PMID- 31680613 OWN - NLM STAT- MEDLINE DCOM- 20210216 LR - 20210216 IS - 1532-2750 (Electronic) IS - 1098-612X (Linking) VI - 22 IP - 8 DP - 2020 Aug TI - Assessment of treatment outcomes in hyperthyroid cats treated with an orally administered fixed dose of radioiodine. PG - 744-752 LID - 10.1177/1098612X19884155 [doi] AB - OBJECTIVES: The aims of this study were to describe the treatment outcomes following oral administration of a fixed dose (138 MBq; 3.7 mCi) of radioiodine in hyperthyroid cats and to examine the correlation between total thyroxine (TT4) concentrations before and after treatment. METHODS: This was a retrospective cohort study that documented the TT4 concentration and clinicopathological parameters at the time of diagnosis and after treatment. Logistic regression was used to assess the relationship between TT4 concentrations before and after treatment. The difference in pre- and post-treatment variables between cats that had TT4 concentrations below or within the reference interval (RI) was compared by the Mann-Whitney U-test. RESULTS: Of 161 cats, 133 (82.6%) cats had TT4 concentrations within the RI, four (2.5%) cats had TT4 concentrations above the RI and 24 (14.9%) cats had TT4 concentrations below the RI after treatment. The severity of hyperthyroidism at diagnosis, as measured by the percentage of TT4 elevation above the upper limit of the RI, had no impact on the odds of cats having low TT4 concentrations after treatment (odds ratio 1.00; 95% confidence interval 0.96-1.05; P = 0.828). CONCLUSIONS AND RELEVANCE: When using an orally administered fixed dose of radioiodine for the treatment of feline hyperthyroidism, TT4 concentrations at diagnosis cannot be used to predict TT4 concentrations after treatment. The proportion of cats with TT4 concentrations below the lower limit of the RI after treatment was 14.9%. Further work is required to optimise oral radioiodine dosing to achieve maximal euthyroid outcomes. FAU - Yu, Lucia AU - Yu L AUID- ORCID: 0000-0003-0911-6811 AD - Translational Research and Small Animal Clinical Trial Study Group, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, VIC, Australia. FAU - Lacorcia, Lauren AU - Lacorcia L AUID- ORCID: 0000-0002-1767-6248 AD - Translational Research and Small Animal Clinical Trial Study Group, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, VIC, Australia. FAU - Finch, Sue AU - Finch S AUID- ORCID: 0000-0003-4261-0504 AD - Statistical Consulting Centre, The University of Melbourne, VIC, Australia. FAU - Johnstone, Thurid AU - Johnstone T AUID- ORCID: 0000-0001-6643-9153 AD - Translational Research and Small Animal Clinical Trial Study Group, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, VIC, Australia. LA - eng PT - Journal Article DEP - 20191104 PL - England TA - J Feline Med Surg JT - Journal of feline medicine and surgery JID - 100897329 RN - 0 (Iodine Radioisotopes) RN - Q51BO43MG4 (Thyroxine) SB - IM MH - Administration, Oral MH - Animals MH - Cat Diseases/*radiotherapy MH - Cats MH - Cohort Studies MH - Hyperthyroidism/radiotherapy/*veterinary MH - Iodine Radioisotopes/*therapeutic use MH - Retrospective Studies MH - Thyroxine/*analysis MH - Treatment Outcome OTO - NOTNLM OT - Hyperthyroidism OT - administration OT - azotaemia OT - iodine OT - oral OT - treatment outcomes EDAT- 2019/11/05 06:00 MHDA- 2021/02/17 06:00 CRDT- 2019/11/05 06:00 PHST- 2019/11/05 06:00 [pubmed] PHST- 2021/02/17 06:00 [medline] PHST- 2019/11/05 06:00 [entrez] AID - 10.1177/1098612X19884155 [doi] PST - ppublish SO - J Feline Med Surg. 2020 Aug;22(8):744-752. doi: 10.1177/1098612X19884155. Epub 2019 Nov 4.