Management of patients with subclinical hypothyroidism in primary

Hdl Handle:
http://hdl.handle.net/10147/597133
Title:
Management of patients with subclinical hypothyroidism in primary
Authors:
McCarthy, E; Russell, A; Kearney, PM
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jan-2016
URI:
http://hdl.handle.net/10147/597133
Abstract:
Subclinical hypothyroidism (SCH) is defined as a raised serum thyroid stimulating hormone level with normal thyroxine. Despite a prevalence of up to 9% of the adult population there is widespread uncertainty on how to manage it. The aim of this study was to assess how older adults with SCH are managed in primary care. A retrospective case-note review was carried out on patients attending Mallow Primary Healthcare Centre. This study identified patients 65 years and over meeting the criteria for SCH in one year. The prevalence of SCH in this study was calculated as 2.9%. 22.2% of patients were treated with thyroxine. 6.1% of untreated patients progressed to clinical hypothyroidism within the study period while 18.2% spontaneously reverted to normal TSH levels.
Item Type:
Article
Language:
en
Keywords:
THYROID DISORDER
Local subject classification:
SUBCLNICAL HYPOTHYROIDISM

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCarthy, Een
dc.contributor.authorRussell, Aen
dc.contributor.authorKearney, PMen
dc.date.accessioned2016-02-24T15:06:12Zen
dc.date.available2016-02-24T15:06:12Zen
dc.date.issued2016-01en
dc.identifier.urihttp://hdl.handle.net/10147/597133en
dc.description.abstractSubclinical hypothyroidism (SCH) is defined as a raised serum thyroid stimulating hormone level with normal thyroxine. Despite a prevalence of up to 9% of the adult population there is widespread uncertainty on how to manage it. The aim of this study was to assess how older adults with SCH are managed in primary care. A retrospective case-note review was carried out on patients attending Mallow Primary Healthcare Centre. This study identified patients 65 years and over meeting the criteria for SCH in one year. The prevalence of SCH in this study was calculated as 2.9%. 22.2% of patients were treated with thyroxine. 6.1% of untreated patients progressed to clinical hypothyroidism within the study period while 18.2% spontaneously reverted to normal TSH levels.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectTHYROID DISORDERen
dc.subject.otherSUBCLNICAL HYPOTHYROIDISMen
dc.titleManagement of patients with subclinical hypothyroidism in primaryen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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