Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2010) 22 P756

ECE2010 Poster Presentations Thyroid (122 abstracts)

Have the hypothyroid patients really had ‘euthyroid' quality of life after the euthyroid state is established with levothyroxine-substitution?

Zoran Gluvic 1 , Jelena Tica 1 , Vesna Popovic-Radinovic 1 , Marina Vujovic 1 , Zorica Rasic-Milutinovic 1 , Milena Lackovic 1 , Esma Isenovic 2 & Nevena Paunovic 3

1Department of Endocrinology and Diabetes, Zemun Clinical Hospital, Zemun, Serbia; 2Laboratory of Radiobiology and Molecular Genetics, Institute Vinca, Belgrade, Serbia; 3National Health Centre for the Railway Employees, Belgrade, Serbia.

Introduction: Subclinical and clinical primary hypothyroidism potentially makes a negative influence on the patient’s quality of life. Present study examined the level of hypothyroid symptoms and signs expression as well patient’s quality of life before levothyroxine and after substitutionally-induced laboratory euthyroidism.

Material and methods: Prospective case–control study consisted of 75 female patients divided into three groups based on blood levels of TSH and thyroid hormones before levothyroxine substitution began. Examinees autonomously fulfilled two structured interviews, TSQ and GHQ-12. Obtained answers were numerically transformed into ranks and presented through two scores, standard and modified. Data were analyzed by usage of SPSS for Windows 12.0.

Results and discussion: A mean follow-up period of study enrolled patients until levothyroxine-induced laboratory euthyroidism was 6 months, with no significant difference among groups (Z=−1.708, P>0.05). The mean standard and modified TSQ and GHQ-12 scores were 13 and 10 respectively and statistically significant difference was not registered between groups (χTSQstandard2=2.923; χTSQmodified2=3.125; χGHQstandard2=0.334; χGHQmodified2=0.388; df=2; P>0.05). Obtained scores correlated with the individual patient’s satisfaction of levothyroxine therapy (ρTSQstandard=0.309; ρTSQmodified=0.323; ρGHQstandard=0.405; ρGHQmodified=0.399; P<0.01).

Conclusion: Given scores classified the study patients in the group ‘with no mental distress’. That pointed out levothyroxine substitution as adequate and satisfied quality of life of treated patients.

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