Table 1.
Patient baseline demographics, clinical characteristics, and HRQoL timing.
| Diagnostic surgery | Active surveillance | P | |||||
|---|---|---|---|---|---|---|---|
| Malignant | Benign | ||||||
| n = 29 | % | n = 74 | % | n = 23 | % | ||
| Female | 16 | 55% | 65 | 88% | 21 | 91% | <0.001a |
| Age (years) (mean ± s.d.) | 56.3 ± 14.5 | 53.5 ± 12.4 | 54.7 ± 16.0 | 0.61b | |||
| General medical history | 26 | 90% | 63 | 85% | 19 | 83% | 0.75a |
| Cardiovascular disease (incl. stroke) | 11 | 38% | 21 | 28% | 6 | 26% | 0.57a |
| Malignancy | 3 | 10% | 7 | 9% | 2 | 9% | 0.98a |
| Haematological disease (incl. malignancy) | 3 | 10% | 6 | 8% | 1 | 4% | 0.73a |
| Neurological disease (excl. stroke) | 6 | 21% | 15 | 20% | 6 | 26% | 0.83a |
| Otolaryngology disorders | 5 | 17% | 14 | 19% | 4 | 17% | 0.97a |
| Lung disease | 4 | 14% | 11 | 15% | 3 | 13% | 0.97a |
| Gastro-intestinal disease | 8 | 28% | 21 | 28% | 5 | 22% | 0.82a |
| Urological or gynaecological disease | 9 | 31% | 27 | 36% | 7 | 30% | 0.80a |
| Endocrine disease (excl. thyroid) | 6 | 21% | 9 | 12% | 4 | 17% | 0.52a |
| Musculoskeletal disorder | 14 | 48% | 26 | 35% | 7 | 30% | 0.35a |
| Psychiatric disorder | 2 | 7% | 4 | 5% | 1 | 4% | 0.92a |
| Thyroid function | |||||||
| TSH, mU/L (median, IQR) | 1.61 (1.09–2.35) | 1.54 (0.92–2.40) | 1.42 (0.48–2.20) | 0.46c | |||
| fT4, pmol/L (median, IQR) | 14.45 (13.18–16.20) | 14.30 (13.10–15.95) | 15.05 (13.43–17.18) | 0.62c | |||
| Thyroid US | |||||||
| Solitary nodule | 22 | 76% | 53 | 72% | 13 | 57% | 0.28a |
| Multinodular disease | 7 | 24% | 21 | 28% | 10 | 43% | |
| US nodule size, mm (median, IQR) | 37 (27–50) | 35 (25–40) | 36 (16–47) | 0.47c | |||
| TNM stage | |||||||
| T1a | 1 | 3% | |||||
| T1b | 5 | 17% | |||||
| T2 | 13 | 45% | |||||
| T3 | 10 | 34% | |||||
| N0/x | 27 | 93% | |||||
| N1a | 2 | 7% | |||||
| N1b | 0 | 0% | |||||
| M0 | 29 | 100% | |||||
| Highest educational level completed (n = 118) | |||||||
| Primary school | 0 | 0% | 4 | 6% | 2 | 9% | 0.12a |
| Pre-vocational secondary education | 7 | 10% | 7 | 25% | 6 | 27% | |
| High school | 1 | 4% | 5 | 7% | 2 | 9% | |
| Vocational education | 7 | 25% | 12 | 18% | 4 | 18% | |
| Higher professional education | 5 | 18% | 30 | 44% | 6 | 35% | |
| University | 8 | 29% | 10 | 15% | 2 | 9% | |
| Employment status (n = 115) | |||||||
| Fulltime job | 7 | 26% | 14 | 21% | 3 | 14% | 0.15a |
| Parttime job | 9 | 33% | 37 | 55% | 8 | 38% | |
| Unemployed | 11 | 41% | 16 | 24% | 10 | 48% | |
| Average work hours (hours/week) (median, IQR) | 18 (0–36) | 24 (6–32) | 8 (0–30) | 0.21c | |||
| Time from baseline HRQoL assessment in months (median, IQR) | |||||||
| to FDG-PET/CT scan (n = 115) | −0.1 (−0.3–0) | −0.2 (−0.7–0) | 0 (−0.6–0) | 0.28c | |||
| to diagnostic surgery (n = 94) | 1.9 (1.3–3.6) | 1.8 (1.2–3.5) | 0.52d | ||||
| to cTT (n = 17) | 5.6 (2.7–6.8) | ||||||
| to RAI (n = 16) | 6.3 (3.6–8.4) | ||||||
| to follow-up US (n = 21) | 10.6 (9.3–11.4) | ||||||
| to 3-month HRQoL assessment (n = 105)e | 3.1 (3.0–3.4) | n = 23 | 3.0 (2.8–3.3) | n = 62 | 3.0 (2.9–3.6) | n = 20 | 0.30c |
| to 6-month HRQoL assessment (n = 103)e | 5.9 (5.9–6.0) | n = 23 | 6.0 (5.8–6.4) | n = 60 | 6.0 (5.8–6.6) | n = 20 | 0.81c |
| to 12-month HRQoL assessment (n = 104)e | 11.9 (11.8–12.1) | n = 23 | 11.9 (11.8–12.2) | n = 60 | 12.0 (11.8–12.3) | n = 21 | 0.95c |
aPearson’s chi-square test. bone-way ANOVA. cKruskal–Wallis test. dMann–Whitney U test. eThree, one, and two patients completed the 3-, 6-, and 12-month HRQoL assessment, respectively, but not the baseline HRQoL assessment.
cTT, completing total thyroidectomy; Excl., excluding; fT4, free thyroxine; reference range approximately 10–25 pmol/L (sex and age dependent); HRQoL, health-related quality of life; Incl., including; IQR, interquartile range; RAI, radioiodine therapy; TSH, thyroid-stimulating hormone; reference range 0.4–4.0 mU/L; US, ultrasound.
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