000 03552nam a22006497a 4500
008 180928s20192019 xxu||||| |||| 00| 0 eng d
022 _a1354-523X
024 _a10.1111/odi.12969 [doi]
040 _aOvid MEDLINE(R)
099 _a30169900
245 _aPoor patient compliance with instructions for continuous sialogogues after <sup>131</sup> I therapy.
251 _aOral Diseases. 25(1):158-163, 2019 Jan.
252 _aOral Dis. 25(1):158-163, 2019 Jan.
253 _aOral diseases
260 _c2019
260 _fFY2019
265 _saheadofprint
265 _sppublish
266 _d2018-09-28
520 _aCONCLUSION: Despite repetitive instructions to use sialogogues continuously, most patients (90%) were not compliant. In future studies, strict monitoring and evaluation of patient compliance will be crucial when assessing the effect of continuous versus intermittent or delayed initiation of sialogogues.
520 _aCopyright (c) 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.
520 _aMETHODS: Differentiated thyroid cancer patients who were clinically scheduled for an <sup>131</sup> I therapy at MedStar Washington Hospital Center between 2012 and 2013 were given instructions for continuous sialogogues per standard clinical protocol. The prospective survey was given at multiple time points.
520 _aOBJECTIVES: To analyze the role of patient compliance as a factor in evaluating the effectiveness of continuous sialogogues to prevent salivary side effects from <sup>131</sup> I therapy in differentiated thyroid cancer patients.
520 _aRESULTS: Ninety-nine patients consented to participate of whom 94 participants had complete data. The mean prescribed <sup>131</sup> I activity was 121 +/- 50 mCi (4.5 +/- 1.9 GBq), range 27.5-288 mCi (1.0-10.7 GBq ). Overall, only 10% (9/94) of patients were compliant with continuous sialogogues. Even though all patients took sialogogues on the first day of post-therapy, 17% of participants did not continuously take sialogogues during the first day, 60% during the first night, and 72% on the second day despite rigorous instructions to continue for two days.
546 _aEnglish
650 _a*Medication Adherence
650 _a*Salivation/de [Drug Effects]
650 _a*Sialadenitis/dt [Drug Therapy]
650 _a*Thyroid Neoplasms/rt [Radiotherapy]
650 _a*Xerostomia/dt [Drug Therapy]
650 _aAdult
650 _aAged
650 _aFemale
650 _aHumans
650 _aIodine Radioisotopes/tu [Therapeutic Use]
650 _aMale
650 _aMiddle Aged
650 _aProspective Studies
650 _aSialadenitis/et [Etiology]
650 _aSurveys and Questionnaires
650 _aThyroid Neoplasms/co [Complications]
650 _aXerostomia/et [Etiology]
651 _aMedStar Washington Hospital Center
656 _aMedicine/Endocrinology
656 _aMedicine/Nuclear Medicine
657 _aJournal Article
700 _aBurman, Kenneth D
700 _aKulkarni, Kanchan
700 _aMoreau, Shari
700 _aVan Nostrand, Douglas
700 _aWartofsky, Leonard
700 _aWu, Di
790 _aBurman KD, Kharazi P, Khorjekar G, Kulkarni K, Moreau S, Van Nostrand D, Wartofsky L, Wu D
856 _uhttps://dx.doi.org/10.1111/odi.12969
_zhttps://dx.doi.org/10.1111/odi.12969
858 _yWu, Di
_uhttp://orcid.org/0000-0003-1567-1977
_zhttp://orcid.org/0000-0003-1567-1977
942 _cART
_dArticle
999 _c11101
_d11101