在意大利全甲状腺切除术后放射性治疗的趋势,2001-2018年
Luigino Dal Maso1, Daniela Pierannunzio2, Silvia Francisci2
1Cancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
European thyroid journal
|May 31, 2023
概括
在意大利,用于治疗甲状腺癌的放射性 (RAI) 治疗在2007年后显著下降,反映了美国的趋势. 需要进一步监测,以了解指南对临床实践的影响.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 随着指导方针的更新,甲状腺癌的放射性 (RAI) 治疗使用在美国下降.
- 欧洲国家对RAI治疗趋势的基于人口的数据有限.
- 美国甲状腺协会的指导方针影响了RAI治疗方案.
研究的目的:
- 评估意大利放射性处理的频率和长期趋势.
- 为了分析甲状腺癌患者在全甲状腺切除术后的RAI使用模式.
- 将意大利RAI治疗趋势与美国观察到的趋势进行比较.
主要方法:
- 使用意大利国家医院出院数据库进行数据收集.
- 评估甲状腺癌诊断全甲状腺切除术后RAI治疗的比例.
- 从2001年到2018年,根据性别和年龄组分析了数据.
主要成果:
- 在研究期间,在149,419例甲状腺切除术中,放射性 (RAI) 用于58%.
- 在男性和年轻患者中,RAI的使用率更高.
- 在所有人口统计和地区,RAI治疗在2007年达到顶峰 (64%的女性,68%的男性) 并在2018年下降 (46%的女性,53%的男性).
结论:
- 针对甲状腺癌的放射性 (RAI) 治疗的意大利趋势与在美国观察到的趋势相似.
- 持续监测意大利RAI使用情况至关重要.
- 评估国际准则对甲状腺癌管理的现实影响至关重要.
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