doctorshealthpress Thyroid
cancer is a more common disease than you might realize. More than
44,000 people are diagnosed with this type of cancer annually in the
United States. Usually, when thyroid cancer is detected, it is
treated by surgically removing the thyroid. The good news is that
most people
with thyroid cancer survive and fully recover.
Once
the cancer has been brought under control, many patients are often
treated with radioactive iodine to kill off any remnants of cancerous
tissue. But here's some health advice worth taking note of in regards
to radioactive iodine treatments. According to a recent study,
there's a wide variation from hospital to hospital in the percentage
of thyroid cancer patients getting radioactive iodine.
Researchers
report this health news in the latest edition of the "Journal of
the American Medical Association." To determine how radioactive
iodine is being used throughout hospitals in the U.S., researchers
looked at information from the U.S. National Cancer Database on
nearly 190,000 thyroid cancer patients treated at 981 hospitals
between 1990 and 2008.
During that period, the use of radioactive
iodine increased from about 40% of patients in 1990 to 56% of
patients in 2008. The researchers found that patients who had
"low-risk" disease (stage 1) were less likely to receive
radioactive iodine than patients with advanced thyroid
cancer
(stage 4). People with stage-2 and stage-3 cancers were just as
likely as those with stage-4 tumors to receive the treatment.
Some
other interesting facts revealed themselves when the researchers
further analyzed their data. For example, the likelihood of receiving
radioactive iodine also had a lot to do with where people were
treated. Overall, about 37 % of women under age 45 with stage-1
tumors received
radioactive iodine. But that ranged from 0% at
some hospitals to more than 90% at others.
Unfortunately, there
was an equally large margin for high-risk cases. For a man over age
45 with stage-3 or stage-4 disease, the odds of getting radioactive
iodine ranged from 25% at some hospitals to 90% at others. A
discrepancy this large at this stage of thyroid cancer progression is
worrisome, as radioactive iodine is considered the best way to stave
off the disease. In cases such as this, current medical guidelines do
recommend that doctors use the radioactive treatments. Thyroid cancer
patients should get their doctor's advice about timely and proactive
treatment.