000 03569nam a22003857a 4500
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
942 _cART
_dArticle
999 _c2836
_d2836