000 | 03569nam a22003857a 4500 | ||
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008 | 171205s20172017 xxu||||| |||| 00| 0 eng d | ||
022 | _a1050-7256 | ||
040 | _aOvid MEDLINE(R) | ||
099 | _a29132255 | ||
245 | _aSelected Radiation Safety Aspects including Transportation and Lodging after Outpatient <sup>131</sup>I Therapy for Differentiated Thyroid Cancer. | ||
251 | _aThyroid. , 2017 Nov 13 | ||
252 | _aThyroid. , 2017 Nov 13 | ||
253 | _aThyroid : official journal of the American Thyroid Association | ||
260 | _c2017 | ||
260 | _fFY2018 | ||
266 | _d2017-12-05 | ||
501 | _aAvailable online from MWHC library: August 2000 - present, Available in print through MWHC library: 1999 - 2006 | ||
520 | _aBACKGROUND: Whether <sup>131</sup>I treatments for differentiated thyroid cancer (DTC) should be performed as an outpatient or inpatient remains controversial. The objective of this study was to survey selected aspects of radiation safety of patients treated with <sup>131</sup>I for DTC as an outpatient. | ||
520 | _aCONCLUSION: This is the largest, patient-based survey published regarding selected radiation safety aspects of outpatient <sup>131</sup>I treatment. This survey suggests several concerns about radiation safety, such as the decision process regarding inpatient versus outpatient treatment, instructions about radiation safety, transportation, and lodging after radioiodine therapy. These concerns warrant further discussion, guidelines, and/or policies. | ||
520 | _aMETHODS: An e-mail invitation was sent to over 15,000 members of ThyCa: Thyroid Cancer Survivors' Association, Inc. to complete a web-based survey on selected aspects of radiation safety regarding their last outpatient <sup>131</sup>I treatment. | ||
520 | _aRESULTS: A total of 1549 patients completed the survey. Forty-five percent (699/1541) of the respondents reported no discussion on the choice of an inpatient or outpatient treatment. Moreover, 5% (79/1541) of the respondents reported that their insurance company made the decision. Survey respondents recalled receiving oral and written radiation safety instructions 97% (1459/1504) and 93% (1351/1447) of the time, respectively. Nuclear Medicine physicians delivered oral and written instructions to 54% (807/1504) and 41% (602/1462) of the respondents, respectively. Eighty-eight percent (1208/1370) of the respondents were discharged within 1 hour after receiving their <sup>131</sup>I treatment, and 97% (1334/1373) traveled in their own car after being released from the treating facility. Immediately post-therapy, 94% (1398/1488) of the respondents stayed at their own home or a relative's home, while 5% (76/1488) resided in a public lodging. The specific recommendations received by patients about radiation precautions varied widely among the respondents. Ninety-nine percent (1451/1467) of the respondents believed they were compliant with the instructions. | ||
546 | _aEnglish | ||
651 | _aMedStar Washington Hospital Center | ||
656 | _aMedicine/Endocrinology | ||
656 | _aMedicine/Nuclear Medicine | ||
657 | _aJournal Article | ||
700 | _aBurman, Kenneth D | ||
700 | _aGomes-Lima, Cristiane Jeyce | ||
700 | _aVan Nostrand, Douglas | ||
700 | _aWartofsky, Leonard | ||
700 | _aWu, Di | ||
790 | _aBloom G, Burman KD, Gomes-Lima CJ, Kharazi PH, Khorjekar G, Ringel MD, Van Nostrand D, Vetter RJ, Wartofsky L, Wu D | ||
856 |
_uhttps://dx.doi.org/10.1089/thy.2017.0124 _zhttps://dx.doi.org/10.1089/thy.2017.0124 |
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942 |
_cART _dArticle |
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999 |
_c2836 _d2836 |