Assessment of educational needs of thyroid cancer patients during ablative iratherapy sessions

Missaoui Abdel Mouhaymen; Fatma Hamza; Siddiqa Soomauroo; Ahmed Khawla Ben; Wafa Belabed; Mohamed Abid

doi:10.1530/endoabs.90.P800

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Endocrine Abstracts (2023) 90 P800 | DOI: 10.1530/endoabs.90.P800

ECE2023 Poster Presentations Thyroid (163 abstracts)

Assessment of educational needs of thyroid cancer patients during ablative iratherapy sessions

Abdel Mouhaymen Missaoui ¹ , Fatma Hamza ² , Siddiqa Soomauroo ¹ , Khawla Ben Ahmed ² , Wafa Belabed ¹ & Mohamed Abid ¹

Err

Author affiliations

¹Hedi Chaker University Hospital, Department of Endocrinology, Sfax, Tunisia; ²Habib Bourguiba University Hospital, Department of Nuclear Medicine, Sfax, Tunisia

Objective: To assess the educational needs of patients with differentiated thyroid carcinoma (DTC) undergoing ablative irradiation therapy (RAI131)

Patients and Methods: Cross-sectional study including 25 patients operated for TDC who integrated the therapeutic education program (TPE) on DTC at the Nuclear Medicine Center, Sfax, Tunisia. An assessment questionnaire was filled by the patients before the RAI session131

Results: Our group consisted of 19 women and 6 men, with an average age of 45.5±15.2 years. This was the first treatment for 52% of the patients. RAI131 is a routine treatment for CDT for 64%. It is only necessary for severe/metastatic forms for 20% of respondents. RAI131 is used to ‘destroy the cancer’ (40%) and ‘limit its spread’ (44%). Contraception is recommended during treatment for 40% of patients. Defecation before the treatment was respected by 56%. Good knowledge of the low iodine diet (76%), its duration (56%) and its necessity for the success of the totalization (68%) was reported. Individual and community radiation protection rules were correctly recalled (95.8%). Isolation after RAI131 is essential according to 88% of patients for a duration > 5 days (73.7%). Questions about possible adverse effects of RAI131 were asked by 52% of participants.

Discussion: The success of isotopic totalisation for patients with CDT depends on good therapeutic and dietary preparation. ETP sessions with simulation of the procedure and reminder of the rules of radioprotection are essential.