ABSTRACT
La Asociación Americana de Diabetes publica anualmente sus recomendaciones para el cribado de diabetes mellitus. Aunque en la población general hay un porcentaje notable de diabéticos no diagnosticados, en nuestro medio la realización de análisis de cribado de diabetes es frecuente, y sospechamos que muchos de esos análisis podrían ser prescindibles. En una muestra de 105 personas atendidas en atención primaria hemos analizado el número de glucemias venosas realizadas sin ninguna de las indicaciones establecidas por la Asociación Americana de Diabetes. Por término medio se pide una glucemia venosa que se puede calificar como prescindible cada 15 meses. Su número es significativamente superior en personas mayores de 45 años y también superior (aunque con una probabilidad de error ligeramente mayor de 0,05) en las mujeres que en los varones (AU)
The American Diabetes Association issues annually its recommendations for diabetes mellitus screening. Although there is a high proportion of people with undiagnosed diabetes in the general population, it is suspected that many of these screening tests could be needless. An analysis was made of the number of venous blood glucose measurements that did not meet the American Diabetes Association requirements performed in 150 people seen in primary care. On average, an unnecessary venous blood glucose measurement is performed every 15 months. The number is significantly higher in people over 45 years of age, and also in women as compared to men (although with a p value slighty higher than 0.05) (AU)
Subject(s)
Humans , Blood Glucose/analysis , Hyperglycemia/diagnosis , Diabetes Mellitus/epidemiology , Blood Chemical Analysis/economics , Unnecessary Procedures/statistics & numerical data , Primary Health Care/statistics & numerical data , Age and Sex DistributionABSTRACT
In order to determine the impact of the application of the American Thyrold Associations (ATA) criteria for the diagnosis of hypothyroidism in pregnant women in the health district of Vigo, Spain, concentrations of serum thyrotropin (TSH), free thyroxine (T4L) and anti-thyroid antibodies were analyzed, comparing the frequency of pregnant women diagnosed with hypothyroidism and applying the criteria used in the hormone laboratory at Xeral Hospital and referential criteria established by ATA. The application of ATA referential criteria increased by 29.6% the number of female patients diagnosed with hypothyroidism. The application of ATA guidelines had an impact on the measurement of TSH concentrations in pregnant women, which calls for an evaluation of referential values of TSH based on the population and the local diagnostic methods.
Subject(s)
Hypothyroidism/diagnosis , Pregnancy Complications/diagnosis , Adult , Female , Humans , Pregnancy , Societies, Medical , Spain , United StatesABSTRACT
Con el objetivo de determinar el impacto de la aplicación de los criterios de la Asociación Americana de Tiroides (ATA) en el diagnóstico de hipotiroidismo en gestantes del área sanitaria de Vigo en España, se analizó la concentración sérica de tirotropina (TSH), tiroxina libre (T4L) y anticuerpos antitiroideos, comparando la frecuencia de gestantes diagnosticadas de hipotiroidismo aplicando los criterios utilizados en el laboratorio de hormonas del Hospital Xeral y los criterios de referencia propuestos por la ATA. La asunción de dichos criterios implicaría un aumento de un 29,6% de pacientes diagnosticadas de hipotiroidismo. La aplicación de los criterios ATA tuvo una repercusión en la medición de la concentración de TSH en gestantes lo que sugiere una evaluación de los valores de referencia de TSH en función de la población y los métodos de diagnóstico locales.
In order to determine the impact of the application of the American Thyrold Associations (ATA) criteria for the diagnosis of hypothyroidism in pregnant women in the health district of Vigo, Spain, concentrations of serum thyrotropin (TSH), free thyroxine (T4L) and anti-thyroid antibodies were analyzed, comparing the frequency of pregnant women diagnosed with hypothyroidism and applying the criteria used in the hormone laboratory at Xeral Hospital and referential criteria established by ATA. The application of ATA referential criteria increased by 29.6% the number of female patients diagnosed with hypothyroidism. The application of ATA guidelines had an impact on the measurement of TSH concentrations in pregnant women, which calls for an evaluation of referential values of TSH based on the population and the local diagnostic methods.
Subject(s)
Adult , Thyroid Diseases , Pregnancy , Hypothyroidism , SpainABSTRACT
The American Diabetes Association issues annually its recommendations for diabetes mellitus screening. Although there is a high proportion of people with undiagnosed diabetes in the general population, it is suspected that many of these screening tests could be needless. An analysis was made of the number of venous blood glucose measurements that did not meet the American Diabetes Association requirements performed in 150 people seen in primary care. On average, an unnecessary venous blood glucose measurement is performed every 15 months. The number is significantly higher in people over 45 years of age, and also in women as compared to men (although with a p value slighty higher than 0.05).
