QUALITY OF LIFE IN PATIENTS WITH TERTIARY HYPERPARATHYROIDISM AFTER OPERATIVE TREATMENT
КАЧЕСТВО ЖИЗНИ ПАЦИЕНТОВ С ТРЕТИЧНЫМ ГИПЕРПАРАТИРЕОЗОМ ПОСЛЕ ОПЕРАТИВНОГО ЛЕЧЕНИЯ

I. V. Makarov, D. O. Karpova, A. Yu. Ivanov, S. A. Kapitonova
2020 Tavricheskiy Mediko-Biologicheskiy Vestnik  
An increase in the life expectancy of patients undergoing renal replacement therapy is directly related to an increase in the number of patients with secondary (SHPT) and tertiary hyperparathyroidism (THPT). The main treatment for secondary and tertiary hyperparathyroidism is surgical. Moreover, improving the quality of life of this category of patients is one of the main purpose of surgical intervention. The purpose is to evaluate changes in the quality of life of patients with tertiary
more » ... rathyroidism who are on program hemodialysis after surgical treatment. Materials and methods. A survey of 60 patients with THPT was carried out before and after surgery using the Short Form-36 questionnaire (SF-36). The survey was attended by 35 women (58%) and 25 men (42%). Statistical processing of the results was carried out using Microsoft Office Excel and the program Statistic 7. When analyzing the results of the survey, it can be noted that the indicators of quality of life after surgery were significantly higher than the values before surgery. The greatest increase was observed in the assessment of indicators related to the mental component of health - by 27.4%; physical component of health increased by 13.8%. At the same time, the average value of the scale of physical functioning increased by 30.2%, role-based functioning, due to physical condition - by 75%, and due to emotional state - by 100%, pain intensity - by 58%. The indicator of vital activity increased by 2 times. A pronounced correlation was observed between the levels of parathyroid hormone (r = 0.81, at p = 0.0002), ionized calcium (r = 0.56, at p = 0.003) and scales of physical functioning before and after the operation.
doi:10.37279/2070-8092-2020-23-2-110-114 fatcat:zlrrbbakbjfotjdwl7spvl4sli