Table 1.
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Outcomes examined |
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Author and year (reference) | Country | Thyroid cancer patients in study | Ablation rates | Urinary iodine measurements | RAI kinetics | Recurrence or mortality | Side effects |
Goslings 1975 (5) | The Netherlands | 15 patients with metastatic thyroid cancer (7 LID, 8 LID + ethacrynic acid) | No | Yes | Yes | No | Not assessed |
Lakshmanan et al. 1988 (6) | United States | 5 athyreotic patients with a history of thyroid cancer who had negative RAI scans | No | Yes | No | No | Not assessed |
Maruca et al. 1984 (7) | United States | 3 patients with metastatic thyroid cancer (1 bone, 2 neck) | No | Yes | Yes | No | Yes, present (nausea, diarrhea, attributed to sodium chloride 12 g/day) |
Maxon et al. 1983 (8) | United States | 40 thyroid cancer patients, some of whom had prior treatment or residual disease (19 LID and 21 regular diet) | No | Yes | No | No | Yes, present (diet “boring,” no other adverse effects) |
Morris 2001 (9) | United States | 94 thyroid cancer patients undergoing initial I-131 ablative therapy after thyroidectomy, including patients with metastatic lesions to lymph nodes or lungs (44 LID and 50 regular diet) | Yes | Yes | No | No | Not assessed |
Park et al. 2004 (10) | United States | 58 thyroid cancer patients undergoing RAI scanning (excludes overlap among groups) 21 rhTSH+ 1 week LID, 24 rhTSH+ 2 week LID, 28 hypothyroid + 2 week LID (overlap 15 patients from rhTSH groups) |
No | Yes | No | No | Not assessed |
Pluijmen et al. 2003 (11) | The Netherlands | 120 patients with papillary or follicular thyroid carcinoma, treated with RAI after total thyroidectomy (including some patients with extrathyroidal extension of disease or lymph node metastases, but no distant metastases) | Yes | Yes | Yes | No | Not assessed |
Tomoda et al. 2005 (12) | Japan | 252 thyroid cancer patients who had a thyroidectomy and were undergoing RAI scans | No | Yes | No | No | Not assessed |
LID, low-iodine diet; RAI, radioactive iodine; rhTSH, recombinant human thyrotropin.