| Time trend and geographic distribution of treated patients with congenital hypothyroidism relative to the number of available endocrinologists in Japan. | |
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MedLine Citation:
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PMID: 20227725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the time trend and geographic distribution of treated patients with congenital hypothyroidism (CH) and explore their possible relationship to the availability of endocrinologists in Japan. STUDY DESIGN: The 2-source capture-recapture method was used to estimate the total number of patients. The ratio of the total estimated number of patients with CH to the number of endocrinologists and Spearman correlation coefficients were calculated. Curve fitting for changes in incidence or prevalence was estimated. RESULTS: The incidence and prevalence of CH exhibited upward trends, with linear slopes of increase during the period 1994-2002. A statistically significant positive correlation was observed between the prevalence of CH and the ratio of the number of patients with CH to the number of endocrinologists in the 10 regions studied. The prevalence of CH was significantly higher in the regions with a higher ratio of patients with CH to endocrinologists, and also in younger patients. CONCLUSIONS: A shortage of endocrinologists may be one reason for the upward trend in the incidence and prevalence of treated patients with CH. |
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Authors:
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Yan-Hong Gu; Tadaaki Kato; Shohei Harada; Hiroaki Inomata; Kikumaro Aoki |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-03-15 |
Journal Detail:
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Title: The Journal of pediatrics Volume: 157 ISSN: 1097-6833 ISO Abbreviation: J. Pediatr. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375410 Medline TA: J Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 153-7 Citation Subset: AIM; IM |
Copyright Information:
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Copyright (c) 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Health Policy, National Research Institute for Child Health and Development, Tokyo, Japan. gyh@nch.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Congenital Hypothyroidism
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drug therapy*,
epidemiology* Endocrinology* Follow-Up Studies Health Services Accessibility / statistics & numerical data*, trends Humans Incidence Infant, Newborn Japan / epidemiology Male Neonatal Screening / methods Physicians / statistics & numerical data* Registries Retrospective Studies Risk Factors Specialization / statistics & numerical data* Statistics, Nonparametric Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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