BackgroundHypothyroid patients often report dissatisfaction and poor quality of life. This survey explored the impact of hypothyroidism on patient satisfaction, everyday living, experiences with healthcare professionals and influence of demographic and socioeconomic factors. Methods Cross-sectional questionnaire survey targeting an international population of hypothyroid patients. Multi-level regression modelling was used for analyses. ResultsThe total number of responses was 3915 from 68 countries. Satisfaction with care and treatment was not associated with type of treatment for hypothyroidism. Having no confidence and trust in healthcare professionals was strongly associated with dissatisfaction (p <0.01). Controlling for all other variables, significant differences were found among satisfaction rates between countries. A weak inverse relationship was found between satisfaction with care and treatment and impact on everyday living (p<0.001). Respondents taking levothyroxine alone, Thyroid

BackgroundBetween 10-15% of hypothyroid patients experience persistent symptoms despite achieving biochemical euthyroidism. Unexplained persistent symptoms can be a sign of somatization. This is associated with distress and high healthcare resource use and can be classified as Somatic Symptom Disorder (SSD). Prevalence rates for SSD differ depending on classification criteria and how they are ascertained, varying between 4-25%. As this has not been studied in hypothyroid patients before, the aim of this study was to document somatization in people with hypothyroidism and explore associations with other patient characteristics and outcomes. Methods Online, multi-national, cross-sectional survey of individuals with selfreported, treated hypothyroidism, that included the validated patient health questionnaire-15 (PHQ-15) for assessment of somatization. Chi-

Patients with Graves' disease (GD) not only need appropriate medical care, they also need to be cared for. The aim of this review is to examine the literature on GD patient needs, expectations, perceptions, and quality of life. We will also present methods for patient care, define gaps in knowledge, and suggest factors that can be introduced into the regular care of GD patients. Patient information, teamwork with a thyroid/ contact nurses, education of personnel and patients, quality of life measurements, and the formation of a rehabilitation program have enough evidence to be implemented into regular care. However, visualizing patient needs through person-centered care requires further evaluation in GD patients before being implemented in routine care. We conclude that considerable improvement in nursing can be achieved in relation to GD.