Trends in the prevalence of autoimmune thyroiditis in the leading private health-care provider in Poland
| Autor: | Marek Mędraś, Felicja Lwow, Paweł Jóźków, Małgorzata Słowińska-Lisowska |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 0301 basic medicine Pediatrics medicine.medical_specialty Health care provider Population Medicine (miscellaneous) Newly diagnosed 010501 environmental sciences 01 natural sciences General Biochemistry Genetics and Molecular Biology Autoimmune thyroiditis Young Adult 03 medical and health sciences Hypothyroidism Epidemiology Prevalence Internal Medicine medicine Humans Pharmacology (medical) education Genetics (clinical) 0105 earth and related environmental sciences education.field_of_study 030102 biochemistry & molecular biology business.industry Incidence Incidence (epidemiology) Thyroiditis Autoimmune Middle Aged medicine.disease Reviews and References (medical) Etiology Female Poland business |
| Zdroj: | Advances in Clinical and Experimental Medicine. 26:497-503 |
| ISSN: | 1899-5276 |
| DOI: | 10.17219/acem/60862 |
| Popis: | BACKGROUND Autoimmune thyroiditis (AT) is one of the most common endocrine disorders affecting a significant percent of the population, especially women. It may have serious and long-lasting consequences. The etiology of AT is multifactorial and it arises from an interplas between environmental and genetic factors. Tendencies in AT prevalence and incidence are unclear. In Poland there are no national registers covering the data on AT prevalence. OBJECTIVES The aim of the investigation was to assess changes in diagnosing AT in the largest chain of outpatient medical centers in Poland. MATERIAL AND METHODS We compared freqnancy at which AT and hypothyroidism diagnoses were made during endocrinology consultations in the period 2006-2013. The data was extracted from the database of LUXMED (part of BUPA). RESULTS Within 8 years, the prevalence of newly diagnosed AT dropped from 10.4% to 4.8% (p < 0.001) alongside with a decrease in the prevalence of newly diagnosed hypothyroidism from 17.8% to 7.7% (p < 0.00001). AT was widespread in young women aged 20-39. There were relatively more cases in the southern areas of Poland. CONCLUSIONS The analyzed data does not support a hypothesis indicating a growing incidence of AT in the last years. Detailed epidemiological studies would be helpful in designing screening strategies for patients with this common disorder. |
| Databáze: | OpenAIRE |
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