Comparison of perioperative stress in patients undergoing thyroid surgery with and without neuromonitoring—a pilot study

Purpose A comprehensive psychological comparison of preoperative stress in patients scheduled for thyroidectomy with versus without intraoperative neurophysiologic monitoring (IONM) has never been reported. The aim of this study was to assess whether a planned utilization of IONM had any effect on t...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2017-06, Vol.402 (4), p.719-725
Main Authors: Babińska, Dominika, Barczyński, Marcin, Osęka, Tomasz, Śledziński, Maciej, Łachiński, Andrzej J.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Anxiety - diagnosis
Anxiety - etiology
Anxiety - prevention & control
Cardiac Surgery
Case-Control Studies
Fear
Female
General Surgery
Humans
Intraoperative Neurophysiological Monitoring - psychology
Male
Medicine
Medicine & Public Health
Middle Aged
Perioperative Period
Pilot Projects
Rapid Communications
Self Report
Stress, Psychological - diagnosis
Stress, Psychological - etiology
Stress, Psychological - prevention & control
Thoracic Surgery
Thyroid Diseases - psychology
Thyroid Diseases - surgery
Thyroidectomy - psychology
Traumatic Surgery
Vascular Surgery
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Summary:Purpose A comprehensive psychological comparison of preoperative stress in patients scheduled for thyroidectomy with versus without intraoperative neurophysiologic monitoring (IONM) has never been reported. The aim of this study was to assess whether a planned utilization of IONM had any effect on the reduction of stress and anxiety level before and after thyroid surgery. Methods The outcomes of 32 patients scheduled for thyroidectomy with IONM were compared to the outcomes of a carefully matched control group of 39 patients operated on without IONM. All the patients were tested before the surgery and at 1–7 days postoperatively employing psychological self-report instruments: the Depression Anxiety Stress Scales (DASS), State-Trait Anxiety Inventory (STAI), 12-item General Health Questionnaire (GHQ), Functional Assessment of Cancer Therapy-Head and Neck Scale (FACT H&N), and the visual analog scale (VAS). Results The examined groups were homogenous and carefully matched in terms of mental health (GHQ), the quality of life (FACT H&N), and the intensity of depression level (DASS). The IONM group showed a significantly lower level of “the state anxiety”(STAI) 1 day before the operation ( p  
ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-016-1457-5