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[Thyroid function tests and their use by the general practitioner]

L Arribas Mir1, R M Muñoz de Benito, P Alguacil Cubero

  • 1Centro de Salud La Chana, Unidad Docente de Medicina Familial Granada-Norte.

Atencion Primaria
|January 1, 1993
PubMed
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General practitioners (GPs) use thyroid function tests (TFTs) efficiently in primary care, leading to timely diagnoses and reduced endocrinology referrals. GPs effectively manage thyroid function disease (TFD) with these tests.

Area of Science:

  • Endocrinology
  • Primary Care Medicine
  • Diagnostic Testing

Background:

  • Thyroid function tests (TFTs) are crucial for diagnosing thyroid disorders.
  • Understanding the utilization and impact of TFTs in general practice is essential for optimizing patient care and resource allocation.

Purpose of the Study:

  • To investigate the utilization patterns of TFTs in general practice (GP) consultations.
  • To evaluate the efficiency, cost-effectiveness, and impact of TFTs on endocrinology referrals.

Main Methods:

  • A longitudinal, retrospective, and observational study was conducted at the La Chana Health Centre in Granada.
  • 69 patients with suspected thyroid disease who underwent TFTs (TSH, free T4, free T3) were surveyed.

Main Results:

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  • GPs requested an average of 2.46 TFTs per year.
  • Positive results were observed in 20.28% of tests, with a definitive diagnosis of thyroid function disease (TFD) in 15.94% of cases.
  • The cost per test was 1,718 pesetas, and 78.26% of cases were resolved by GPs without specialist referral.

Conclusions:

  • GPs utilize TFTs efficiently, with low costs and significant patient benefit.
  • The use of TFTs by GPs leads to reasonable endocrinology referral rates.
  • Widespread access to TFTs for all general practitioners is recommended.