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

Autor: Christine Baumgartner, Wendy P. J. den Elzen, Manuel R. Blum, Michael Coslovsky, Sven Streit, Peter Frey, Lilli Herzig, Dagmar M. Haller, Simon P. Mooijaart, Thomas Bischoff, Thomas Rosemann, Jacobijn Gussekloo, Nicolas Rodondi
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Swiss Medical Weekly, Vol 145, Iss 3132 (2015)
Druh dokumentu: article
ISSN: 1424-3997
DOI: 10.4414/smw.2015.14156
Popis: QUESTIONS UNDER STUDY: As the best management of subclinical hypothyroidism is controversial, we aimed to assess variations in treatment strategies depending on different Swiss regions, physician and patient characteristics. METHODS: We performed a case-based survey among general practitioners (GPs) in different Swiss regions, which consisted of eight hypothetical cases presenting a female patient with subclinical hypothyroidism and nonspecific complaints differing by age, vitality status and thyroid-stimulating hormone (TSH) concentration. RESULTS: A total of 262 GPs participated in the survey. There was considerable variation in the levothyroxine starting dose chosen by GPs, ranging from 25 µg to 100 µg. Across the Swiss regions, GPs in the Bern region were significantly more inclined to treat, with a higher probability of initiating treatment (60%, p = 0.01) and higher mean starting doses (45 µg, p
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