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Abstract：
Thyroid disorders are common clinical conditions globally. The objective of the present study was to evaluate the physicians\' approach to the diagnosis and treatment of thyroid disorders in Bangladesh.
The present nationally representative cross-sectional study was conducted among 662 physicians of different levels (general practitioners as well as specialists) from different hospitals in Bangladesh from January to June 2023. A self-administered semi-structured questionnaire including information about demographics and practice patterns for the diagnosis and management of thyroid disorders was used for data collection. Descriptive statistics were used to analyze the data.
The American Thyroid Association (ATA) guidelines were the most commonly followed guidelines for the diagnosis and management of thyroid disorders (60%), followed by the American Association of Clinical Endocrinologists (AACE) guidelines (18%) and the European Thyroid Association (ETA) guidelines (9%). Serum TSH, free T3 and free T4 levels were the most frequently used diagnostic tests for the evaluation and follow-ups of both hypothyroid and hyperthyroid states in adults, pregnant women and children, followed by total T3 and total T4 levels. Other tests, such as anti-TPO antibody, anti-TG antibody, anti-TPO, ultrasound scan of the thyroid gland, etc., were rarely used by the participating physicians. Levothyroxine at a dose of 25 to 50 mcg and carbimazole at a dose of 30 to 45 mg were the most frequently used drugs for hypothyroid and hyperthyroid patients, respectively. Almost 65% of the physicians suggested routine thyroid function tests before surgery. In addition, more than 90% of the physicians agreed that thyroid screening for pregnancy, neonates, school children and adults would be mandatory.
The majority of the physicians participating in our study followed relevant guidelines for the diagnosis and management of thyroid disorders in Bangladesh. However, there are still some gaps to be improved, as a good number of physicians did not follow specific guidelines for these disorders.
The present nationally representative cross-sectional study was conducted among 662 physicians of different levels (general practitioners as well as specialists) from different hospitals in Bangladesh from January to June 2023. A self-administered semi-structured questionnaire including information about demographics and practice patterns for the diagnosis and management of thyroid disorders was used for data collection. Descriptive statistics were used to analyze the data.
The American Thyroid Association (ATA) guidelines were the most commonly followed guidelines for the diagnosis and management of thyroid disorders (60%), followed by the American Association of Clinical Endocrinologists (AACE) guidelines (18%) and the European Thyroid Association (ETA) guidelines (9%). Serum TSH, free T3 and free T4 levels were the most frequently used diagnostic tests for the evaluation and follow-ups of both hypothyroid and hyperthyroid states in adults, pregnant women and children, followed by total T3 and total T4 levels. Other tests, such as anti-TPO antibody, anti-TG antibody, anti-TPO, ultrasound scan of the thyroid gland, etc., were rarely used by the participating physicians. Levothyroxine at a dose of 25 to 50 mcg and carbimazole at a dose of 30 to 45 mg were the most frequently used drugs for hypothyroid and hyperthyroid patients, respectively. Almost 65% of the physicians suggested routine thyroid function tests before surgery. In addition, more than 90% of the physicians agreed that thyroid screening for pregnancy, neonates, school children and adults would be mandatory.
The majority of the physicians participating in our study followed relevant guidelines for the diagnosis and management of thyroid disorders in Bangladesh. However, there are still some gaps to be improved, as a good number of physicians did not follow specific guidelines for these disorders.
摘要：
■甲状腺疾病是全球常见的临床疾病。本研究的目的是评估医师对孟加拉国甲状腺疾病的诊断和治疗方法。
■本全国代表性的横断面研究是在2023年1月至6月在孟加拉国不同医院的662名不同级别的医生（全科医生和专家）中进行的。使用自我管理的半结构化问卷，包括有关人口统计学和甲状腺疾病诊断和管理的实践模式的信息，用于数据收集。使用描述性统计来分析数据。
■美国甲状腺协会（ATA）指南是甲状腺疾病诊断和管理最常遵循的指南（60％），其次是美国临床内分泌医师协会(AACE)指南(18%)和欧洲甲状腺协会(ETA)指南(9%).血清TSH,游离T3和游离T4水平是成人甲状腺功能减退和甲状腺功能亢进状态评估和随访中最常用的诊断测试。孕妇和儿童，其次是总T3和总T4水平。其他测试,如抗TPO抗体，抗TG抗体，反TPO,甲状腺的超声扫描，等。,很少被参与的医生使用。左旋甲状腺素的剂量为25至50mcg，卡比马唑的剂量为30至45mg是甲状腺功能减退和甲状腺功能亢进患者最常用的药物，分别。近65%的医生建议在手术前进行常规甲状腺功能检查。此外,超过90％的医生同意甲状腺筛查妊娠，新生儿,学校儿童和成人将是强制性的。
■参与我们研究的大多数医生遵循孟加拉国甲状腺疾病诊断和治疗的相关指南。然而,还有一些差距需要改进，因为许多医生没有遵循这些疾病的具体指南。
■本全国代表性的横断面研究是在2023年1月至6月在孟加拉国不同医院的662名不同级别的医生（全科医生和专家）中进行的。使用自我管理的半结构化问卷，包括有关人口统计学和甲状腺疾病诊断和管理的实践模式的信息，用于数据收集。使用描述性统计来分析数据。
■美国甲状腺协会（ATA）指南是甲状腺疾病诊断和管理最常遵循的指南（60％），其次是美国临床内分泌医师协会(AACE)指南(18%)和欧洲甲状腺协会(ETA)指南(9%).血清TSH,游离T3和游离T4水平是成人甲状腺功能减退和甲状腺功能亢进状态评估和随访中最常用的诊断测试。孕妇和儿童，其次是总T3和总T4水平。其他测试,如抗TPO抗体，抗TG抗体，反TPO,甲状腺的超声扫描，等。,很少被参与的医生使用。左旋甲状腺素的剂量为25至50mcg，卡比马唑的剂量为30至45mg是甲状腺功能减退和甲状腺功能亢进患者最常用的药物，分别。近65%的医生建议在手术前进行常规甲状腺功能检查。此外,超过90％的医生同意甲状腺筛查妊娠，新生儿,学校儿童和成人将是强制性的。
■参与我们研究的大多数医生遵循孟加拉国甲状腺疾病诊断和治疗的相关指南。然而,还有一些差距需要改进，因为许多医生没有遵循这些疾病的具体指南。
