Trends in thyroid function testing, neck ultrasound, thyroid fine needle aspiration, and thyroidectomies in North-eastern Italy
| Autor: | Dal Maso, L., Panato, C., De Paoli, A., Mattioli, V., Serraino, D., Elisei, R., Zoppini, G., Gobitti, C., Borsatti, E., Di Felice, E., Falcini, F., Ferretti, S., Francisci, S., Giorgi Rossi, P., Guzzinati, S., Mazzoleni, G., Pierannunzio, D., Piffer, S., Vaccarella, S., Vicentini, M., Zorzi, M., Franceschi, S., Fedeli, U., Avossa, F., Depalma, R., Vattiato, R., Polverino, A., Vittadello, F., Toffolutti, F., Fanetti, G. |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism Biopsy Fine-Needle Population Thyroid Gland Socio-culturale 030209 endocrinology & metabolism Medical Overuse Thyroid Function Tests Fine needle aspiration Thyroidectomies 03 medical and health sciences Sex Factors 0302 clinical medicine Endocrinology medicine Humans Thyroid stimulation hormones (TSH) education Aged Ultrasonography Thyroid.FNA education.field_of_study Neck ultrasound medicine.diagnostic_test business.industry Thyroid Patient Acceptance of Health Care Surgical procedures Italy Thyroid Diseases Italian population Fine-needle aspiration medicine.anatomical_structure Population Surveillance 030220 oncology & carcinogenesis Thyroidectomy Original Article Female Thyroid function business |
| Zdroj: | Journal of Endocrinological Investigation |
| Popis: | Purpose Evidence of an increased diagnostic pressure on thyroid has emerged over the past decades. This study aimed to provide estimates of a wide spectrum of surveillance indicators for thyroid dysfunctions and diseases in Italy. Methods A population-based study was conducted in North-eastern Italy, including 11.7 million residents (20% of the total Italian population). Prescriptions for TSH testing, neck ultrasound or thyroid fine needle aspiration (FNA), surgical procedures, and drugs for hypo- or hyperthyroidism were extracted from regional health databases. Proportions and rates of selected examinations were calculated from 2010 to 2017, overall and by sex, calendar years, age, and region. Results Between 2010 and 2017 in North-eastern Italy, 24.5% of women and 9.8% of men received at least one TSH test yearly. In 2017, 7.1% of women and 1.5% of men were prescribed drugs for thyroid dysfunction, 94.6% of whom for hypothyroidism. Neck ultrasound examinations were performed yearly in 6.9% of women and 4.6% of men, with a nearly two-fold variation between areas. Thyroid FNA and thyroidectomies were three-fold more frequent in women (394 and 85 per 100,000) than in men (128 and 29 per 100,000) with a marked variation between areas. Both procedures decreased consistently after 2013. Conclusions The results of this population-based study describe recent variations over time and between surrounding areas of indicators of ‘diagnostic pressure’ on thyroid in North-eastern Italy. These results emphasize the need to harmonize practices and to reduce some procedures (e.g., neck ultrasound and total thyroidectomies) in certain areas. |
| Databáze: | OpenAIRE |
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