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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1994-2-22
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pubmed:abstractText |
The long-term effects of two schedules of radioiodine therapy in patients with toxic multinodular goitre were evaluated. Forty-five patients (group A) were treated with low doses and 58 patients (group B) with calculated doses adjusted for thyroid weight (1.85-3.70 MBq/g) and radioactive iodine uptake. Follow-up (mean +/- SEM) was 4.3 +/- 0.2 years and 5.2 +/- 0.3 years, respectively (P > 0.1). At the end of follow-up, hyperthyroidism was successfully reversed in 73% (group A) and 88% (group B). In each group, hypothyroidism was present in 7%. The total dose per gram of thyroid tissue was not significantly different in groups A and B (2.1 +/- 0.2 vs 2.7 +/- 0.2 MBq/g). However, for patients treated with calculated doses the number of 131I administrations was significantly lower (1.3 +/- 0.1) than for patients treated with low doses (2.2 +/- 0.2), and the percentage of patients who were adequately treated with a single dose was more than twice as high (66% in group B versus 27% in group A). Euthyroidism was reached within a significantly shorter time after treatment with calculated doses (median time 0.6 years in group B vs 1.5 years in group A; life table analysis). It is concluded that radioiodine is an effective treatment for toxic multinodular goitre with a low risk of post-treatment hypothyroidism and that calculated (higher) doses appear to be preferable to low doses.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0340-6997
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1056-62
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:8287873-Adult,
pubmed-meshheading:8287873-Aged,
pubmed-meshheading:8287873-Aged, 80 and over,
pubmed-meshheading:8287873-Female,
pubmed-meshheading:8287873-Follow-Up Studies,
pubmed-meshheading:8287873-Goiter, Nodular,
pubmed-meshheading:8287873-Graves Disease,
pubmed-meshheading:8287873-Humans,
pubmed-meshheading:8287873-Hypothyroidism,
pubmed-meshheading:8287873-Incidence,
pubmed-meshheading:8287873-Iodine Radioisotopes,
pubmed-meshheading:8287873-Life Tables,
pubmed-meshheading:8287873-Male,
pubmed-meshheading:8287873-Middle Aged,
pubmed-meshheading:8287873-Radiotherapy Dosage,
pubmed-meshheading:8287873-Time Factors
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pubmed:year |
1993
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pubmed:articleTitle |
Long-term results of two schedules of radioiodine treatment for toxic multinodular goitre.
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pubmed:affiliation |
Department of Nuclear Medicine, University Hospital Nijmegen St. Radboud, The Netherlands.
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pubmed:publicationType |
Journal Article
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