Assessment of underactive thyroid patients from a general practice surgery of a health care centre
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
Assessment of the underactive thyroid
patients in a general practice surgery (GP) of a
Health Care Centre (HCC)
•Diagnosis established in 2012
•Patients who did not attended their GP surgery in the last 18
•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.
Patients with clinical h. and high
TSH (>5.5 mg/dL)
Number of patients Percentage of
Treatment change in 2011 1 3.7
Treatment change in 2012 11 40.7
Treatment change in 2011 and in
No treatment change in the
Total 27 100
1. There is a high percentage of well controlled hypothyroidism
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
3. Poor BMI registration in the EMR (only in 40% of