%0 Journal Article %1 rakotoniaina_tl_2021_4625327 %A TL, Rakotoniaina %A MK, Ranaivosoa %A FI, Rakotonindrina %A OA, Rakoto Alson %A A, Rasamindrakotroka %D 2021 %J World Journal of Biology Pharmacy and Health Sciences %K Antananarivo %N 2 %P 019-024 %R 10.30574/wjbphs.2021.5.2.0012 %T Prescription of the thyroid test results at the biochemistry laboratory in Antananarivo in 2018 %U https://wjbphs.com/content/prescription-thyroid-test-results-biochemistry-laboratory-antananarivo-2018 %V 5 %X According to National Authority for Health, the isolated dosage of TSH, in first-line, is a sufficient supply for the diagnosis and monitoring of thyroid dysfunction. The purpose of this study are to determine the prevalence of prescriptions of thyroid test, evaluate the practices on the prescription of thyroid tests compared to international recommendations. It is a descriptive retropective study within a period of 12 months. All the files with a request for TSH and / or thyroid hormone were included in this study. All files with a previous thyroid check-up or as part of a dysthyroidism follow-up assessment were excluded. Among the 72600 prescriptions for biochemical tests, 184 corresponded to the prescription of thyroid tests, it means 0.25% compared to other biochemical blood tests recorded. Among the 184 prescriptions requesting thyroid tests,117 files were retained. The mean age of the patients was 42.3 years, with a sex ratio of 0.18. One hundred sixteen files included a request of TSH dosage; 28,21% included only a TSH dosage and 70.94% included a request of simultaneous TSH dosage with one of two thyroid hormones. One prescription (0.85%) asked for a thyroid hormones dosage only without preliminary TSH dosage. TSH ranged from <0.05 to 93.97µUI/mL. It was normal in 68.96%, reduced in 16.39% and increased in 14.65% of the dosages. The number of thyroid hormone dosage in first-line in this study is important. Their prescription should be adapted to current recommendations in order to avoid the additional cost of unnecessary dosages for patients.

@article{rakotoniaina_tl_2021_4625327, abstract = {According to National Authority for Health, the isolated dosage of TSH, in first-line, is a sufficient supply for the diagnosis and monitoring of thyroid dysfunction. The purpose of this study are to determine the prevalence of prescriptions of thyroid test, evaluate the practices on the prescription of thyroid tests compared to international recommendations. It is a descriptive retropective study within a period of 12 months. All the files with a request for TSH and / or thyroid hormone were included in this study. All files with a previous thyroid check-up or as part of a dysthyroidism follow-up assessment were excluded. Among the 72600 prescriptions for biochemical tests, 184 corresponded to the prescription of thyroid tests, it means 0.25% compared to other biochemical blood tests recorded. Among the 184 prescriptions requesting thyroid tests,117 files were retained. The mean age of the patients was 42.3 years, with a sex ratio of 0.18. One hundred sixteen files included a request of TSH dosage; 28,21% included only a TSH dosage and 70.94% included a request of simultaneous TSH dosage with one of two thyroid hormones. One prescription (0.85%) asked for a thyroid hormones dosage only without preliminary TSH dosage. TSH ranged from <0.05 to 93.97µUI/mL. It was normal in 68.96%, reduced in 16.39% and increased in 14.65% of the dosages. The number of thyroid hormone dosage in first-line in this study is important. Their prescription should be adapted to current recommendations in order to avoid the additional cost of unnecessary dosages for patients. }, added-at = {2021-03-21T10:36:13.000+0100}, author = {TL, Rakotoniaina and MK, Ranaivosoa and FI, Rakotonindrina and OA, Rakoto Alson and A, Rasamindrakotroka}, biburl = {https://www.bibsonomy.org/bibtex/23add0f9e26ee54b55d2d0a7067a3b8b0/wjbphsjournal}, doi = {10.30574/wjbphs.2021.5.2.0012}, interhash = {32d69bd68939ec9af7a7c9bcaee873c0}, intrahash = {3add0f9e26ee54b55d2d0a7067a3b8b0}, issn = {2582-5542}, journal = {{World Journal of Biology Pharmacy and Health Sciences}}, keywords = {Antananarivo}, month = feb, number = 2, pages = {019-024}, timestamp = {2021-03-21T10:36:13.000+0100}, title = {Prescription of the thyroid test results at the biochemistry laboratory in Antananarivo in 2018}, url = {https://wjbphs.com/content/prescription-thyroid-test-results-biochemistry-laboratory-antananarivo-2018}, volume = 5, year = 2021 }