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    Management of patients with subclinical hypothyroidism in primary

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    Authors
    McCarthy, E
    Russell, A
    Kearney, PM
    Issue Date
    2016-01
    Keywords
    THYROID DISORDER
    Local subject classification
    SUBCLNICAL HYPOTHYROIDISM
    
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    Publisher
    Irish Medical Journal
    Journal
    Irish Medical Journal
    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
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    Mercy University Hospital

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