Changing trend in referral to secondary care specialist thyroid eye disease clinic following the Amsterdam declaration
| Autor: | Annika S. Quinn, Bijay Vaidya, Leticia R. Dujardin, Bridget A. Knight, Anthony G. Quinn, James D. Benzimra |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Time Factors Referral Eye disease Graves' disease Declaration 030209 endocrinology & metabolism Audit Secondary Care Secondary care 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Humans Prospective Studies 030212 general & internal medicine Referral and Consultation Secondary Care Centers Societies Medical Clinical Audit Delivery of Health Care Integrated business.industry Thyroid Middle Aged medicine.disease United Kingdom Graves Ophthalmopathy Ophthalmology medicine.anatomical_structure Cohort Workforce Female business Follow-Up Studies |
| Zdroj: | International Ophthalmology. |
| ISSN: | 1573-2630 0165-5701 |
| DOI: | 10.1007/s10792-017-0463-0 |
| Popis: | Early diagnosis and treatment of thyroid eye disease (TED) improves outcomes. Previous studies have highlighted delays in diagnosis and referral to specialist centres. The Amsterdam declaration (2009) aimed to halve the time from presentation to diagnosis and from diagnosis to referral to a specialist centre in five years. A recent study from the European group on Graves’ orbitopathy tertiary centres showed a trend for earlier referral of patients to the centres. It is unknown whether similar improvements are occurring in secondary care hospitals in the UK. To study the trend in referral to a UK secondary care specialist TED clinic since the Amsterdam declaration. We carried out a prospective audit of patients who attended the specialist TED clinic after the Amsterdam declaration (2010–2015). We compared their clinical characteristics, including duration of symptoms, disease activity and severity, with those of the patients (n = 114) from an earlier audit attending the clinic during 2004–2008. During 2010–2015, 126 patients with TED (97 females, median age 55 years, 39 current smokers) attended the clinic. The median time from onset of symptoms to being seen in the clinic was 5 months, reduced from 12 months in 2004–2008 (p |
| Databáze: | OpenAIRE |
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