Autoimmune thyroiditis: organizational and medical measures for early detection in the Republic of Belarus
https://doi.org/10.51523/2708-6011.2021-18-4-20
Abstract
Objective. To evaluate the effectiveness of conducted organizational and medical measures for early detection and medical examination of patients with autoimmune thyroiditis (AIT) in the regions of the Republic of Belarus and to develop measures to enhance them.
Materials and methods. Data on the incidence rates of AIT and primary hypothyroidism (PGT) in the Republic of Belarus from 1997 to 2017 were analyzed, data of a sociological study were presented and patients` records were analyzed. Epidemiological and sociological methods were used.
Results. In the Republic of Belarus, two organizational and medical approaches to early diagnosis of AIT have been developed. The study has found a low competence level among therapists (general practitioners) of the Brest and Gomel regions and showed the absence of patients with AIT at Gomel Regional Endocrinological Dispensary even if there is a pathognomonic ultrasound picture and a high level of AT-TPO titer, which indicates that the incidence is undercounted.
Conclusion. As a result of the performed study, the algorithm for organizational and medical measures has been developed and implemented for early detection and clinical examination of AIT patients aimed at PGT prevention.
About the Authors
V. A. Rozhko
Republican Research Center for Radiation Medicine and Human Ecology
Belarus
Belarus
Valentin A. Rozhko, researcher at the Laboratory of Epidemiology
Gomel
I. V. Veyalkin
Republican Research Center for Radiation Medicine and Human Ecology
Belarus
Belarus
Ilya V. Veyalkin, PhD (Biol), Associate Professor, Head of the Laboratory of Epidemiology
Gomel
S. N. Nikanovich
Republican Research Center for Radiation Medicine and Human Ecology
Belarus
Belarus
Siarhey N. Nikanovich, senior researcher at the Laboratory of Epidemiology
Gomel
T. M. Sharshakova
Gomel State Medical University
Belarus
Belarus
Tamara M. Sharshakova, DMedSc, Professor, Head of the Department of Public Health and Health Care with the course of the Faculty of Professional Development and Retraining
Gomel
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Review
For citations:
Rozhko V.A., Veyalkin I.V., Nikanovich S.N., Sharshakova T.M. Autoimmune thyroiditis: organizational and medical measures for early detection in the Republic of Belarus. Health and Ecology Issues. 2021;18(4):153-161. (In Russ.) https://doi.org/10.51523/2708-6011.2021-18-4-20
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