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. 1970 Feb 28;1(5695):519-23.
doi: 10.1136/bmj.1.5695.519.

Surgical treatment of thyrotoxicosis

A J Hedley, C J Flemming, M I Chesters, W Michie, J Crooks

Surgical treatment of thyrotoxicosis

A J Hedley et al. Br Med J. .

Abstract

A retrospective study of thyrotoxic patients treated by subtotal thyroidectomy between 2 and 21 years ago in the north-east of Scotland showed that 20% of the patients could not be identified or traced at the time of the survey. The thyroid status of 40% of patients followed up was abnormal.It is now accepted that radioiodine treatment of thyrotoxicosis is followed by a significant incidence of late onset hypothyroidism, and life-long follow-up is regarded as obligatory. The findings in this study indicate that similar methods of aftercare are required for surgically treated patients and for all patients receiving thyroxine-replacement therapy.

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