Radiofrequency Ablation for Benign Symptomatic Thyroid Nodules in the Netherlands: Successful Introduction of a Minimally Invasive Treatment Option Improving Quality of Life

Lončar, Ivona; Dijk, Sam P J van; Velsen, Evert F S van; Buijk, S.E.; Niemeijer, Nicolasine D; Veeken, Cornelis J.; Meyenfeldt, Erik M. von; Dinkelaar, Wouter; Franssen, Gaston J H; Peeters, Robin P.; Massolt, Elske T.; Moelker, Adriaan; Ginhoven, Tessa M. van

doi:10.1016/j.jvir.2022.01.012

Cited by 9 publications

(5 citation statements)

References 36 publications

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“…Patient-reported outcomes measurements (PROMs) such as the ThyPro-39 or the more general SF-36 have been previously used to capture this technology's quality-of-life impact. 13,14 However, these surveys are not specific and have not been validated on RFA patients. 15 Many of their domains may not be relevant to this patient population, whose priorities and concerns are unique from those with hormone dysfunction or systemic illness.…”

Section: Discussionmentioning

confidence: 99%

Analysis of trends in radiofrequency ablation in a tertiary care center practice

Fullerton,

Butler,

Noel

2024

Head & Neck

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BackgroundRadiofrequency ablation (RFA) for thyroid nodules has recently been introduced into the United States healthcare system landscape. Little is known about the process of incorporating this procedure into existing clinical practice.MethodsA retrospective chart review of a single institution was conducted to examine referral patterns and decision‐making after the introduction of RFA into an endocrine surgery‐focused practice. Patient demographics and thyroid‐specific data were recorded. Two reviewers abstracted and coded reasons for the noncompletion of RFA. Two‐sample t tests were used to compare groups; linear regression was used to assess trends and practice patterns.ResultsChart review identified 451 patients referred for consideration of RFA from January 2020 to December 2022. Only 255 (56.5%) went on to receive the treatment. There was no significant difference in nodule volume between treated and nontreated groups (18.5 vs. 14.9 cm3, p = 0.07). Concern for malignancy on genetic testing, size (too large/too small), recommendation for Ethanol ablation, and multinodular disease without target nodules were the most common reasons for physician deferral. Of patients who declined to proceed, 46% opted to undergo surgical excision. Linear regression showed that referral numbers significantly increased with time; however, the proportion of patients receiving treatment decreased yearly, primarily because of higher rates of physician deferral.ConclusionsThis study reflects the complex decision‐making in offering minimally invasive thyroid nodule ablation. Despite a greater number of referrals over time, physician criteria became increasingly selective. Optimal candidacy in RFA is an evolving determination requiring patient and physician input to guide ideal practice patterns.

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Section: Discussionmentioning

confidence: 99%

Analysis of trends in radiofrequency ablation in a tertiary care center practice

Fullerton,

Butler,

Noel

2024

Head & Neck

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“…Although surgery remains the treatment of choice, less invasive modalities such as TA can be a good alternative when the tumor is at a challenging location. TA is a well-established procedure for selectively removing small volumes of tissue and has several applications (eg, in localized bone or thyroid disease) [ 7 , 8 ]. There have been a few earlier reports showing the ability of TA in treating and curing patients with TIO, but long-term results are relatively scarce [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Thermal Ablation for Treating Tumor-induced Osteomalacia in a Patient With IV Phosphate Dependency

van Velsen,

Geeraedts,

Bosman

et al. 2023

JCEM Case Reports

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Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome associated with tumors secreting fibroblast growth factor 23 that can be cured with complete surgical resection of the tumor. However, when these tumors are at difficult locations, less invasive modalities such as thermal ablation (TA) might be a good alternative. A 40-year-old woman was seen for a second opinion because of severe hypophosphatemia with complaints of fatigue, myalgia, and muscle weakness for which she needed IV phosphate for 15 to 18 hours per day in addition to oral alfacalcidol and phosphate. Initial laboratory results revealed hypophosphatemia (0.59 mmol/L [1.83 mg/dL]; reference range, 0.90-1.50 mmol/L [8.40-10.2 mg/dL]), increased fibroblast growth factor 23 levels (137 RU/mL; reference range, <125 RU/mL), and a reduced TmP-GFR (0.47 mmol/L; reference range, 0.8-1.4 mmol/L). Gallium-positron emission tomography/computed tomography (CT) showed moderately increased uptake at thoracic vertebra (Th) 8 and mildly increased uptake at Th7, suggestive of TIO. Complete tumor removal would have required resection of at least 1 vertebral body. Therefore, CT-guided TA was performed at Th8. No complications were observed, and in the months after, treatment with IV phosphate could be discontinued, indicating a satisfying result from the procedure. This extreme TIO case demonstrates that CT-guided TA can be an alternative to extensive or risky classical surgery.

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“…The 36-item Short-Form (SF-36) 9 was utilized to evaluate and compare the quality of life of the two groups, which mainly included five dimensions of emotional function, role function, cognitive function, physical function and social function. The higher the score, the better the quality of life, 10 …”

Section: Methodsmentioning

confidence: 99%

Effects of comprehensive nursing intervention on quality of life, Self-efficacy, gastrointestinal reaction and immune function of patients with breast cancer undergoing chemotherapy

Hao,

Guo,

Zhang

et al. 2024

Pak J Med Sci

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Objective: To assess the effects of comprehensive nursing intervention on quality of life, self-efficacy, gastrointestinal reaction and immune function of patients with breast cancer undergoing chemotherapy. Methods: This was a retrospective study. One hundred and twenty patients receiving chemotherapy after breast cancer surgery were randomly divided into the experimental group and the control group(n=60) from January 2021 to January 2023. Patients in the perioperative period, the experimental group were given comprehensive nursing intervention, while those in the control group were given conventional specialist nursing intervention. The differences in quality of life, self-efficacy, gastrointestinal reaction, immune function and patient satisfaction between the two groups were compared and analyzed. Results: After the intervention, the SF-36 scores in the experimental group were significantly higher than those in the control group (P=0.00), the efficacy indicators were significantly improved compared to the control group(P=0.00); the scores of gastrointestinal symptoms in the experimental group were significantly lower than those in the control group after the intervention(P<0.05). The indexes of CD3+, CD4+ and CD4+/CD8+ in the experimental group after the intervention were significantly higher than those in the control group(P=0.00); The patient satisfaction in the experimental group was 100%, which was significantly higher than 92% in the control group, with statistically significant differences (P=0.02). Conclusion: Comprehensive nursing intervention leads to a variety of benefits in the treatment of patients with breast cancer during postoperative chemotherapy, such as relieving patients’ gastrointestinal reactions, improving their immune function and quality of life, besides effectively improving their self-efficacy, which is worthy of clinical application. doi: https://doi.org/10.12669/pjms.40.6.7857 How to cite this: Hao F, Guo C, Zhang Y, Guo S. Effects of comprehensive nursing intervention on quality of life, Self-efficacy, gastrointestinal reaction and immune function of patients with breast cancer undergoing chemotherapy. Pak J Med Sci. 2024;40(6):1235-1240. doi: https://doi.org/10.12669/pjms.40.6.7857 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Radiofrequency Ablation for Benign Symptomatic Thyroid Nodules in the Netherlands: Successful Introduction of a Minimally Invasive Treatment Option Improving Quality of Life

Cited by 9 publications

References 36 publications

Analysis of trends in radiofrequency ablation in a tertiary care center practice

Analysis of trends in radiofrequency ablation in a tertiary care center practice

Thermal Ablation for Treating Tumor-induced Osteomalacia in a Patient With IV Phosphate Dependency

Effects of comprehensive nursing intervention on quality of life, Self-efficacy, gastrointestinal reaction and immune function of patients with breast cancer undergoing chemotherapy

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