Evidence map›Paper›PMID 42631316›Full record

ArticleJournal of community hospital internal medicine perspectives2026

Diagnosis and Characterization of Thyroid Dysfunction in Patients Evaluated in Primary Care in a Rural Zone of Honduras.

Javier S Asfura, Travis W Harris, Amanda Reeck, María F Chévez

Abstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2026. 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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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Javier S AsfuraDepartment of Medicine, Hospital Loma de Luz, Colón, Honduras.ORCID https://orcid.org/0000-0001-8991-5538
Travis W HarrisUAB Family Medicine, Huntsville, AL, USA.
Amanda ReeckDepartment of Internal Medicine, UT Health San Antonio, Texas, USA.
María F ChévezDepartment of Medicine, Hospital Loma de Luz, Colón, Honduras.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyroid disorders are prevalent and frequently underdiagnosed in primary care, particularly in resource-limited rural areas. Their nonspecific symptoms complicate early recognition and treatment. This study aimed to determine the prevalence of thyroid dysfunction and describe the clinical reasoning, diagnostic strategies, and laboratory findings among adults evaluated with TSH testing in rural Honduras. Methods: A retrospective, descriptive, cross-sectional study was conducted at Hospital Loma de Luz in Balfate, Honduras. Adult patients aged ≥18 years who underwent diagnostic TSH testing between January 1, 2022, and January 31, 2023, were included. Patients with prior thyroid diagnoses or current pregnancy were excluded. Data on demographics, symptoms, comorbidities, and labs were collected from electronic records and analyzed using SPSS v26. Results: Of 310 patients initially screened for suspected thyroid dysfunction, 185 met inclusion criteria. Thyroid dysfunction was present in 16.8 % of patients: 11.3 % had hypothyroidism and 5.4 % had hyperthyroidism. The majority of cases were women (83.9 %) aged 18-59. Common symptoms included fatigue (61.3 %), palpitations (48.4 %), and neck enlargement (25.8 %). Comorbidities included hypertension (32.3 %), diabetes (22.6 %), autoimmune diseases (12.9 %), and depression (9.7 %). Only 3.2 % had complete thyroid panels (TSH, T4L, and T3T). Conclusion: Thyroid dysfunction was found in nearly one in six adults evaluated with TSH in rural primary care. Female sex, vague symptoms, and autoimmune disease were frequently associated. Reflex T4L testing could improve diagnostic efficiency and facilitate earlier treatment.

Indexed as

HondurasHyperthyroidism TSHHypothyroidismPrimary careThyroid dysfunction

Identifiers

PMID42631316
PMCPMC13496467

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