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International Journal of General Medicine Volume 13, 2020 - Issue
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Original Research

Low Yield of Thyroid-Function Tests in Adult Hospitalized Patients — A Retrospective Analysis

Prerna Dogra1 Division of Hospital Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY, USACorrespondence[email protected]
,
Robin Paudel2 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY, USA
,
Sujata Panthi3 Division of Hospital Medicine, Department of Internal Medicine, Baptist Memorial Hospital-DeSoto, Southaven, MS, USA
,
Evan Cassity2 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY, USA
&
Lisa R Tannock4 Division of Endocrinology and Molecular Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY, USAORCID Iconhttps://orcid.org/0000-0002-7737-3476
ORCID Icon
Pages 343-349 | Published online: 06 Jul 2020

References

  • Centers of Medicare and Medicaid Services. National Health Expenditure Projections 2017–2026; 2017. doi:10.1377/hlthaff.2016.1627
  • Limb M. A fifth of healthcare spending is wasted, says OECD report. BMJ. 2017. doi:10.1136/bmj.j215
  • Young PL, Leigh AO; Medicine R on E-BMI of. The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summar; 2010. doi:10.17226/12750
  • Murrin S Office of inspector general HHS OIG DATA BRIEF medicare payments for clinical diagnostic laboratory tests in 2016: year 3 of baseline data; 2017 Available from: http://oig.hhs.gov/oei/reports/oei-09-17-00140.pdf. Accessed 1120, 2018.
  • Ortiga-Carvalho TM, Chiamolera MI, Pazos-Moura CC, Wondisford FE. Hypothalamus-pituitary-thyroid axis. Compr Physiol. 2016. doi:10.1002/cphy.c150027
  • Fekete C, Lechan RM. Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions. Endocr Rev. 2014;35(2):159–194. doi:10.1210/er.2013-108724423980
  • Pappa TA, Vagenakis AG, Alevizaki M. The nonthyroidal illness syndrome in the non-critically ill patient. Eur J Clin Invest. 2011;41(2):212–220. doi:10.1111/j.1365-2362.2010.02395.x20964678
  • Fliers E, Bianco AC, Langouche L, Boelen A. Thyroid function in critically ill patients. Lancet Diabetes Endocrinol. 2015;3(10):816–825. doi:10.1016/S2213-8587(15)00225-926071885
  • Koulouri O, Moran C, Halsall D, Chatterjee K, Gurnell M. Pitfalls in the measurement and interpretation of thyroid function tests. Best Pract Res Clin Endocrinol Metab. 2013;27(6):745–762. doi:10.1016/j.beem.2013.10.00324275187
  • Haugen BR. Drugs that suppress TSH or cause central hypothyroidism. Best Pract Res Clin Endocrinol Metab. 2009;23(6):793–800. doi:10.1016/j.beem.2009.08.00319942154
  • Taylor PN, Iqbal A, Minassian C, et al. Falling threshold for treatment of borderline elevated thyrotropin levels - Balancing benefits and risks evidence from a large community-based study. JAMA Intern Med. 2014;174(1):32. doi:10.1001/jamainternmed.2013.1131224100714
  • LeFevre ML, Siu AL, Bibbins-Domingo K, et al. Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015. doi:10.7326/M15-0483
  • Rugge JB, Bougatsos C, Chou R. Screening and treatment of thyroid dysfunction: an evidence review for the U.S. preventive services task force. Ann Intern Med. 2015;162(1):35. doi:10.7326/M14-145625347444
  • Bashkin A, Yaakobi E, Nodelman M, Ronen O. Is routine measurement of TSH in hospitalized patients necessary? Endocr Connect. 2009;7(4):567–572. doi:10.1016/j.beem.2009.08.003
  • Premawardhana LD. Thyroid testing in acutely ill patients may be an expensive distraction. Biochem Med. 2017;27(300):300–307. doi:10.11613/BM.2017.033
  • Garnier KA, Ismail KA, Moylan S, Harvey R. Thyroid function testing in an inpatient mental health unit. Australas Psychiatry. 2016;24(3):256–260. doi:10.1177/103985621561852226635375
  • Gharib H, Guttler RB, Tourtelot JB, et al. American association of clinical endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr Pract. 2016. doi:10.4158/1934-2403-8.6.457
  • Demers LM, Spencer CA. Laboratory medicine practice guidelines: laboratory support for the diagnosis and monitoring of thyroid disease. Clin Endocrinol (Oxf). 2003;58(2):138–140. doi:10.1046/j.1365-2265.2003.01681.x12580927
  • Gilmour JA, Weisman A, Orlov S, et al. Promoting resource stewardship: reducing inappropriate free thyroid hormone testing. J Eval Clin Pract. 2017;23(3):670–675. doi:10.1111/jep.1269828295871
  • Dalal S, Bhesania S, Silber S, Mehta P. Use of electronic clinical decision support and hard stops to decrease unnecessary thyroid function testing. BMJ Qual Improv Rep. 2017;6(1):u223041.w8346. doi:10.1136/bmjquality.u223041.w8346
  • Notas G, Kampa M, Malliaraki N, Petrodaskalaki M, Papavasileiou S, Castanas E. Implementation of thyroid function tests algorithms by clinical laboratories: a four-year experience of good clinical and diagnostic practice in a tertiary hospital in Greece. Eur J Intern Med. 2018;54:81–86. doi:10.1016/j.ejim.2018.03.01229605463
  • Orgiazzi J. Are Wider TSH cutoffs for reflex testing of free T4 feasible, safe and cost-effective? Clin Thyroidol. 2017;29(11):422–425. doi:10.1089/ct.2017;29.422-425
  • Fitzgerald SP, Bean NG, Falhammar H, Tuke J. Clinical parameters are more likely to be associated with thyroid hormone levels than with Tsh levels: a systematic review and meta-analysis. Thyroid. 2020. doi:10.1089/thy.2019.0535

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