Variation in treatment strategies of Swiss general practitioners for subclinical hypothyroidism in older adults

Swiss Medical Weekly

Volumn 145, Issue , 2015, Pages

  Baumgartner, Christine ^a   Den Elzen, Wendy P J ^b   Blum, Manuel R ^a   Coslovsky, Michael ^a   Streit, Sven ^a   Frey, Peter ^a   Herzig, Lilli ^c   Haller, Dagmar M ^d   Mooijaart, Simon P ^b,e   Bischoff, Thomas ^c   Rosemann, Thomas ^f   Gussekloo, Jacobijn ^b   Rodondi, Nicolas ^a  

^a UNIVERSITY OF BERN   (Switzerland)

^b LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^c UNIVERSITY OF LAUSANNE   (Switzerland)

^d UNIVERSITY OF GENEVA   (Switzerland)

^e Institute for Evidence Based Medicine in Old Age (IEMO)   (Netherlands)

^f UNIVERSITY OF ZURICH   (Switzerland)

Author keywords

General practice; Subclinical hypothyroidism; Survey

Indexed keywords

LEVOTHYROXINE; THYROTROPIN; THYROXINE;

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; DISEASE ASSOCIATION; DOSE RESPONSE; DRUG EFFECT; FEMALE; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; RECOMMENDED DRUG DOSE; SEX DIFFERENCE; SUBCLINICAL HYPOTHYROIDISM; SWISS; THYROTROPIN BLOOD LEVEL; TREATMENT PLANNING; AGE; BLOOD; CLINICAL PRACTICE; HORMONE SUBSTITUTION; HYPOTHYROIDISM; PROCEDURES; STATISTICS AND NUMERICAL DATA; SWITZERLAND; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; FEMALE; GENERAL PRACTITIONERS; HORMONE REPLACEMENT THERAPY; HUMANS; HYPOTHYROIDISM; MALE; PRACTICE PATTERNS, PHYSICIANS'; SEX FACTORS; SWITZERLAND; THYROTROPIN; THYROXINE;

EID: 84965083033     PISSN: 14247860     EISSN: 14243997     Source Type: Journal    
DOI: 10.4414/smw.2015.14156     Document Type: Article

References (29)

1. Helfand M. Screening for subclinical thyroid dysfunction in nonpregnant adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Internal Med. 2004;140(2):128-41.
2. Canaris GJ, Manowitz NR, Mayor G, Ridgway EC. The Colorado thyroid disease prevalence study. Arch Intern Med. 2000;160(4):526-34.
3. Hollowell JG, Staehling NW, Flanders WD, Hannon WH, Gunter EW, Spencer CA, et al. Serum TSH, T(4), and thyroid antibodies in the United States population (1988 to 1994): National Health and Nutrition Examination Survey (NHANES III). J Clin Endocrinol Metab. 2002;87(2):489-99.
4. Rodondi N, den Elzen WP, Bauer DC, Cappola AR, Razvi S, Walsh JP, et al. Subclinical hypothyroidism and the risk of coronary heart disease and mortality. JAMA. 2010;304(12):1365-74. Epub 2010/09/23. doi: 10.1001/jama.2010.1361.
5. Gencer B, Collet TH, Virgini V, Bauer DC, Gussekloo J, Cappola AR, et al. Subclinical thyroid dysfunction and the risk of heart failure events: an individual participant data analysis from 6 prospective cohorts. Circulation. 2012;126(9):1040-9.
6. Surks MI, Ortiz E, Daniels GH, Sawin CT, Col NF, Cobin RH, et al. Subclinical thyroid disease: scientific review and guidelines for diagnosis and management. JAMA.2004;291(2):228-38.
7. Villar HC, Saconato H, Valente O, Atallah AN. Thyroid hormone replacement for subclinical hypothyroidism. The Cochrane database of systematic reviews. 2007(3):CD003419.
8. Collet TH, Gussekloo J, Bauer DC, den Elzen WP, Cappola AR, Balmer P, et al. Subclinical hyperthyroidism and the risk of coronary heart disease and mortality. Arch Intern Med. 2012;172(10):799-809.
9. Wirth CD, Blum MR, da Costa BR, Baumgartner C, Collet TH, Medici M, et al. Subclinical thyroid dysfunction and the risk for fractures: a systematic review and meta-analysis. Ann Intern Med. 2014;161(3):189-99.
10. den Elzen WP, Lefebre-van de Fliert AA, Virgini V, Mooijaart SP, Frey P, Kearney PM, et al. International variation in GP treatment strategies for subclinical hypothyroidism in older adults: a case-based survey. Br J Gen Pract. 2015;65(631):e121-32.
11. Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT. Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab. 2005;90(1):581-5; discussion 6-7.
12. Vanderpump MP, Ahlquist JA, Franklyn JA, Clayton RN. Consensus statement for good practice and audit measures in the management of hypothyroidism and hyperthyroidism. The Research Unit of the Royal College of Physicians of London, the Endocrinology and Diabetes Committee of the Royal College of Physicians of London, and the Society for Endocrinology. BMJ. 1996;313(7056):539-44.
13. Müller B. "Subklinische" Hypo- und Hyperthyreose. Schweizerische Gesellschaft für Endokrinologie und Diabetologie. http://www.sgedssed.ch/fileadmin/files/dokumente/ EDM-Key-Slides-2010-2011/SGED-Subklinische-Hypo-Hyperthyresose.pdf2010-2011. German.
14. American Academy of Family Physicians. Periodic health examination: Summary of AAFP policy recommendations and age charts, revision 4.0. American Academy of Family Physicians, 2000.
15. NETQ. http://wwwnetq-enquetenl/nl.
16. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177-88.
17. McDermott MT, Haugen BR, Lezotte DC, Seggelke S, Ridgway EC. Management practices among primary care physicians and thyroid specialists in the care of hypothyroid patients. Thyroid. 2001;11(8):757-64.
18. Burch HB, Burman KD, Cooper DS, Hennessey JV. A 2013 survey of clinical practice patterns in the management of primary hypothyroidism. J Clin Endocrinol Metab. 2014;99(6):2077-85.
19. Pearce SH, Brabant G, Duntas LH, Monzani F, Peeters RP, Razvi S, et al. 2013 ETA Guideline: Management of Subclinical Hypothyroidism. Eur Thyroid J. 2013;2(4):215-28.
20. Garber JR, Cobin RH, Gharib H, Hennessey JV, Klein I, Mechanick JI, et al. Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association. Thyroid. 2012;22(12):1200-35.
21. McAvoy BR, Kaner EF. General practice postal surveys: a questionnaire too far? BMJ. 1996;313(7059):732-3; discussion 3-4.
22. Kellerman SE, Herold J. Physician Response to Surveys. A Review of the Literature. Am J Prev Med. 2001;20(1):61-7.
23. Baumgartner C, Blum MR, Rodondi N. Subclinical hypothyroidism: summary of evidence in 2014. Swiss Med Wkly. 2014;144:w14058.
24. mediX. Guideline Schilddrüsenerkrankungen. http://www.medix.ch/ wissen/guidelines/stoffwechselkrankheiten/schilddruesenerkrankungen. html. 2011. German.
25. Wensing M, Broge B, Riens B, Kaufmann-Kolle P, Akkermans R, Grol R, et al. Quality circles to improve prescribing of primary care physicians. Three comparative studies. Pharmacoepidemiol Drug Saf. 2009;18(9):763-9.
26. Frei A, Senn O, Huber F, Vecellio M, Steurer J, Woitzek K, et al. Congruency of diabetes care with the Chronic Care Model in different Swiss health care organisations from the patients' perspective: a cross sectional study. Swiss Med Wkly. 2014;10(144).
27. Cranney M, Warren E, Barton S, Gardner K, Walley T. Why do GPs not implement evidence-based guidelines? A descriptive study. Fam Pract. 2001;18(4):359-63.
28. Rodondi N, Bauer DC. Subclinical hypothyroidism and cardiovascular risk: how to end the controversy. J Clin Endocrinol Metab. 2013;98(6):2267-9.
29. Mooijaart SP. Letter regarding the Paper by Pearce et al. Entitled "2013 ETA Guideline: Management of Subclinical Hypothyroidism". Eur Thyroid J. 2014;3(2):141-2.