NDLI: Screening and diagnosis of hyperthyroidism: an attempt at test reduction.

Content Provider	PubMed Central
Author	Fragu, P. Alpérovitch, A. Patois, E.
Abstract	A sequencial strategy for the diagnosis of hyperthyroidism has been prospectively appraised on 410 patients using a pocket calculator-aided diagnostic system. It was found that for 64% of the patients final diagnosis could be established from nine clinical signs, ankle jerk time and free thyroxin index. For the 36% of doubtful subjects, T3 determination permitted the reduction of uncertainty to 9%. No misdiagnosis was observed. By comparing this strategy with the physician's usual diagnosis process, in which all clinical signs and several thyroid function tests were used, it appeared that the number of tests was reduced by 65% for T3 requests and by 70% for other tests (99mTc uptake and TRH). The cost-saving was estimated to be about 28%. The interest of this calculator-aided decision model resides in the possibility for the general practitioner to refer only doubtful and hyperthyroid subjects to a thyroid unit.
Starting Page	215
File Format	PDF
ISSN	14702738
e-ISSN	14702738
Journal	Journal of Epidemiology and Community Health
Issue Number	3
Volume Number	33
Language	English
Publisher Date	1979-09-01
Access Restriction	Open
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Epidemiology

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Screening and diagnosis of hyperthyroidism: an attempt at test reduction.