Should Patient Age and Gender Influence Case-Finding Strategies for Autoimmune Hypothyroidism?

2016 ◽  
Vol 28 (9) ◽  
pp. 264-266
Author(s):  
Charles H. Emerson
2000 ◽  
Vol 15 (4) ◽  
pp. 248-255 ◽  
Author(s):  
Marie F. Johnson ◽  
Michael Lin ◽  
Saurabh Mangalik ◽  
Donald J. Murphy ◽  
Andrew M. Kramer

2019 ◽  
Vol 202 (2) ◽  
pp. 309-313 ◽  
Author(s):  
Karen L. Stern ◽  
Tianming Gao ◽  
Jodi A. Antonelli ◽  
Davis P. Viprakasit ◽  
Timothy D. Averch ◽  
...  

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Johannes A. R. Pfaff ◽  
Marcial E. Harlan ◽  
Günter Pfaff ◽  
Alexander Hubert ◽  
Martin Bendszus

Abstract Background Measures taking aim at minimizing the risk of coronavirus transmission and fear of infection may affect decisions to seek care for other medical emergency conditions. The purpose of this analysis was to analyze intermediate-term effects of the COVID-19 pandemic on neuroradiological emergency consultations (NECs). Methods We conducted an ambispective study on NEC requests to a university hospital from a teleradiological network covering 13 hospitals in Germany. Weekly NEC rates for prepandemic calendar weeks (CW) 01/2019–09/2020 were compared with rates during first COVID-19 wave (CW 10–20/2020), first loosening of restrictions (CW 21–29/2020), intensified COVID-19 testing (CW 30–39/2020) and second COVID-19 wave (CW 40–53/2020), and contrasted with COVID-19 incidence in Germany. Results A total of n = 10 810 NECs were analyzed. Prepandemic NEC rates were stable over time (median: 103, IQR: 97–115). Upon the first COVID-19 wave in Germany, NEC rates declined sharply (median: 86, IQR: 69–92; p < 0.001) but recovered within weeks. Changes in NEC rates after first loosening of restrictions (median: 109, IQR: 98–127; p = 0. 188), a phase of intensified testing (median: 111, IQR: 101–114; p = 0.434) and as of a second COVID-19 wave (median: 102, IQR: 94–112; p = 0. 462) were not significant. Likewise, patient age and gender distribution remained constant. Conclusion Upon the first pandemic COVID-19 wave in Germany, NEC rates declined but recovered within weeks. It is unknown whether this recovery reflects improved medical care and test capabilities or an adjustment of the patients’ behaviour.


2007 ◽  
Vol 13 (6) ◽  
pp. S158
Author(s):  
C.W. Yancy ◽  
G.C. Fonarow ◽  
N.M. Albert ◽  
A. Curtis ◽  
W. Gattis Stough ◽  
...  

2018 ◽  
Vol 06 (11) ◽  
pp. E1304-E1309
Author(s):  
Julio F. León Moreno

Abstract Background and study aims High-quality colonoscopy is fundamental for preventing colorectal cancer (CRC). The adenoma detection rate (ADR) is a key colonoscopy quality measure. The aim of this study was to establish the screening colonoscopy ADR of a tertiary referral center in Peru, identify the relationship between the ADR and patient age, sex and the colonoscopist, and determine the endoscopic and histopathological characteristics of the lesions found. Patients and methods A retrospective observational longitudinal study was undertaken between January 2016 and June 2017. Results Eight colonoscopists performed screening colonoscopies on 620 patients scoring ≥ 6 points on the Boston Bowel Preparation Scale (BBPS); cecal intubation was complete in 595 patients (cecal intubation rate [CIR] 95.9 %). The overall ADR was 29.7 % (females 25.4 %, males 33.1 %, P = 0.040, 95 %Cl). The ADR colonoscopist range was 25.0 % to 34.4 %. The highest ADR (41.2 %, P = 0.013, 95 %Cl) was for patients aged 65 to 75 years. Adenoma colon locations were: left 49 %, transverse 21.6 % and right 29.4 %. Adenoma dysplasia grades: low 98 %, high 2 %. Sixty-three percent of the lesions were 5 mm to 10 mm. Resections performed: 78.5 % cold biopsy forceps (CBF), 3.4 % cold snare polypectomy (CSP) and 18.1 % endoscopic mucosal resection (EMR). Conclusions The ADR established was in line with the joint American College of Gastroenterology (ACG)/American Society for Gastrointestinal Endoscopy (ASGE) recommendations and related to patient age and gender but not to the colonoscopist. Colonoscopists should ensure rigorous application of the colonoscopy quality actions. ADR should be evaluated frequently.


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