Adverse effects of iodine thyroid blocking: a systematic review

作者: L. Spallek , L. Krille , C. Reiners , R. Schneider , S. Yamashita

DOI: 10.1093/RPD/NCR400

关键词:

摘要: (131)I, when released in a radiological or nuclear accident as happened recently Fukushima, Japan, may cause thyroid cancer long-term consequence. Iodine blocking (ITB) is known to reduce the risk of developing cancer. Potential adverse effects ITB have not been systematically investigated so far. This article summarises results review on based systematic literature search scientific medical databases. A meta-analysis was performed identified studies displayed major heterogeneity. The resulted 14 articles relevant topic, reporting mostly surveys, ecological and intervention studies. Only one study from Poland focused (both desired adverse) an following Chernobyl accident. All other reported iodine administration different context. Overall, did reveal severe reactions potassium iodide general public. Since protective measure only applied very specific circumstances, scientifically sound are scarce consequently evidence base weak. assessment relies indirect related areas. contribute ongoing developments pharmacoepidemiology aiming better quantify medications health care interventions including ITB.

参考文章(46)
Giorgio Giovannelli, Radioiodine and thyroid carcinoma: KI prophylaxis in children. Acta bio-medica : Atenei Parmensis. ,vol. 75, pp. 139- 146 ,(2004)
Shigeo Kondo, Yoshihiko Mitsuhashi, Michito Adachi, Yukio Sugai, Takaaki Hosoya, Koichi Yamaguchi, Toru Akutsu, Delayed adverse reactions to iodinated contrast media and their risk factors. Radiation Medicine. ,vol. 18, pp. 39- 45 ,(2000)
Lucia Angermayr, Christine Clar, Iodine supplementation for preventing iodine deficiency disorders in children. Cochrane Database of Systematic Reviews. ,(2004) , 10.1002/14651858.CD003819.PUB2
Sheena Derry, Yoon Kong Loke, Jeffrey K Aronson, Incomplete evidence: the inadequacy of databases in tracing published adverse drug reactions in clinical trials BMC Medical Research Methodology. ,vol. 1, pp. 7- 7 ,(2001) , 10.1186/1471-2288-1-7
Michael B Zimmermann, Yoshiya Ito, Sonja Y Hess, Kenji Fujieda, Luciano Molinari, High thyroid volume in children with excess dietary iodine intakes The American Journal of Clinical Nutrition. ,vol. 81, pp. 840- 844 ,(2005) , 10.1093/AJCN/81.4.840
Bernard Le Guen, Laurent Stricker, Martin Schlumberger, Distributing KI pills to minimize thyroid radiation exposure in case of a nuclear accident in France Nature Clinical Practice Endocrinology & Metabolism. ,vol. 3, pp. 611- 611 ,(2007) , 10.1038/NCPENDMET0593
T. Paul, B. Meyers, R.J. Witorsch, S. Pino, S. Chipkin, S.H. Ingbar, L.E. Braverman, The effect of small increases in dietary iodine on thyroid function in euthyroid subjects. Metabolism-clinical and Experimental. ,vol. 37, pp. 121- 124 ,(1988) , 10.1016/S0026-0495(98)90004-X
M. Jang, H. K. Kim, C. W. Choi, C. S. Kang, Age-dependent potassium iodide effect on the thyroid irradiation by 131I and 133I in the nuclear emergency. Radiation Protection Dosimetry. ,vol. 130, pp. 499- 502 ,(2008) , 10.1093/RPD/NCN068
V A Stsjazhko, A F Tsyb, N D Tronko, G Souchkevitch, K F Baverstock, Childhood thyroid cancer since accident at Chernobyl. BMJ. ,vol. 310, pp. 801- 801 ,(1995) , 10.1136/BMJ.310.6982.801