Table 3 Univariable and multivariable logistic regression model for the heightened regret in patients undergoing thyroidectomy
Characteristics | Univariable analysis | Multivariable analysis | ||||
---|---|---|---|---|---|---|
Heightened regret (N = 319) | No or mild regret (N = 997) | P value | Odds ratio | 95% CI | P value | |
Age, mean (SD), years | 43.9 (9.9) | 43.3 (10.2) | 0.392 | |||
Patient gender | 0.264 | |||||
Female | 241 (75.5) | 783 (78.5) | ||||
Male | 78 (24.5) | 214 (21.5) | ||||
Patient race/ethnicity | 0.589 | |||||
Han | 311 (97.5) | 977 (98.0) | ||||
Others | 8 (2.5) | 20 (2.0) | ||||
Tumor size, mean (SD), mm | 7.1 (2.1) | 7.0 (1.8) | 0.858 | |||
Marital status | 0.156 | |||||
Married/living as married | 278 (87.1) | 897 (90.0) | ||||
Others | 41 (12.9) | 100 (10.0) | ||||
Current employment status | <0.001 | 1.343 | 0.688–2.612 | 0.387 | ||
Employed | 302 (94.7) | 840 (84.3) | ||||
Others | 17 (5.3) | 157 (15.7) | ||||
Comorbidities of thyroid | ||||||
Nodular goiter | 165 (51.7) | 344 (34.5) | <0.001 | 1.193 | 0.739–1.926 | 0.470 |
Hashimoto’s thyroiditis | 56 (17.6) | 99 (9.9) | 0.004 | 1.094 | 0.852–2.809 | 0.515 |
Other comorbidities | ||||||
0 | 253 (79.3) | 808 (81.0) | 0.496 | |||
1 | 43 (13.5) | 131 (13.2) | ||||
≥2 | 23 (7.2) | 58 (5.8) | ||||
Extent of thyroidectomy | 0.180 | |||||
Total thyroidectomy | 116 (36.4) | 322 (32.3) | ||||
Lobectomy | 203 (63.6) | 675 (67.7) | ||||
Central lymph node dissection | <0.001 | 0.599 | 0.278–1.292 | 0.191 | ||
Unilateral | 207 (64.9) | 762 (76.4) | ||||
Bilateral | 112 (35.1) | 235 (23.6) | ||||
Thyroid hormone replacement/ suppression therapy | 0.299 | |||||
Yes | 280 (87.8) | 852 (85.5) | ||||
No | 39 (12.2) | 145 (14.5) | ||||
TSH, mean (SD), (mIU/L) | 1.2 (1.1) | 1.3 (1.4) | 0.220 | |||
FT3, mean (SD), (pmol/L) | 4.7 (1.8) | 4.7 (1.5) | 0.921 | |||
FT4, mean (SD), (pmol/L) | 18.8 (3.2) | 19.0 (3.2) | 0.498 | |||
Postoperative complications | 12 (3.8) | 0 (0.0) | <0.001 | 3.116 | 1.531–10.782 | 0.016 |
Postoperative pathological features | ||||||
Gross or microscopic ETE | 0 (0.0) | 85 (8.5) | <0.001 | 0.612 | 0.222–1.076 | 0.088 |
Lymph node metastasis | 0 (0.0) | 399 (40.0) | <0.001 | 0.347 | 0.104–0.864 | <0.001 |
Median time from operation to distribution of survey (months) | 35 (6–73) | 34 (6–74) | 0.869 | |||
Disease progression | 7 (2.2) | 11 (1.1) | 0.144 | |||
Decision-making experiences | ||||||
Completely patient’s choice | 37 (11.6) | 151 (15.1) | 0.115 | |||
Primarily based on my doctor’s recommendation | 107 (33.5) | 298 (29.9) | 0.219 | |||
Doctor and patient made decision together | 166 (52.0) | 542 (54.4) | 0.468 | |||
Someone else’s choice | 9 (2.9) | 6 (0.6) | 0.001 | 5.086 | 0.839–30.845 | 0.077 |
Understanding of disease | ||||||
Not at all | 114 (35.7) | 106 (10.6) | <0.001 | 4.216 | 2.357–9.996 | <0.001 |
A little | 73 (22.9) | 176 (17.7) | 0.038 | |||
Quite a bit | 60 (18.8) | 441 (44.2) | <0.001 | 0.752 | 0.314–1.422 | 0.110 |
Very much | 72 (22.6) | 274 (27.5) | 0.083 | |||
Communication quality | ||||||
High | 289 (90.6) | 973 (97.6) | <0.001 | 0.451 | 0.232–0.917 | 0.002 |
Low | 30 (9.4) | 24 (2.4) | ||||
Thyroid cancer-specific QoL | ||||||
Neuromuscular (high/low) | 148 (46.4)/171 (53.6) | 311 (31.2)/686 (68.8) | <0.001 | 1.231 | 0.720–2.104 | 0.448 |
Voice (high/low) | 150 (47.0)/169 (53.0) | 369 (37.0)/628 (63.0) | 0.002 | 0.992 | 0.611–1.610 | 0.974 |
Concentration (high/low) | 162 (50.8)/157 (49.2) | 334 (33.5)/663 (66.5) | <0.001 | 1.593 | 0.918–2.766 | 0.098 |
Sympathetic (high/low) | 122 (38.2)/197 (61.8) | 276 (27.7)/721 (72.3) | <0.001 | 1.281 | 0.766–2.141 | 0.346 |
Throat/mouth (high/low) | 145 (45.5)/174(54.5) | 310 (33.1)/687 (68.9) | <0.001 | 0.903 | 0.542–1.506 | 0.697 |
Psychological (high/low) | 187 (58.6)/132 (41.4) | 464 (46.5)/533 (53.5) | <0.001 | 1.835 | 1.248–2.988 | 0.039 |
Sensory (high/low) | 152 (47.6)/167 (52.4) | 407 (40.8)/590 (59.2) | 0.032 | 1.073 | 0.567–1.753 | 0.778 |
Scarring (high/low) | 213 (66.8)/106 (33.2) | 445 (44.6)/552 (55.4) | <0.001 | 2.907 | 1.527–3.920 | 0.021 |
Chilly (high/low) | 174 (54.5)/145 (45.5) | 447 (44.8)/550 (55.2) | 0.003 | 0.996 | 0.590–1.582 | 0.892 |
Tingling (high/low) | 149 (46.7)/170 (53.3) | 300 (30.1)/697 (69.9) | <0.001 | 1.488 | 0.872–2.539 | 0.145 |
Weight gain (high/low) | 48 (15.0)/271 (85.0) | 134 (13.4)/863 (86.6) | 0.469 | |||
Headache (high/low) | 155 (48.6)/164 (51.4) | 376 (37.7)/621 (62.3) | <0.001 | 0.996 | 0.599–1.658 | 0.898 |
Sex (high/low) | 57 (17.9)/262 (82.1) | 99 (9.9)/898 (90.1) | <0.001 | 1.984 | 0.917–3.607 | 0.077 |