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Eur J Endocrinol. 2012 Nov;167(5):715-8. doi: 10.1530/EJE-12-0542. Epub 2012 Sep 6.

Increasing use of radioiodine in young people with thyrotoxicosis in Great Britain.

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1
Nuclear Medicine, Regional Medical Physics Department, Freeman Hospital, Newcastle-upon-Tyne, UK.

Abstract

OBJECTIVE:

Radioiodine (RI) is an important therapeutic option in young patients with thyrotoxicosis. We wanted to determine whether RI is being used more frequently in this age group.

DESIGN:

National survey of Great Britain (England, Wales and Scotland).

METHODS:

Sixty-one medical physics departments were asked to provide the age and number of patients with thyrotoxicosis <21 years treated with RI (1990-2008). Information on the total number of RI treatments for thyrotoxicosis was also collected.

RESULTS:

Forty-three departments (70%), with representation from 21 of the 25 most populous areas of Great Britain, provided data on 69,258 treatments. The number of treatments recorded on patients <21 years during this period was 560 (0.9%). The frequency of treatments in young people as a percentage of the total increased from 0.2% in 1990 to 1.5% in 2008 (P<0.001). When the 18 centres submitting at least 17 years of data were analysed, a similar pattern was observed. The maximum number of young people treated was greatest in 2008 (62) with a fall in the youngest age at which RI was administered from 18 years (1990) to 11 years (2008).

CONCLUSIONS:

A rising proportion of patients with thyrotoxicosis receiving RI are in those <21 years. This is largely due to an increase in the number of young people treated with a reduction in the minimum age at RI administration. We suspect that European clinicians are becoming more comfortable with RI treatment in young people with thyrotoxicosis, although a changing incidence is a potential contributing factor.

PMID:
22956555
DOI:
10.1530/EJE-12-0542
[Indexed for MEDLINE]
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