A Comparison of Short-Term Changes in Health-Related Quality of Life in Thyroid Carcinoma Patients Undergoing Diagnostic Evaluation with Recombinant Human Thyrotropin Compared with Thyroid Hormone Withdrawal
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- Pamela R. Schroeder
- Division of Endocrinology and Metabolism (P.R.S., P.W.L.), Johns Hopkins Medical Institutions, Baltimore, Maryland 21287
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- Bryan R. Haugen
- Division of Endocrinology (B.R.H., E.C.R.), University of Colorado Health Sciences Center, Denver, Colorado 80262
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- Furio Pacini
- Division of Endocrinology and Metabolism (F.P.), University of Siena, Siena 1-53100, Italy
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- Christoph Reiners
- Klinik und Poliklinik fuer Nuklearmedizin der Universitaet Wuerzburg (C.R., M.L.), Wuerzburg D-97070, Germany
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- Martin Schlumberger
- Service de Medecine Nucleaire (M.S.), Institut Gustave Roussy, 94805 Villejuif, France
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- Steven I. Sherman
- Department of Medical Specialties (S.I.S.), M. D. Anderson Cancer Center, Houston, Texas 77030
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- David S. Cooper
- Division of Endocrinology (D.S.C.), Sinai Hospital of Baltimore, Baltimore, Maryland 21215
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- Kathryn G. Schuff
- Division of Endocrinology (K.G.S., M.H.S.), Oregon Health and Science University, Portland, Oregon 97201
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- Lewis E. Braverman
- Section of Endocrinology, Diabetes, and Nutrition (L.E.B.), Boston University School of Medicine, Boston, Massachusetts 02118
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- Monica C. Skarulis
- Division of Intramural Research (M.C.S.), National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland 20892
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- Terry F. Davies
- Division of Endocrinology (T.F.D.), Mount Sinai School of Medicine, New York, New York 10029
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- Ernest L. Mazzaferri
- University of Florida Shands Hospital (E.L.M.), Division of Endocrinology, Gainesville, Florida 32610
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- Gilbert H. Daniels
- Thyroid Unit (G.H.D., D.S.R.), Massachusetts General Hospital, Boston, Massachusetts 02114
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- Douglas S. Ross
- Thyroid Unit (G.H.D., D.S.R.), Massachusetts General Hospital, Boston, Massachusetts 02114
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- Markus Luster
- Klinik und Poliklinik fuer Nuklearmedizin der Universitaet Wuerzburg (C.R., M.L.), Wuerzburg D-97070, Germany
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- Mary H. Samuels
- Division of Endocrinology (K.G.S., M.H.S.), Oregon Health and Science University, Portland, Oregon 97201
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- Bruce D. Weintraub
- Trophogen Inc. (B.D.W.), Rockville, Maryland 20850
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- E. Chester Ridgway
- Division of Endocrinology (B.R.H., E.C.R.), University of Colorado Health Sciences Center, Denver, Colorado 80262
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- Paul W. Ladenson
- Division of Endocrinology and Metabolism (P.R.S., P.W.L.), Johns Hopkins Medical Institutions, Baltimore, Maryland 21287
抄録
<jats:title>Abstract</jats:title> <jats:p>Context: Thyroid carcinoma requires lifelong monitoring with serum thyroglobulin, radioactive iodine whole body scanning, and other imaging modalities. Levothyroxine (l-T4) withdrawal for thyroglobulin measurement and whole body scanning increases these tests’ sensitivities but causes hypothyroidism. Recombinant human TSH (rhTSH) enables testing without l-T4 withdrawal.</jats:p> <jats:p>Objective: Our objective was to examine the impact of short-term hypothyroidism on the health-related quality of life (HRQOL) of patients after rhTSH vs.l-T4 withdrawal.</jats:p> <jats:p>Design, Setting, and Patients: In this multicenter study, the SF-36 Health Survey was administered to 228 patients at three time points: on l-T4, after rhTSH, and after l-T4 withdrawal.</jats:p> <jats:p>Interventions: Interventions included administration of rhTSH on l-T4 and withdrawal from thyroid hormone.</jats:p> <jats:p>Main Outcome Measures: Mean SF-36 scores were compared during the two interventions and with the U.S. general population and patients with heart failure, depression, and migraine headache.</jats:p> <jats:p>Results: Patients had SF-36 scores at or above the norm for the general U.S. population in six of eight domains at baseline on l-T4 and in seven of eight domains after rhTSH. Patients’ scores declined significantly in all eight domains after l-T4 withdrawal when compared with the other two periods (P < 0.0001). Patients’ HRQOL scores while on l-T4 and after rhTSH were at or above those for patients with heart failure, depression, and migraine in all eight domains. After l-T4 withdrawal, patients’ HRQOL scores were significantly below congestive heart failure, depression, and migraine headache norms in six, three, and six of the eight domains, respectively.</jats:p> <jats:p>Conclusions: Short-term hypothyroidism after l-T4 withdrawal is associated with a significant decline in quality of life that is abrogated by rhTSH use.</jats:p>
収録刊行物
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- The Journal of Clinical Endocrinology & Metabolism
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The Journal of Clinical Endocrinology & Metabolism 91 (3), 878-884, 2006-03-01
The Endocrine Society
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キーワード
詳細情報 詳細情報について
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- CRID
- 1363388843900325376
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- ISSN
- 19457197
- 0021972X
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- データソース種別
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- Crossref