Clinical versus biochemical assessment in thyroxine replacement therapy: a retrospective study.
A retrospective audit of a thyroid clinic revealed that only 67% of clinical assessments of thyroid status in patients receiving thyroxine replacement therapy were correct. The identification of patients on excessive doses of thyroxine appears to be the most difficult by clinical assessment alone, only 10% of those patients with a suppressed TSH level being identified. This study emphasises the importance of thyroid function tests in the assessment of patients on thyroxine replacement.
Thomas
S H
SH
Department of Clinical Pharmacology, St Thomas's Hospital, London.
Sturgess
I
I
Wedderburn
A
A
Wylie
J
J
Croft
D N
DN
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013959:Thyroid Diseases / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy; D013960:Thyroid Function Tests; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000008:administration & dosage / Q000627:therapeutic use*
D013972:Thyrotropin; D013974:Thyroxine