| Audit of initial management of congenital hypothyroidism in the United Kingdom--comparison of UK practice with European and UK guidelines. | |
| | |
MedLine Citation:
|
PMID: 20101887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Prompt and adequate management of newly diagnosed congenital hypothyroidism (CH) has been shown to optimise intellectual outcome. METHODS: A questionnaire survey of the British Society for Paediatric Endocrinology and Diabetes (BSPED) membership was undertaken, examining current clinical practice in neonatal CH. Results were compared with published management guidelines from Europe and the UK. RESULTS: The response rate was 86%. The majority were largely compliant with both guidelines. 43% review newly referred infants on the day of notification. However, 26% treat severe CH with < 10 microg/kg/day thyroxine and nearly 20% do not follow up until at least 14 days after initiating treatment, in contrast to both guidelines. Despite a new liquid T4 preparation being licensed, respondents preferred tablet T4. CONCLUSION: Rapidity of assessment and adequate follow up of suspected CH is critical to outcome. Existing European and UK guidelines should be reviewed and expanded to incorporate new evidence, together with increased advice on preparation and administration of T4. |
| | |
Authors:
|
Jeremy H Jones; Malcolm D C Donaldson |
Related Documents
:
|
9691717 - The academy of psychosomatic medicine practice guidelines for psychiatric consultation ... 19800257 - Variables influencing adoption of practice-based guidelines in canadian renal dietetic ... 11511437 - Practical recommendations for the use of ace inhibitors, beta-blockers and spironolacto... 12807267 - Improving antibiotic use: 25 years of antibiotic guidelines and related initiatives. 20478597 - Bladder management after spinal cord injury in the united states 1972 to 2005. 18377267 - Pioneering turkish neurosurgeon hami dilek and the traces of harvey cushing's legacy in... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of pediatric endocrinology & metabolism : JPEM Volume: 22 ISSN: 0334-018X ISO Abbreviation: J. Pediatr. Endocrinol. Metab. Publication Date: 2009 Nov |
Date Detail:
|
Created Date: 2010-01-27 Completed Date: 2010-02-23 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9508900 Medline TA: J Pediatr Endocrinol Metab Country: England |
Other Details:
|
Languages: eng Pagination: 1017-25 Citation Subset: IM |
Affiliation:
|
Department of Child Health, Royal Hospital for Sick Children, Glasgow, UK. jjones@clinmed.gla.ac.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Congenital Hypothyroidism
/
diagnosis,
therapy* Dosage Forms Early Diagnosis Great Britain Guideline Adherence Hormone Replacement Therapy Humans Infant, Newborn Medical Audit* Neonatal Screening Physician's Practice Patterns / statistics & numerical data* Practice Guidelines as Topic Questionnaires* Societies, Medical Thyroxine / therapeutic use |
| Chemical | |
Reg. No./Substance:
|
0/Dosage Forms; 7488-70-2/Thyroxine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Daily profiles of salivary and urinary melatonin and steroids in healthy prepubertal boys.
Next Document: Effect of antenatal betamethasone use on adrenal gland size and endogenous cortisol and 17-hydroxypr...