Choice of therapy in young adults with hyperthyroidism of Graves' disease. A brief, case-directed poll of fifty-four thyroidologists

Journal Article · Fri Jun 01 04:00:00 EDT 1984 · Ann. Intern. Med.; (United States)

DOI:https://doi.org/10.7326/0003-4819-100-6-891· OSTI ID:6748887

Dunn, J T

We asked 54 thyroidologists how they would treat each of four patients having moderate hyperthyroidism of Graves' disease and a thyroid gland weighing 70 g (three to four times normal). For a 19-year-old woman, 67% of thyroidologists recommended an initial course of therapy with antithyroid drugs, usually for 1 year; 24% favored radioiodine treatments; and 9%, surgery. Choices for treating a 19-year-old man were similar. For a 29-year-old man, 44% of thyroidologists preferred drug therapy; 50%, radioiodine; and 6%, surgery. For a 29-year-old woman, choices were similar to those for the 29-year-old man, except for a slight preference for drugs over radioiodine. If hyperthyroidism recurred after a first course of antithyroid drugs, the consultants favored radioiodine treatments and surgery about equally, except in the 29-year-old man, in whom radioiodine was preferred. This survey shows considerable variation among experts in treating hyperthyroidism in young adults.

• Research Organization: Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville
• OSTI ID: 6748887
• Journal Information: Ann. Intern. Med.; (United States), Journal Name: Ann. Intern. Med.; (United States) Vol. 100:6; ISSN AIMEA
• Country of Publication: United States
• Language: English

Related Subjects

550604* -- Medicine-- Unsealed Radionuclides in Therapy-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ANIMALS
COMPARATIVE EVALUATIONS
DISEASES
DRUGS
ENDOCRINE DISEASES
FEMALES
HYPERTHYROIDISM
MALES
MAMMALS
MAN
MEDICINE
MEN
NUCLEAR MEDICINE
PATIENTS
PRIMATES
RADIOLOGY
RADIOTHERAPY
SEX DEPENDENCE
SURGERY
THERAPY
VERTEBRATES
WOMEN