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Purpose <p>This study assesses the management of hyperthyroidism in primary care clinics, focusing on adherence to clinical guidelines and resulting treatment outcomes.</p> Methods <p>This study retrospectively reviews medical records of patients with overt hyperthyroidism attending 11 primary care clinics between 1st January 2023 and 31st December 2023. Patients are identified through laboratory results, electronic medical records, or pharmacy records. Eligible cases include adults diagnosed with overt hyperthyroidism with at least 12 months of follow-up. Data were collected and analysed descriptively.</p> Results <p>A total of 143 patients were included, with a mean age of 49.0 ± 14.8 years, predominantly female (73.4%) and Malay (81.1%). While 96.5% of cases were correctly diagnosed, documentation of aetiology (52.4%) and treatment counselling (28.7%) was suboptimal. Thyroid function monitoring was inconsistent, with only 52.4% undergoing repeat testing within 2–6 weeks. ATD therapy was appropriately initiated in 65.0% of cases, but side effect counselling was documented in only 11.9%. Within 18 months, 59.4% achieved euthyroidism, and 62.2% avoided iatrogenic hypothyroidism.</p> Conclusion <p>Despite appropriate diagnosis and treatment initiation, gaps exist in monitoring, documentation, and referrals. Future efforts should focus on strengthening adherence to guidelines and improving patient tracking systems to enhance hyperthyroidism management in primary care.</p>

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Assessment and outcome of the management of hyperthyroidism in Malaysian primary care clinics: A national multicentre study

  • 期刊论文

  • 发表日期：

    2025年9月16日

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  • Jazlan Jamaluddin,
  • Aiza Nur Izdihar Zainal-Abidin,
  • Mohd Azzahi Mohamed Kamel,
  • Nik Aminah Nik Abdul Kadir,
  • Mohd Yusaini Mohd Yusri,
  • Nurfauzani Ibrahim,
  • Siti Nur Hidayah Abd Rahim,
  • Nur Athirah Rosli,
  • Nor Shazatul Salwana Din,
  • Nurainee Ibrahim

摘要

Purpose

This study assesses the management of hyperthyroidism in primary care clinics, focusing on adherence to clinical guidelines and resulting treatment outcomes.

Methods

This study retrospectively reviews medical records of patients with overt hyperthyroidism attending 11 primary care clinics between 1st January 2023 and 31st December 2023. Patients are identified through laboratory results, electronic medical records, or pharmacy records. Eligible cases include adults diagnosed with overt hyperthyroidism with at least 12 months of follow-up. Data were collected and analysed descriptively.

Results

A total of 143 patients were included, with a mean age of 49.0 ± 14.8 years, predominantly female (73.4%) and Malay (81.1%). While 96.5% of cases were correctly diagnosed, documentation of aetiology (52.4%) and treatment counselling (28.7%) was suboptimal. Thyroid function monitoring was inconsistent, with only 52.4% undergoing repeat testing within 2–6 weeks. ATD therapy was appropriately initiated in 65.0% of cases, but side effect counselling was documented in only 11.9%. Within 18 months, 59.4% achieved euthyroidism, and 62.2% avoided iatrogenic hypothyroidism.

Conclusion

Despite appropriate diagnosis and treatment initiation, gaps exist in monitoring, documentation, and referrals. Future efforts should focus on strengthening adherence to guidelines and improving patient tracking systems to enhance hyperthyroidism management in primary care.