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2003 Thyroid Survey Results -- Part 2
First Patient Quality-of-Life Survey of Nearly 1000 Patients Published
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By Mary J. Shomon

From late 2001 to 2002, a survey was conducted with readers of Mary Shomon’s various thyroid disease websites. Final results will be published later in 2003, but preliminary results, based on a tally of 907 respondents, are being published here, to bring increased visibility to thyroid issues to help highlight the January 2003 commemoration of Thyroid Awareness Month.

This is the first large-scale quality of life survey of thyroid patients, and the first to look at critical patient concerns such as unrelieved symptoms, weight problems, attitudes toward patient organizations, smoking behavior, and effective treatments and solutions.

A summary of the survey findings is located at: http://thyroid.about.com/library/weekly/aasurveysumm.htm

The tally of results of the survey are as follows:

See Page 1

If you are on thyroid hormone replacement, what drug are you currently taking (check all that apply)      
Total Number of Responses / Percentage of All 907 Respondents 710   78.3%
Synthroid 340 47.9% 37.5%
Armour 123 17.3% 13.6%
Levoxyl 122 17.2% 13.5%
Cytomel 70 9.9% 7.7%
Unithroid 35 4.9% 3.9%
Levothroid 32 4.5% 3.5%
Thyrolar 20 2.8% 2.2%
Other 18 2.5% 2.0%
Other levothyroxine/thyroxine 14 2.0% 1.5%
Time-released compounded T3 10 1.4% 1.1%
Eltroxin 5 0.7% 0.6%
Oroxine 5 0.7% 0.6%
Euthyrox 2 0.3% 0.2%
Naturethroid 2 0.3% 0.2%
Westthroid 1 0.1% 0.1%
       
If you are currently hyperthyroid, what treatment are you on?      
Total Number of Responses / Percentage of All 907 Respondents 25   2.8%
PTU 14 56.0% 1.5%
Homeopathic 9 36.0% 1.0%
Block replace therapy (Antithyroid drugs plus thyroid hormone replacement) 3 12.0% 0.3%
Tapazole 3 12.0% 0.3%
Sodium iodide 1 4.0% 0.1%
       
If you had Radioactive Iodine Treatment (RAI), when did you have it?    
Total Number of Responses / Percentage of All 907 Respondents 73   8.0%
In the past year 12 16.4% 1.3%
1-3 years ago 17 23.3% 1.9%
3-5 years ago 16 21.9% 1.8%
5 - 10 years ago 11 15.1% 1.2%
10 - 20 years ago 12 16.4% 1.3%
20+ years ago 5 6.8% 0.6%
       
If you have had surgery on your thyroid, what sort of surgery have you had?  
Total Number of Responses / Percentage of All 907 Respondents 134   14.8%
Full thyroidectomy (full removal) 37 55.2% 4.1%
Partial thyroidectomy (full removal) 15 22.4% 1.7%
Other 9 13.4% 1.0%
Removal of a nodule only 5 7.5% 0.6%
Pituitary adenoma surgically removed 1 1.5% 0.1%
Other 67   7.4%
       
If you had surgery, when did you have it?      
Total Number of Responses / Percentage of All 907 Respondents 65   7.2%
5 - 10 years ago 15 23.1% 1.7%
1-3 years ago 14 21.5% 1.5%
In the past year 12 18.5% 1.3%
3-5 years ago 10 15.4% 1.1%
10 - 20 years ago 9 13.8% 1.0%
20+ years ago 5 7.7% 0.6%
       
Do you have any family members with thyroid problems? If so, please check all that apply
Total Number of Responses / Percentage of All 907 Respondents 512   56.4%
Sister(s) 230 44.92% 25.4%
Mother 229 44.73% 25.2%
Grandmother 199 38.87% 21.9%
Father 47 9.18% 5.2%
Brother(s) 29 5.66% 3.2%
Daughter(s) 28 5.47% 3.1%
Grandfather 6 1.17% 0.7%
Son(s) 5 0.98% 0.6%
       
Are you currently satisfied with the treatment you're receiving?    
Total Number of Responses / Percentage of All 907 Respondents 748   82.5%
No 375 50.13% 41.3%
Yes 320 42.78% 35.3%
Other (please explain) 53 7.09% 5.8%
       
What type of physicians do you see for your thyroid care? (check all that apply)  
Total Number of Responses / Percentage of All 907 Respondents 677   74.6%
General practice 445 65.73% 49.1%
Endocrinologist 380 56.13% 41.9%
Internist 105 15.51% 11.6%
Other 49 7.24% 5.4%
Holistic doctor 45 6.65% 5.0%
Ob-gyn 30 4.43% 3.3%
Osteopath 25 3.69% 2.8%
Surgeon 22 3.25% 2.4%
Ear/Nose/Throat 19 2.81% 2.1%
Oncologist 10 1.48% 1.1%
Biological psychiatrist/Endo 1 0.15% 0.1%
       
What is your most recent TSH level?      
Total Number of Responses / Percentage of All 907 Respondents 760   83.8%
Between 1 and 2 217 28.55% 23.9%
Between .5 and 1 169 22.24% 18.6%
less than .5 141 18.55% 15.5%
Between 2 and 3 60 7.89% 6.6%
Between 4 and 5.5 53 6.97% 5.8%
Between 5.5 and 10 47 6.18% 5.2%
Between 3 and 4 40 5.26% 4.4%
Between 10 and 25 14 1.84% 1.5%
Between 25 and 50 8 1.05% 0.9%
50 to 100 6 0.79% 0.7%
100 to 200 3 0.39% 0.3%
Above 200 1 0.13% 0.1%
Don't Know 1 0.13% 0.1%
       
At what TSH do you personally feel your best?      
Total Number of Responses / Percentage of All 907 Respondents 734   80.9%
Other 328 44.7% 36.2%
Between .5 and 1 135 18.4% 14.9%
Between 1 and 2 120 16.3% 13.2%
less than .5 97 13.2% 10.7%
Between 2 and 3 30 4.1% 3.3%
Between 3 and 4 8 1.1% 0.9%
Between 5.5 and 10 8 1.1% 0.9%
Between 4 and 5.5 6 0.8% 0.7%
Between 10 and 25 2 0.3% 0.2%
Between 25 and 50 0 0.0% 0.0%
       
What symptoms do you still suffer from, despite treatment? (check all that apply)  
Total Number of Responses / Percentage of All 907 Respondents 860   94.8%
I feel fatigued, exhausted more than normal 789 91.74% 87.0%
I'm unable to lose weight with proper diet/exercise 555 64.53% 61.2%
I feel run down, sluggish, lethargic 534 62.09% 58.9%
I have difficulty concentrating 510 59.30% 56.2%
My mind feels like I'm in a "fog" 501 58.26% 55.2%
I have no sex drive, or a reduced sex drive 498 57.91% 54.9%
I am gaining weight inappropriately 456 53.02% 50.3%
I have pains, aches and stiffness in various joints, hands and 437 50.81% 48.2%
I'm more forgetful lately 435 50.58% 48.0%
I feel weak 410 47.67% 45.2%
I feel like I can't get enough sleep, even though I'm sleeping 396 46.05% 43.7%
I feel depressed 390 45.35% 43.0%
My moods change easily 389 45.23% 42.9%
I can't seem to remember things 388 45.12% 42.8%
I feel cold especially in the hands and/or feet 386 44.88% 42.6%
My hair is falling out more than usual 369 42.91% 40.7%
I feel cold when others feel hot, I need extra sweaters, etc. 341 39.65% 37.6%
I feel lightheaded at times 332 38.60% 36.6%
My eyes feel sensitive to light 327 38.02% 36.1%
I have strange feelings in neck or throat, for example, a 326 37.91% 35.9%
My eyes feel gritty and dry 320 37.21% 35.3%
I have difficulty reaching orgasm 317 36.86% 35.0%
I have feelings of sadness 314 36.51% 34.6%
I have feelings of worthlessness 306 35.58% 33.7%
Other, please specify 300 34.88% 33.1%
I have weakness in muscles, esp. arms and legs 297 34.53% 32.7%
I have developed allergies, or my allergies have become worse 295 34.30% 32.5%
I am constipated, sometimes severely 280 32.56% 30.9%
My nails have been dry, brittle, and break more easily 279 32.44% 30.8%
I'm snoring more lately 279 32.44% 30.8%
I have high cholesterol 276 32.09% 30.4%
My skin is rough, coarse, dry, scaly, itchy and thick 269 31.28% 29.7%
I seem to be losing interest in normal daily activities 254 29.53% 28.0%
I have tinnitus (ringing in ears) 250 29.07% 27.6%
I have developed carpal tunnel syndrome, tarsal tunnel 248 28.84% 27.3%
I have swollen feet 245 28.49% 27.0%
I feel shortness of breath and tightness in the chest 241 28.02% 26.6%
My hair is rough, coarse dry, breaking, brittle 239 27.79% 26.4%
I'm having insomnia, can't sleep 231 26.86% 25.5%
My voice has become hoarse, husky or gravelly 225 26.16% 24.8%
My "normal" basal body temperature is lower than 97.8 to 98.2 217 25.23% 23.9%
I am having irregular menstrual cycles (longer, or heavier, or 212 24.65% 23.4%
I feel restless 210 24.42% 23.2%
I'm taking an antidepressant, but it doesn't seem to be working 201 23.37% 22.2%
I have puffiness and swelling around the eyes and face 199 23.14% 21.9%
I feel anxious, nervous 198 23.02% 21.8%
My skin is breaking out 196 22.79% 21.6%
I have a history of one or more miscarriages 180 20.93% 19.8%
I have swollen hands 179 20.81% 19.7%
I feel hot when others feel cold 168 19.53% 18.5%
I get recurrent sinus infections 166 19.30% 18.3%
I feel the need to yawn to get oxygen 165 19.19% 18.2%
I have irritable bowel syndrome, digestion problems 154 17.91% 17.0%
I have high blood pressure 143 16.63% 15.8%
I have/may have sleep apnea 132 15.35% 14.6%
I have tremors in my hands or arms 120 13.95% 13.2%
I have swollen eyelids 117 13.60% 12.9%
I have low blood pressure 116 13.49% 12.8%
I have high triglycerides 112 13.02% 12.3%
I am getting more frequent infections, or infections that last 109 12.67% 12.0%
I have diarrhea or loose bowels 108 12.56% 11.9%
My eyebrows or eyelashes are falling out 98 11.40% 10.8%
I have vertigo 98 11.40% 10.8%
I have a lump, or what appears to be some sort of fullness or 98 11.40% 10.8%
My eyes get jumpy/tics in eyes, which makes me dizzy/vertigo and 97 11.28% 10.7%
I have been diagnosed as having hypothermia (low body temperature) 80 9.30% 8.8%
I have a slow pulse 78 9.07% 8.6%
I have started to develop ovarian cysts 58 6.74% 6.4%
I have a fast pulse / tachycardia 44 5.12% 4.9%
My eyes look like they are bulging, or as if I'm staring wide-eyed 40 4.65% 4.4%
I have high cholesterol that is resistant to diet or drug 36 4.19% 4.0%
I am having trouble conceiving a baby 27 3.14% 3.0%
My "normal" body temperate is elevated 21 2.44% 2.3%
I'm running a fever for no reason 20 2.33% 2.2%
I am losing weight inappropriately 6 0.70% 0.7%
I'm unable to gain weight with proper diet/exercise 6 0.70% 0.7%
       
What is Your Worst Symptom?      
Total Number of Responses / Percentage of All 907 Respondents 794   87.5%
Fatigue 329 41.4% 36.3%
Weight gain/inability to lose 150 18.9% 16.5%
Depression 49 6.2% 5.4%
brain fog/loss of concentration 47 5.9% 5.2%
muscle/joint pain 41 5.2% 4.5%
Other 40 5.0% 4.4%
sexual dysfunction 24 3.0% 2.6%
memory problems 22 2.8% 2.4%
Hair loss/dry hair 19 2.4% 2.1%
bowel problems (constipation, IBS, etc.) 14 1.8% 1.5%
insomnia 11 1.4% 1.2%
Anxiety 9 1.1% 1.0%
mood swings 7 0.9% 0.8%
Swelling 7 0.9% 0.8%
Body temp problems 7 0.9% 0.8%
Heart Palpitations 6 0.8% 0.7%
Dry skin/skin problems 3 0.4% 0.3%
Dizziness/lighteheaded/faint 3 0.4% 0.3%
vision/eye problems 3 0.4% 0.3%
Carpal Tunnel 3 0.4% 0.3%
Nail Problems 0 0.0% 0.0%


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Note: the survey was conducted among those who volunteered to submit information, and therefore is informational, and not for statistical purposes.

All survey contents and survey results © Copyright Mary Shomon, 2002-2003.

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