The Effect of Lithium on the Progression Free and Overall Survival in Patients with Metastatic Differentiated Thyroid Cancer Undergoing Radioactive Iodine Therapy. (Record no. 3597)

MARC details
000 -LEADER
fixed length control field 03068nam a22003737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180730s20182018 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0300-0664
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1111/cen.13806 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 29972703
245 ## - TITLE STATEMENT
Title The Effect of Lithium on the Progression Free and Overall Survival in Patients with Metastatic Differentiated Thyroid Cancer Undergoing Radioactive Iodine Therapy.
251 ## - Source
Source Clinical Endocrinology. 2018 Jul 04
252 ## - Abbreviated Source
Abbreviated source Clin Endocrinol (Oxf). 2018 Jul 04
253 ## - Journal Name
Journal name Clinical endocrinology
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2018
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Manufacturer FY2019
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Date added to catalog 2018-07-30
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: The older age is associated with shorter OS, while disease burden affects OS and PFS in patients with metastatic thyroid cancer. The method of preparation for RAI therapy does not affect the outcome. This article is protected by copyright. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract Copyright This article is protected by copyright. All rights reserved.
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Abstract DESIGN/PATIENTS/MEASUREMENTS: We performed a cohort study comparing overall survival (OS) and progression-free survival (PFS) between the three groups: THW(n=52), THW+Li (n=41) and rhTSH (n=42). Kaplan-Meier analyses were performed to compare OS and PFS between the groups. Cox proportional hazards regression model with a stepwise variable selection was performed to study the contribution of age, gender, histology, TNM status, a location of distant metastases and RAI dose.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: Pretreatment with lithium (Li) is associated with an increased residence time of radioactive iodine (RAI) in differentiated thyroid cancer (DTC) metastases. There are no data translating this observation into long-term outcomes. The study goal was to compare the efficacy of three methods of preparation for RAI therapy in metastatic DTC - thyroid hormone withdrawal (THW), THW with pre-treatment with Li (THW+Li), and recombinant human TSH (rhTSH).
520 ## - SUMMARY, ETC.
Abstract RESULTS: During the follow up of median 5.1 (IQR=3.0-8.1) years, 52% of patients had disease progression and 12.6% died. Although THW+Li group was characterized by the longest OS (p=0.007), only age (HR 1.05, CI 1.01-1.09, p=0.01) and widespread disease (HR3.8, CI 1.2-11.8, p=0.02) were found to affect OS in a multivariate model. There was no difference in PFS between the groups (p=0.47). Presence of distant metastases limited to the lungs only was associated with longer PFS (PFS HR 0.35, CI 0.20-0.60, p=0.0002).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department Medicine/Endocrinology
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Medline publication type Journal Article
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Local Authors Burman, Kenneth D
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Local Authors Lima, Cristiane
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Local Authors Wartofsky, Leonard
790 ## - Authors
All authors Auh S, Burman K, Cochran C, Kebebew E, Klubo-Gwiezdzinska J, Lima C, Luo H, Reynolds J, Skarulis M, Tobey A, Wartofsky L, Zemskova M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1111/cen.13806">https://dx.doi.org/10.1111/cen.13806</a>
Public note https://dx.doi.org/10.1111/cen.13806
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/30/2018   29972703 29972703 07/30/2018 07/30/2018 Journal Article

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