Patients in the Birmingham region who are treated with radio-iodine are kept under continued surveillance by means of a follow-up system, which effects periodic screening for hypothyroid- ism. In this follow-up system, which is described elsewhere Nine months before serum PBI measurement is due a postal questionnaire is sent to each patient. It comprises nine questions, each of which elicits a symptom of hypothyroidism and must be answered 'Yes' or 'No'. If at any time replies to the questionnaire, or the level of the serum PBI, suggest hypothyroidism, the patient is referred to the out-patient clinic for full medical assessment.
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Barker et al. (1970) studied this question.
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