ArticleJournal of diabetes and metabolic disorders2025
Assessment and outcome of the management of hyperthyroidism in Malaysian primary care clinics: A national multicentre study.
Article in Journal of diabetes and metabolic disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Purpose: This study assesses the management of hyperthyroidism in primary care clinics, focusing on adherence to clinical guidelines and resulting treatment outcomes. Methods: This study retrospectively reviews medical records of patients with overt hyperthyroidism attending 11 primary care clinics between 1st January 2023 and 31st December 2023. Patients are identified through laboratory results, electronic medical records, or pharmacy records. Eligible cases include adults diagnosed with overt hyperthyroidism with at least 12 months of follow-up. Data were collected and analysed descriptively. Results: A total of 143 patients were included, with a mean age of 49.0 ± 14.8 years, predominantly female (73.4%) and Malay (81.1%). While 96.5% of cases were correctly diagnosed, documentation of aetiology (52.4%) and treatment counselling (28.7%) was suboptimal. Thyroid function monitoring was inconsistent, with only 52.4% undergoing repeat testing within 2-6 weeks. ATD therapy was appropriately initiated in 65.0% of cases, but side effect counselling was documented in only 11.9%. Within 18 months, 59.4% achieved euthyroidism, and 62.2% avoided iatrogenic hypothyroidism. Conclusion: Despite appropriate diagnosis and treatment initiation, gaps exist in monitoring, documentation, and referrals. Future efforts should focus on strengthening adherence to guidelines and improving patient tracking systems to enhance hyperthyroidism management in primary care.
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