[Subjective perception of radioactivity - no change post successful treatment with radioiodine].
OBJECTIVE
We assess the attitude of patients with thyroid disease towards radiation and radioactivity before and after radioiodine therapy by means of a cultural-anthropological approach. We evaluate in patient interviews how their subjective attitude towards radioactivity as an abstract term and towards radioactivity in the medical context on the basis of their personal experiences with radionuclide therapy.


METHODS
29 patients with autonomously functioning thyroid lesions (17 women, 12 men, 35-79 years) were included in this study. All patients were interviewed prior to and 22-27 month post radioiodine therapy in an open dialogue with the principal investigator. Patients were asked to describe their attitude towards radioactivity in general and towards radioiodine therapy in particular. Patients were asked to use a scoring system (1: positive, 5: negative) to quantify their perception of radioactivity.


RESULTS
The personal perception of radioactivuty as an abstract term does not change significantly (p = 0.15) before and after radioiodine therapy. This perception is linked to mostly negative impressions of radiactivity. However, patients become more positive when assessing the value of radioactivity as part of their therapy regimen. Thus, we observe a significant increase in percepted value of radioactivity post radioiodine therapy (p = 0.03).


CONCLUSIONS
Patients continue to view radioactivity as something negative despite treatment success following radioiodine therapy. Our results provide useful information for patient information by the nuclear medicine physician prior to a radioiodine therapy.
Freudenberg
Lutz
L
Klinik für Nuklearmedizin, Universitätsklinikum Essen, Hufelandstrasse 55, 45122 Essen, Germany. lutz.freudenberg@duisburg-essen.de
Müller
Stefan
S
Beyer
Thomas
T
Bockisch
Andreas
A