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[Hypothyroidism: clinical and economical implications in a health area]
D de Luis Román1, J L González Peláez, R Aller
1Unidad de Endocrinología y Nutrición Clínica, Unidad de Apoyo a la Investigación, Hospital del Río Hortega, Instituto de Endocrinología y Nutrición, Facultad de Medicina, Valladolid. dadluis@yahoo.es
Objective:
To analyze the clinical, biochemical and epidemiological characteristics in patients with hypothyroidism, substitutive dose and annual direct costs, in a health area.
Material And Methods:
Seventy five patients attended in a health area were included in the review. Data was divided in epidemiological, biochemical, clinics and economics.
Results:
A 94.7% were females and 5.3% males, with an average age of 52.07 + 16.5 years. The most frequent disease was Thyroiditis of Hashimoto 48% and atrophic thyroiditis 46.6%. Average value of TSH was 17.57 + 40.8 mUI/ml and TPO 629.3 + 1049 UI/ml and Ac TG 532.1 + 1028 UI/ml. A 58.7% of patients had goiter, only evident 2.6%. The average dose of T4 was 81 + 53.5 mg/day. The average number of visits was 2.67 + 1.08. The highest cost was due to specialists visit 160 + 65 euros with a total average cost of 212.9 + 81.5 euros. Levels of TPO was higher in T. Hashimoto, with a higher number of visits and costs.
Conclusions:
The most prevalent disease was autoimmune (T Hashimoto and atrophic thyroiditis) with higher levels of TPO in Hashimoto. Total cost is higher in T. Hashimoto.