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Our health care centre (HCC) is placed in a semi-urban
region, it has 13 GP surgeries and 4 paediatric surgeries.
It takes...
Assessment of the underactive thyroid
patients in a general practice surgery (GP) of a
Health Care Centre (HCC)
OBJECTIVE
...
Exclusion criteria:
•Diagnosis established in 2012
•Patients who did not attended their GP surgery in the last 18
months
•...
2011 2012
Variables
5/14
METHODOLOGY
Mean age: 56.2 years (SD 17.4).
BMI (N=65): 31.07 (SD 5.55).
GENDER DISTRIBUTION
81.2%
18.8%
Females Males
TYPE OF HYPOTHY...
3.83
4.09
3.04
1.27
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
TSH T4
2011 2012
Thyroid hormone levels (mg/dL)
RESULTS
7/14
Annual number of thyroid hormone determinations
0
10
20
30
40
50
60
70
0 1 2 3 4 5
15.6
61.3
17.5
4.4
0.6 0.6
21.3
57.5
18...
Lipid profile mean values (mg/dl)
9/14
RESULTS
Associated mental health
diagnosis
Absolute number
of patients
Percentage of
total sample
Anxiety 39 24.4
Depression 11 6....
RESULTS
Patients with clinical h. and high
TSH (>5.5 mg/dL)
Number of patients Percentage of
patients
Treatment change in 2011 1 3...
1. There is a high percentage of well controlled hypothyroidism
patients (83.1%).
2. More than 40% of the patients associa...
Assessment of underactive thyroid patients from a general practice surgery of a health care centre
Assessment of underactive thyroid patients from a general practice surgery of a health care centre
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Assessment of underactive thyroid patients from a general practice surgery of a health care centre

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WONCA 2013 oral presentation
Daniela Florentina Pruteanu
Carmen Blanco Villar
Noelia Pastor Gradoli

Published in: Health & Medicine
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Assessment of underactive thyroid patients from a general practice surgery of a health care centre

  1. 1. Our health care centre (HCC) is placed in a semi-urban region, it has 13 GP surgeries and 4 paediatric surgeries. It takes care of a population of about 25,000 inhabitants In 2012 we registered 112,000 visits Mean daily number of patients: 36 INTRODUCTION 2/14
  2. 2. Assessment of the underactive thyroid patients in a general practice surgery (GP) of a Health Care Centre (HCC) OBJECTIVE 3/14
  3. 3. Exclusion criteria: •Diagnosis established in 2012 •Patients who did not attended their GP surgery in the last 18 months •Exclusion from the local public health insurance, death, patients lost from follow up because change in their place of living. Subjects: underactive thyroid patients (N=160) of a GP surgery of our HCC (Quart de Poblet). Evaluated period: 2011-2012. Data: extracted from electronic medical records and have been processed using 15.0 SPSS software. METHODOLOGY 4/14
  4. 4. 2011 2012 Variables 5/14 METHODOLOGY
  5. 5. Mean age: 56.2 years (SD 17.4). BMI (N=65): 31.07 (SD 5.55). GENDER DISTRIBUTION 81.2% 18.8% Females Males TYPE OF HYPOTHYROIDISM 91.9 8.1 Clinical H. Subclinical H. RESULTS 6/14 . . . . . . . . . . . . .
  6. 6. 3.83 4.09 3.04 1.27 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 TSH T4 2011 2012 Thyroid hormone levels (mg/dL) RESULTS 7/14
  7. 7. Annual number of thyroid hormone determinations 0 10 20 30 40 50 60 70 0 1 2 3 4 5 15.6 61.3 17.5 4.4 0.6 0.6 21.3 57.5 18.8 1.9 0 0.6 2011 2012 0 10 20 30 40 50 60 0 1 2 3 4 5 20.6 57.5 16.9 3.8 0.6 0.6 24.4 57.5 16.3 1.3 0 0.6 2011 2012 Percentage Percentage Number of TSH determinations Number of T4 determinations RESULTS 8/14
  8. 8. Lipid profile mean values (mg/dl) 9/14 RESULTS
  9. 9. Associated mental health diagnosis Absolute number of patients Percentage of total sample Anxiety 39 24.4 Depression 11 6.9 Anxiety and depression 16 10 Total 66 41.3 RESULTS 10/14
  10. 10. RESULTS
  11. 11. Patients with clinical h. and high TSH (>5.5 mg/dL) Number of patients Percentage of patients Treatment change in 2011 1 3.7 Treatment change in 2012 11 40.7 Treatment change in 2011 and in 2012 2 7.4 No treatment change in the assessed period 13 48.1 Total 27 100 Therapeutic inertia RESULTS 12/14
  12. 12. 1. There is a high percentage of well controlled hypothyroidism patients (83.1%). 2. More than 40% of the patients associate depression and / or anxiety. 4. A periodical assessment would help diminish the therapeutic intertia, improve the control of high and very high cardiovascular risk and diminish the number of endocrinology referrals of subclinical hypothyroidism patients. 3. Poor BMI registration in the EMR (only in 40% of the patients). CONCLUSIONS 13/14

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