The Psychosocial and Clinical Outcomes of Orbital Decompression Surgery for Thyroid Eye Disease and Predictors of Change in Quality of Life

Wickwar, Sadie; McBain, Hayley; Ezra, Daniel G.; Hirani, Shashivadan P.; Rose, Geoffrey E.; Newman, Stanton

doi:10.1016/j.ophtha.2015.08.030

Cited by 33 publications

(23 citation statements)

References 27 publications

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“…We think that is a main reason why there is a large difference regarding incomplete data for the two groups. Wickwar S et al 26. reported that the appearance-related social anxiety and avoidance caused by surgery were all found to improve as time goes on, suggesting that the HRQoL of patients take some time to change after OT.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Cost-Effectiveness of Radiofrequency Ablation versus Open Surgery for Benign Thyroid Nodules: a retrospective cohort study

Yue

Wang

et al. 2016

Sci Rep

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This study is to compare the health-related quality of life (HRQoL) and cost-effectiveness of radiofrequency ablation (RFA) and open thyroidectomy (OT) for benign thyroid nodules (BTNs) treatment. HRQoL and utility were assessed for 404 BTN patients immediately before treatments (RFA:OT = 137:267) and at 6-month visit. A cost-effectiveness analysis was performed from societal perspective in the China context. Resource use (hospitalization, sick leaves) was collected. We used the net monetary benefit approach and computed cost-effectiveness acceptability curves for RFA and OT. Sensitivity analyses of costs of RFA were performed. At 6-month visit, patients treated with RFA had significantly better HRQoL than patients treated with OT on general health (68.5 versus 66.7, P = 0.029), vitality (71.3 versus 67.5, P < 0.001) and mental health (80.9 versus 79.3, P = 0.038). RFA was more effective than OT in terms of quality-adjusted life-years (QALYs; 0.01QALY/patient) but more expensive (US$823/patient). The probability that RFA would be cost effective at a US$50,000/QALY threshold was 15.5% in China, and it would be increased to 88.4% when price of the RFA device was lowered by 30%. RFA exhibited a significant improvement of HRQoL relative to OT, but is unlikely to be cost effective at its current price in short time.

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Section: Discussionmentioning

confidence: 99%

Quality of Life and Cost-Effectiveness of Radiofrequency Ablation versus Open Surgery for Benign Thyroid Nodules: a retrospective cohort study

Yue

Wang

et al. 2016

Sci Rep

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“…In particular, the group of Yue, who assessed HRQoL, showed that it significantly improved after 6 months from both surgery and RFA, but that patients who had been treated with RFA had better HRQoL as compared to those surgically treated. Nevertheless, the same authors argued that these differences could have disappeared over time, as HRQoL of patients that are operated on take some time to convalesce after surgery [36].…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction after thyroid RFA versus surgery for benign thyroid nodules: a telephone survey

Bernardi

Dobrinja

Carere

et al. 2018

International Journal of Hyperthermia

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“…28 After an orbital decompression, the improvements in QOL are most related to visual function and appearance. 29,30 The overall complication rate after orbital decompression is 9.3%. 31 Immediate complications include periorbital ecchymosis and edema, postoperative hemorrhage, and infection.…”

Section: Outcomes and Complicationsmentioning

confidence: 99%

Orbital Decompression for Thyroid Eye Disease

Braun

Bhadkamkar

Jubbal

et al. 2017

Seminars in Plastic Surgery

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Although most cases of thyroid eye disease (TED) can be managed medically, some refractory or severe cases are treated surgically with orbital decompression. Due to a lack of randomized controlled trials comparing surgical techniques for orbital decompression, none have been deemed superior. Thus, each case of TED is managed based on patient characteristics and surgeon experience. Surgical considerations include the extent of bony wall removal, the surgical approach, the choice of incision, and the use of fat decompression. Outcomes vary based on surgical indications and techniques; hence, vision can improve or worsen after the surgery.

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The Psychosocial and Clinical Outcomes of Orbital Decompression Surgery for Thyroid Eye Disease and Predictors of Change in Quality of Life

Cited by 33 publications

References 27 publications

Quality of Life and Cost-Effectiveness of Radiofrequency Ablation versus Open Surgery for Benign Thyroid Nodules: a retrospective cohort study

Quality of Life and Cost-Effectiveness of Radiofrequency Ablation versus Open Surgery for Benign Thyroid Nodules: a retrospective cohort study

Patient satisfaction after thyroid RFA versus surgery for benign thyroid nodules: a telephone survey

Orbital Decompression for Thyroid Eye Disease

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