title: Care and economic impact of thyroid ultrasound examination at single visits to endocrinology clinics (the ETIEN 1 study).
abstract: OBJECTIVE
  Routine thyroid ultrasound examination in a single medical appointment is rarely performed in Spain. The objective of this study was to evaluate the care and economic impact of thyroid US examination in a single endocrine appointment.
  
  
  METHODS
  A prospective, observational, descriptive study was conducted to analyze data from 2274 patients (mean age, 59±16 years; 83% females) performed at least one thyroid US in a single visit to an endocrinology clinic during 2013 and 2014. The number of endocrine acts with thyroid US, single endocrine and US acts without review, and the change in the number of thyroid US requested by endocrinologists to the radiology department and total thyroid US examinations performed at the radiology department during the study period were assessed.
  
  
  RESULTS
  In 2013 and 2014, 2558 endocrine acts with thyroid US were performed, of which 42.2% were single endocrine and US appointments without a second endocrine act, with estimated savings of €58,946.40. As compared to 2012, the number of thyroid US requested by endocrinologists to the radiology department decreased by 43.3% and 86.0% in 2013 and 2014 respectively, and total thyroid US performed by the radiology department decreased by 28.1% and 68.3% respectively, with estimated savings of €94,441.36.
  
  
  CONCLUSIONS
  Thyroid US examination in a single endocrine appointment allows for decreasing the number of both second endocrine acts and thyroid US examinations performed at the radiology department, thus reducing the number of unnecessary clinic visits and promoting considerable economic savings.
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Puerto Real, Cádiz, España. Electronic address: florencarral@hotmail.com.
authors.forename: Florentino
authors.initials: F
authors.lastname: Carral
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Puerto Real, Cádiz, España.
authors.forename: María del Carmen
authors.initials: Mdel C
authors.lastname: Ayala
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Puerto Real, Cádiz, España.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Jiménez
authors.affiliation: Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Puerto Real, Cádiz, España.
authors.forename: Concepción
authors.initials: C
authors.lastname: García
mesh_terms: D000328:Adult; D000368:Aged; D004704:Endocrinology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013030:Spain; D013961:Thyroid Gland / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000191:economics*
keywords: Acto único; Ahorro de costes; Cost savings; Ecografía tiroidea; Endocrinology; Endocrinología; Single appointment; Thyroid ultrasound