Accuracy of physical examination in the diagnosis of hypothyroidism: A cross-sectional, double-blind study

Journal of Postgraduate Medicine

Volumn 50, Issue 1, 2004, Pages 7-10

  Indra, R ^a   Patil, S S ^a   Joshi, R ^a   Pai, M ^b   Kalantri, S P ^a  

^a MAHATMA GANDHI INSTITUTE OF MEDICAL SCIENCES   (India)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Accuracy; Diagnosis; Hypothyroidism; Likelihood ratio; Physical examination; Sensitivity; Specificity

Indexed keywords

THYROID HORMONE; THYROTROPIN; THYROXINE;

ACHILLES REFLEX; ADOLESCENT; ADULT; AGED; ARTICLE; BODY MOVEMENT; BRADYCARDIA; CLINICAL TRIAL; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; DIFFERENTIAL DIAGNOSIS; DISEASE ASSOCIATION; DOUBLE BLIND PROCEDURE; FACE EDEMA; FEMALE; FREE THYROXINE INDEX; HORMONE DETERMINATION; HOSPITAL PATIENT; HUMAN; HYPOTHYROIDISM; INTERMETHOD COMPARISON; LEG EDEMA; MAJOR CLINICAL STUDY; MALE; MASS SCREENING; MAXIMUM LIKELIHOOD METHOD; OUTPATIENT; PHYSICAL EXAMINATION; PREDICTION; PROBABILITY; PROSPECTIVE STUDY; RELIABILITY; SCREENING TEST; SENSITIVITY AND SPECIFICITY; SKIN MANIFESTATION; STATISTICAL SIGNIFICANCE; SYMPTOMATOLOGY; THYROID FUNCTION TEST;

ADOLESCENT; ADULT; AGED; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; HYPOTHYROIDISM; LIKELIHOOD FUNCTIONS; MALE; MIDDLE AGED; PHYSICAL EXAMINATION; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY;

EID: 1942472581     PISSN: 00223859     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (18)

1. Cooper DS. Clinical practice. Subclinical hypothyroidism. N Engl J Med 2001; 345:260-5.
2. Larsen PR, Ingbar SH. The thyroid gland. In: William's Textbook of Endocrinology. In. Wilson JD, Foster DW, ed. Philadelphia: WB Saunders Company; 1992. 357-487.
3. US Preventive services task force. Screening for thyroid disease. In. Guide to Clinical Preventive Services. Baltimore: Williams and Wilkins. 1996. p. 209-18.
4. White GH, Walmsley RN. Can the initial clinical assessment of thyroid function be improved? Lancet 1978;ii:933-5.
5. Watanakunakorn C, Hodges RE, Evans TC. Myxedema. Arch Intern Med 1965; 116:183-90.
6. Gardner MJ, Barker DJ. Diagnosis of hypothyroidism: a comparison of statistical techniques. BMJ 1975;2:260-2.
7. Schectman JM, Kallenberg GA, Shumacher RJ, Hirsch RP. Yield of hypothyroidism in symptomatic primary care patients. Arch Intern Med 1989;149:861-4.
8. Zulewski H, Muller B, Exer P, Miserez AR, Staub JJ. Estimation of tissue hypothyroidism by a new clinical score: evaluation of patients with various grades of hypothyroidism and controls. J Clin Endocrinol Metab 1997;82:771-6.
9. Bagchi N, Brown TR, Parish RF. Thyroid dysfunction in adults over age 55 years. A study in an urban US community. Arch Intern Med 1990;150:785-7.
10. Bahemuka M, Hodkinson HM. Screening for hypothyroidism in elderly inpatients. BMJ 1975;2:601-3.
11. Sawin CT, Castelli WP, Hershman JM, McNamara P, Bacharach P. The aging thyroid: Thyroid deficiency in the Framingham Study. Arch Intern Med 1985;145:1386-8.
12. Dayan CM. Interpretation of thyroid function tests. Lancet 2001;357:619-24.
13. Jaeschke R, Guyatt G, Lijmer J. Diagnostic tests. In: Users' guides to the medical literature. A manual for evidence-based clinical practice Edited by Guyatt G, Rennie D. Chicago: AMA Press; 2002. p. 121-40.
14. Attia J, Margetts P, Guyatt G. Diagnosis of thyroid disease in hospitalized patients: a systematic review. Arch Intern Med 1999;159:658-65.
15. Canaris GJ, Steiner JF, Ridgway EC. Do traditional symptoms of hypothyroidism correlate with biochemical disease? J Gen Intern Med 1997;12:544-50.
16. Barker DJ, Bishop JM. Computer-based screening system for patients at risk of hypothyroidism. Lancet 1969;ii:835-8.
17. Drake JR, Miller DK, Evans RG. Cost-effectiveness of thyroid function tests. Arch Intern Med 1982;142:1810-2.
18. Walter SD, Irwig L, Glasziou PP. Meta-analysis of diagnostic tests with imperfect reference standards. J Clin Epidemiol 1999;52:943-51.