{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:16:08Z","timestamp":1760897768120},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[1987,11,1]],"date-time":"1987-11-01T00:00:00Z","timestamp":562723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Three separate studies of recurrent hyperthyroidism and hypothyroidism in groups of patients treated for thyrotoxicosis by anti-thyroid drugs, surgery and radioiodine are presented. The incidence is compared in the three groups. Two hundred and fifty-three patients with primary thyrotoxicosis received a year-long course of anti-thyroid drugs: 43 per cent relapsed in the first year following the completion of treatment. Of those remaining euthyroid at the beginning of the second year after treatment a further 21 per cent relapsed during that year and in subsequent years, 21 per cent, 18 per cent and 13 per cent of those remaining euthyroid at the start of the third, fourth and fifth years relapsed. Of those followed for the full 5 years 26 per cent remained in remission and 74 per cent had relapsed over this period. After bilateral subtotal thyroidectomy for thyrotoxicosis in 146 patients, 19 per cent were hypothyroid and 1\u00b74 per cent had relapsed 18 months after surgery. The incidence of postoperative hypothyroidism was lower in the younger patients (under 25 years). The absence of thyroid auto-antibodies pre-operatively is an indication of a favourable result. The histological recognition of lymphocytic infiltration in the gland and the presence of thyroid auto-antibodies indicated an unfavourable outcome. Radioactive iodine gave an unpredictable response at therapeutic doses with 24 per cent relapsing in the first year after treatment. With ablative doses of radioactive iodine the incidence of hypothyroidism reached 94 per cent at 5 years after treatment. Surgery gives the best long-term results of the three treatment options and is the treatment of choice for the young, the severely toxic and those with toxic multinodular goitre.<\/jats:p>","DOI":"10.1002\/bjs.1800741133","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T08:48:46Z","timestamp":1172911726000},"page":"1060-1062","source":"Crossref","is-referenced-by-count":17,"title":["Hyperthyroidism and hypothyroidism complicating the treatment of thyrotoxicosis"],"prefix":"10.1093","volume":"74","author":[{"given":"D J","family":"Reid","sequence":"first","affiliation":[{"name":"Department of Surgery, Royal Sussex County Hospital , Eastern Road, Brighton BN2 5BE,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,11,1]]},"reference":[{"key":"2024092718471147700_bib1","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1111\/j.1365-2265.1977.tb01340.x","article-title":"The spectrum of thyroid disease in a community. The Whickham Survey","volume":"7","author":"Tunbridge","year":"1977","journal-title":"Clin Endocrinol"},{"key":"2024092718471147700_bib2","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1001\/jama.1953.03690030001001","article-title":"Prognosis of hyperthyroidism treated by antithyroid drugs","volume":"152","author":"Solomon","year":"1953","journal-title":"JAMA"},{"key":"2024092718471147700_bib3","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/00000441-194710000-00001","article-title":"Methylthiouracil in the treatment of thyrotoxicosis","volume":"214","author":"Barfred","year":"1947","journal-title":"Am J Med Sc"},{"key":"2024092718471147700_bib4","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1016\/S0140-6736(80)91551-2","article-title":"Prediction of relapse in hyperthyroid Graves' disease","volume":"1","author":"McGregor","year":"1980","journal-title":"Lancet"},{"key":"2024092718471147700_bib5","first-page":"283","article-title":"Thyrotoxicosis: changing trends in treatment","volume":"68","author":"Sheldon","year":"1986","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092718471147700_bib6","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1210\/jcem-30-4-540","article-title":"Prediction of the long term results of antithyroid drug therapy for thyrotoxicosis","volume":"30","author":"Alexander","year":"1970","journal-title":"J Clin Endocrinol Metab"},{"key":"2024092718471147700_bib7","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1210\/jcem-26-8-803","article-title":"Long-term outcome of hyperthyroidism treated with antithyroid drugs","volume":"26","author":"Hershman","year":"1966","journal-title":"J Clin Endocrinol"},{"key":"2024092718471147700_bib8","article-title":"Antithyroid drug therapy in hyperthyroidism","volume-title":"Acta Chir Scand","author":"Stege","year":"1980"},{"key":"2024092718471147700_bib9","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1002\/bjs.1800701215","article-title":"Late onset hypothyroidism after subtotal thyroidectomy for hyperthyroidism: implications for long term follow up","volume":"70","author":"Hedley","year":"1983","journal-title":"Br J Surg"},{"key":"2024092718471147700_bib10","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1002\/bjs.1800700706","article-title":"Long-term follow up of hyperthyroid patients treated by subtotal thyroidectomy","volume":"70","author":"Surgrue","year":"1983","journal-title":"Br J Surg"},{"key":"2024092718471147700_bib11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1001\/archsurg.1976.01360190093023","article-title":"Recurrent hyperthyroidism after thyroidectomy","volume":"111","author":"Hamburger","year":"1976","journal-title":"Arch Surg"},{"key":"2024092718471147700_bib12","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1002\/bjs.1800640620","article-title":"Hypothyroidism following partial thyroidectomy for thyrotoxicosis and its relationship to thyroid remnant size","volume":"64","author":"Tweedle","year":"1977","journal-title":"Br J Surg"},{"key":"2024092718471147700_bib13","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1056\/NEJM196411122712004","article-title":"Rising incidence of hypothyroidism after radioactive iodine therapy in thyrotoxicosis","volume":"271","author":"Dunn","year":"1964","journal-title":"New Engl J Med"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800741133","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/11\/1060\/59382430\/bjs1800741133.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/74\/11\/1060\/59382430\/bjs1800741133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T18:47:27Z","timestamp":1727462847000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/74\/11\/1060\/6186208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,11,1]]},"references-count":13,"journal-issue":{"issue":"11","published-online":{"date-parts":[[1987,11,1]]},"published-print":{"date-parts":[[1987,11,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800741133","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1987,11]]},"published":{"date-parts":[[1987,11,1]]}}}