in differentiated thyroid cancer","volume":"50","author":"McIntyre","year":"2018","journal-title":"Int J Surg"},{"issue":"3","key":"2024051707041478500_dgad748-B9","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/j.1365-2265.2008.03366.x","article-title":"Health-related quality of life in long-term follow-up of patients with cured TNM Stage I or II differentiated thyroid carcinoma","volume":"70","author":"Pelttari","year":"2009","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"4","key":"2024051707041478500_dgad748-B10","doi-asserted-by":"crossref","first-page":"664","DOI":"10.3803\/EnM.2022.1499","article-title":"Quality of life of survivors of thyroid cancer is not Inferior to that in subjects without cancer: long-term after over 5 years","volume":"37","author":"Lee","year":"2022","journal-title":"Endocrinol Metab (Seoul)"},{"issue":"3","key":"2024051707041478500_dgad748-B11","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1097\/MLG.0b013e31802e3739","article-title":"Health-related quality of life in thyroid cancer survivors","volume":"117","author":"Tan","year":"2007","journal-title":"Laryngoscope"},{"issue":"4","key":"2024051707041478500_dgad748-B12","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1001\/archoto.2009.16","article-title":"Clinical predictors of quality of life in patients with initial differentiated thyroid cancers","volume":"135","author":"Almeida","year":"2009","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"4","key":"2024051707041478500_dgad748-B13","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1177\/03008916211025098","article-title":"Systematic review of health-related quality of life following thyroid cancer","volume":"108","author":"Walshaw","year":"2022","journal-title":"Tumori"},{"issue":"8","key":"2024051707041478500_dgad748-B14","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1007\/s00259-015-3022-9","article-title":"Persistent quality of life impairments in differentiated thyroid cancer patients: results from a monitoring programme","volume":"42","author":"Gamper","year":"2015","journal-title":"Eur J Nucl Med Mol Imaging"},{"issue":"5","key":"2024051707041478500_dgad748-B15","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1159\/000501201","article-title":"Evaluation of quality of life in patients with differentiated thyroid cancer by means of the thyroid-specific patient-reported outcome questionnaire: a 5-year longitudinal study","volume":"9","author":"Giusti","year":"2020","journal-title":"Eur Thyroid J"},{"issue":"6","key":"2024051707041478500_dgad748-B16","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1530\/EJE-19-0550","article-title":"Longitudinal analysis of quality of life in patients treated for differentiated thyroid cancer","volume":"181","author":"van Velsen","year":"2019","journal-title":"Eur J Endocrinol"},{"issue":"4","key":"2024051707041478500_dgad748-B17","doi-asserted-by":"crossref","first-page":"209","DOI":"10.2310\/7070.2006.0011","article-title":"Quality of life in patients undergoing thyroid surgery","volume":"35","author":"Shah","year":"2006","journal-title":"J Otolaryngol"},{"issue":"38","key":"2024051707041478500_dgad748-B18","doi-asserted-by":"crossref","first-page":"e8070","DOI":"10.1097\/MD.0000000000008070","article-title":"Health-related quality-of-life assessment in surgical patients with papillary thyroid carcinoma: a single-center analysis from mainland China","volume":"96","author":"Gou","year":"2017","journal-title":"Medicine (Baltimore)"},{"issue":"8","key":"2024051707041478500_dgad748-B19","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1089\/thy.2018.0624","article-title":"Longitudinal assessment of quality of life according to treatment options in low-risk papillary thyroid microcarcinoma patients: active surveillance or immediate surgery (interim analysis of MAeSTro)","volume":"29","author":"Kong","year":"2019","journal-title":"Thyroid"},{"issue":"1","key":"2024051707041478500_dgad748-B20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21053\/ceo.2018.00766","article-title":"Robotic and endoscopic thyroid surgery: evolution and advances","volume":"12","author":"Tae","year":"2019","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"6","key":"2024051707041478500_dgad748-B21","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1177\/0194599816636366","article-title":"Robotic thyroidectomy: comparison of a postauricular facelift approach with a gasless unilateral axillary approach","volume":"154","author":"Sung","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"2024051707041478500_dgad748-B22","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1002\/hed.21782","article-title":"Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma: 2 years\u2019 experience","volume":"34","author":"Tae","year":"2012","journal-title":"Head Neck"},{"issue":"10","key":"2024051707041478500_dgad748-B23","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.ijom.2012.05.016","article-title":"The Korean version of the university of Washington quality of life questionnaire for patients with head and neck cancer, and its use in an initial validation study of 56 patients","volume":"41","author":"Chang","year":"2012","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"2","key":"2024051707041478500_dgad748-B24","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4143\/crt.2017.012","article-title":"Development and evaluation of a Korean version of a thyroid-specific quality-of-life questionnaire scale in thyroid cancer patients","volume":"50","author":"Ryu","year":"2018","journal-title":"Cancer Res Treat"},{"issue":"3","key":"2024051707041478500_dgad748-B25","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1001\/jamaoto.2018.3870","article-title":"Health-Related quality of life after diagnosis and treatment of differentiated thyroid cancer and association with type of surgical treatment","volume":"145","author":"Nickel","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"1","key":"2024051707041478500_dgad748-B26","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.surg.2019.04.060","article-title":"Differences in long-term quality of life between hemithyroidectomy and total thyroidectomy in patients treated for low-risk differentiated thyroid carcinoma","volume":"167","author":"Bongers","year":"2020","journal-title":"Surgery"},{"issue":"12","key":"2024051707041478500_dgad748-B27","doi-asserted-by":"crossref","first-page":"5817","DOI":"10.1210\/jc.2002-020210","article-title":"Nasolacrimal drainage system obstruction from radioactive iodine therapy for thyroid carcinoma","volume":"87","author":"Kloos","year":"2002","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2024051707041478500_dgad748-B28","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1089\/thy.2009.0187","article-title":"Quality of life and effectiveness comparisons of thyroxine withdrawal, triiodothyronine withdrawal, and recombinant thyroid-stimulating hormone administration for low-dose radioiodine remnant ablation of differentiated thyroid carcinoma","volume":"20","author":"Lee","year":"2010","journal-title":"Thyroid"},{"issue":"3","key":"2024051707041478500_dgad748-B29","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1210\/jc.2005-2064","article-title":"A comparison of short-term changes in health-related quality of life in thyroid carcinoma patients undergoing diagnostic evaluation with recombinant human thyrotropin compared with thyroid hormone withdrawal","volume":"91","author":"Schroeder","year":"2006","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"2024051707041478500_dgad748-B30","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1056\/NEJMcp0803050","article-title":"Hypoparathyroidism","volume":"359","author":"Shoback","year":"2008","journal-title":"N Engl J Med"},{"issue":"12","key":"2024051707041478500_dgad748-B31","doi-asserted-by":"crossref","first-page":"e4652","DOI":"10.1210\/clinem\/dgaa597","article-title":"Quality of life in patients with hypoparathyroidism after treatment for thyroid cancer","volume":"105","author":"B\u00fcttner","year":"2020","journal-title":"J Clin Endocrinol Metab"},{"issue":"6","key":"2024051707041478500_dgad748-B32","doi-asserted-by":"crossref","first-page":"2300","DOI":"10.1210\/jc.2015-3909","article-title":"Presentation of hypoparathyroidism: etiologies and clinical features","volume":"101","author":"Shoback","year":"2016","journal-title":"J Clin Endocrinol Metab"},{"issue":"12","key":"2024051707041478500_dgad748-B33","doi-asserted-by":"crossref","first-page":"3025","DOI":"10.1007\/s00268-022-06730-7","article-title":"Quality of life in post-surgical hypoparathyroidism (PoSH) in thyroid and parathyroid surgery","volume":"46","author":"Hillary","year":"2022","journal-title":"World J Surg"},{"issue":"13","key":"2024051707041478500_dgad748-B34","doi-asserted-by":"crossref","first-page":"4188","DOI":"10.1245\/s10434-014-3879-z","article-title":"Quality of life after robotic thyroidectomy by a gasless unilateral axillary approach","volume":"21","author":"Song","year":"2014","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"2024051707041478500_dgad748-B35","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.surg.2021.02.042","article-title":"Health-related quality of life after transoral robotic thyroidectomy in papillary thyroid carcinoma","volume":"170","author":"Song","year":"2021","journal-title":"Surgery"},{"issue":"8","key":"2024051707041478500_dgad748-B36","doi-asserted-by":"crossref","first-page":"3388","DOI":"10.1007\/s00464-019-07113-1","article-title":"Comparison of postoperative cosmesis in transaxillary, postauricular facelift, and conventional transcervical thyroidectomy","volume":"34","author":"Lee","year":"2020","journal-title":"Surg Endosc"},{"issue":"4","key":"2024051707041478500_dgad748-B37","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1089\/lap.2013.0459","article-title":"Long-term cosmetic outcomes after robotic\/endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach","volume":"24","author":"Ji","year":"2014","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"12","key":"2024051707041478500_dgad748-B38","doi-asserted-by":"crossref","first-page":"4118","DOI":"10.1007\/s00268-020-05732-7","article-title":"Endoscopic versus conventional thyroid surgery: a comparison of quality of life, cosmetic outcomes and overall patient satisfaction with treatment","volume":"44","author":"Johri","year":"2020","journal-title":"World J Surg"},{"issue":"2","key":"2024051707041478500_dgad748-B39","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/0194599818802190","article-title":"Depressive disorder in thyroid cancer patients after thyroidectomy: a longitudinal follow-up study using a national cohort","volume":"160","author":"Choi","year":"2019","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"3","key":"2024051707041478500_dgad748-B40","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s12020-021-02786-y","article-title":"Distress, anxiety, depression and unmet needs in thyroid cancer survivors: a longitudinal study","volume":"74","author":"Dionisi-Vici","year":"2021","journal-title":"Endocrine"},{"key":"2024051707041478500_dgad748-B41","doi-asserted-by":"crossref","first-page":"767093","DOI":"10.3389\/fpsyg.2022.767093","article-title":"Psycho-Oncological intervention through counseling in patients with differentiated thyroid cancer in treatment with radioiodine (COUNTHY, NCT05054634): a non-randomized controlled study","volume":"13","author":"Javaloyes","year":"2022","journal-title":"Front Psychol"},{"key":"2024051707041478500_dgad748-B42","first-page":"1055","article-title":"Psychological and behavioral intervention improves the quality of life and mental health of patients suffering from differentiated thyroid cancer treated with postoperative radioactive iodine-131","volume":"12","author":"Wu","year":"2016","journal-title":"Neuropsychiatr Dis Treat"}],"container-title":["The Journal of Clinical Endocrinology &amp; Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jcem\/advance-article-pdf\/doi\/10.1210\/clinem\/dgad748\/55019603\/dgad748.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcem\/article-pdf\/109\/6\/1505\/57709077\/dgad748.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcem\/article-pdf\/109\/6\/1505\/57709077\/dgad748.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T07:06:18Z","timestamp":1715929578000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jcem\/article\/109\/6\/1505\/7492664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,23]]},"references-count":42,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,12,23]]},"published-print":{"date-parts":[[2024,5,17]]}},"URL":"https:\/\/doi.org\/10.1210\/clinem\/dgad748","relation":{},"ISSN":["0021-972X","1945-7197"],"issn-type":[{"value":"0021-972X","type":"print"},{"value":"1945-7197","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2023,12,23]]}}}