2000年至2021年在威尔士的亚临床甲状腺功能低下症:基于电子健康记录的描述性队列研究
Brenda S Bauer1, Amaya Azcoaga-Lorenzo1,2, Utkarsh Agrawal3
1Division of Population and Behavioural Sciences, University of St Andrews School of Medicine, St Andrews, United Kingdom.
PloS one
|May 21, 2024
概括
在Wales,从2000年到2021年,亚临床甲状腺功能低下症 (SCH) 的病例不均地增加. 许多患者仅在一次异常测试后才接受了勒沃西治疗,这突显了需要更清晰的临床管理指南的需要.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 亚临床甲状腺功能低下症 (SCH) 定义为甲状腺刺激激素 (TSH) 的升高与正常的甲状腺激素.
- 对治疗效益的有限证据推动了正在进行的临床管理辩论.
研究的目的:
- 描述威尔士SCH患者的人口和临床特征 (2000-2021年).
- 确定每年的累积发病率和SCH的测试和治疗模式.
主要方法:
- 使用了SAIL数据库中的链接电子健康记录.
- 使用诊断码和甲状腺功能测试结果识别了符合条件的患者.
- 对已识别的队列进行了描述性分析.
主要成果:
- 确定了199,520名SCH患者 (63.8%为女性);23.6%接受了勒沃西.
- 年度累积发病率在2012年达到顶峰 (100,000人中502人).
- 在接受治疗的患者中,超过三分之一的患者在一次异常测试后接受了勒沃西.
结论:
- 威尔士的事件SCH病例在2000年至2021年间不均地增加.
- 很大一部分患者,通常是轻度SCH,根据有限的异常结果接受治疗.
- 临床诊断的患者更有可能接受治疗,这表明需要基于证据的管理策略.
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