Study of the origin of patients and types of thyroidopathies observed in the Endocrinology Outpatient Department of Hospital São Lucas – PUCRS from 2005-2006 [Abstract in English]

Anelise Ritter Bülow, Yara R. Grazia

Abstract



Aims: To identify the origin and the clinical
characteristics of patients attending the thyroid outpatient
clinic from Hospital São Lucas da PUCRS between 2005
and 2006.
Methods: A retrospective study was conducted. From
824 medical appointments scheduled from July 1st, 2005 to
July 31, 2006, the medical records of 432 patients were
randomly selected and examined. From these, 185 showed
the pathologies studied, with the results being recorded. The
results were analyzed through descriptive statistics, chisquare
test and Fisher’s exact test.

Results: Distribution of the studied pathologies
according to their frequency were: Hashimoto’s thyroiditis
(51.9% of the cases), Graves’s disease (35.1%,) toxic
multinodal goiter (9.7%) and toxic adenoma (3.2%). Thirty
seven percent of the patients were from Porto Alegre and
61.1% were from other places. A statistically significant difference (p < 0.05) concerning the presence of selfantibodies
was found between the pathologies mediated by
self-immunity and those pathologies with no self-immunity.
Patients suffering from Hashimoto’s thyroiditis had
received hormone reposition therapy in 94.8% of the cases
and those suffering from Graves’s disease had been
submitted to medical therapy previously to the radioactive
iodine in 37 cases (56.9%).

Conclusions: Most patients were from regions close
to the metropolitan area. It is believed that transportation
of patients to tertiary-level assistance centers may be less
expensive than rendering a highly-specialized service in
such regions.

KEY WORDS: THYROID DISEASES/epidemiologia; HYPOTHYROIDISM;
HYPERTHYROIDISM; HASHIMOTO DISEASE;
THYROIDITIS; GRAVES DISEASE.



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