Objectives: Previous studies have demonstrated that radioactive iodine (RAI) treatment in patients with well-differentiated thyroid carcinoma (WDTC) and an MACIS (metastases, age, completeness of resection, invasion, and size for prognostic measures) score lower than 6 does not decrease the rate of recurrence or impact on survival. The goal of this study is to assess the potential savings to the health care system of ceasing to treat patients with MACIS scores lower than 6 with RAI after total thyroidectomy.
Pace-Asciak P, Payne RJ, Eski JS, Walfish P, Damani M, Freeman J. P124 Cost Savings of Patients With a MACIS Score Lower Than 6 When Radioactive Iodine Treatment Is Not Given. Arch Otolaryngol Head Neck Surg. 2006;132(8):889. doi:10.1001/archotol.132.8.889-b