Quality of Life Among Egyptian Hypothyroid Patients

NCT ID: NCT05143918

Last Updated: 2021-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

176 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-31

Study Completion Date

2023-12-30

Brief Summary

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Assessment of quality of life among hypothyroid patients in Assiut University Hospital

Detailed Description

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Hypothyroidism is an underactive thyroid gland. Hypothyroidism means that the thyroid gland can't make enough thyroid hormone to keep the body running normally. People are hypothyroid if they have too little thyroid hormone in the blood. Common causes are Iodine deficiency, autoimmune disease, such as Hashimoto's thyroiditis, surgical removal of the thyroid, and radiation treatment.

There are three types of hypothyroidism: primary, secondary and tertiary. Primary hypothyroidism results from a low level of thyroid hormone due to destruction of the thyroid gland. This condition results in increased secretion and elevation of serum thyroid-stimulating hormone (TSH) levels. If the structure of the gland remains normal, dysfunction can be caused by decreased TSH secretion from the pituitary; this Is called secondary hypothyroidism.

In tertiary hypothyroidism, a decrease in thyroid hormone arises from inadequate secretion of thyrotropin-releasing hormone (TRH) from the hypothalamus. It is not always possible to differentiate between secondary and tertiary hypothyroidism, and they are often collectively referred to as central hypothyroidism. About 99%ofhypothyroidism cases are primary hypothyroidism.

Hypothyroidism is common throughout the world. In iodine-sufficient countries, the prevalence of hypothyroidism ranges from 1% to 2%. rising to 7% in individuals aged between 85 and 89 years. In the absence of age-specific reference ranges for TSH, an ageing population is likely to result in a higher prevalence of hypothyroidism. Hypothyroidism is approximately ten times more prevalent in women than men10. the awareness of hypothyroidism has increased gradually, as has rate of initiation of levothyroxine substitution.

Symptoms usually develop slowly and the patient may not realise to have a medical problem for several years. Common symptoms include: tiredness, being sensitive to cold, weight gain, constipation, depression, slow movements and thoughts, muscle aches and weakness, muscle cramps, dry and scaly skin, brittle hair and nails, loss of libido (sex drive), pain, numbness and a tingling sensation in the hand and fingers (carpal tunnel syndrome),irregular periods or heavy periods.

Health-related quality of life (HRQL) is a subjective assessment of the effects of disease and its treatment on the physical, social, psychological, and somatic dimensions of a patient's life. Thus, HRQL is considered an important supplementary outcome measure in the management of different conditions.

Thyroid hormones are important for the body's total energy metabolism and the neuroendocrine function. Hence, it seems apparent that a dysfunction of the thyroid hormone secretion should have a major influence on the total capacity of the body, both physically and mentally. Increasing attention is being paid to assessing HRQL among patients with thyroid disorders, and previous studies have revealed that HRQL is frequently affected in patients with hypothyroidism.

Up to our knowledge, no previous study explored the quality of life and its correlates among Egyptian hypothyroidism patients. The current study aims to assess the quality of life and its predictor among hypothyroidism in Assiut University Hospital

Conditions

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Hypothyroidism

Keywords

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Hypothyroidism, Egypt, Quality of life

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Hypothyroid patients as a cases

1. Inclusion criteria:

1. age ranges will be 18 - 60 years
2. both genders
3. previously confirmed diagnosed
2. Exclusion criteria:

1. pregnancy
2. other comorbidities (hypertension, diabetes, malignancy,,,etc)

assessment of quality of life using questionnaire

Intervention Type OTHER

assessment of quality of life in hypothyroid patients using SF 36 questionnaire

Control group

Healthy people without chronic disease

assessment of quality of life using questionnaire

Intervention Type OTHER

assessment of quality of life in hypothyroid patients using SF 36 questionnaire

Interventions

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assessment of quality of life using questionnaire

assessment of quality of life in hypothyroid patients using SF 36 questionnaire

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. age ranges will be 18 - 60 years
2. both genders
3. previously confirmed diagnosed

Exclusion Criteria

1. pregnancy
2. other comorbidities (hypertension, diabetes, malignancy,,,etc)
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Noha Fathy Radwan Abd El Zaher

Physician at internal medicine department at Assiut University Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nabawia M Tawfik

Role: STUDY_CHAIR

Assiut University

Ghada Abd El Rahman

Role: STUDY_DIRECTOR

Assiut University

Doaa M Osman

Role: STUDY_DIRECTOR

Assiut University

Noha F Radwan

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Central Contacts

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Noha F Radwan

Role: CONTACT

Phone: 01007312012

Email: [email protected]

Ghada Abd El Rahman

Role: CONTACT

Email: [email protected]

References

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Shivaprasad C, Rakesh B, Anish K, Annie P, Amit G, Dwarakanath CS. Impairment of Health-related Quality of Life among Indian Patients with Hypothyroidism. Indian J Endocrinol Metab. 2018 May-Jun;22(3):335-338. doi: 10.4103/ijem.IJEM_702_17.

Reference Type BACKGROUND
PMID: 30090724 (View on PubMed)

Blazewicz A, Wisniewska P, Skorzynska-Dziduszko K. Selected Essential and Toxic Chemical Elements in Hypothyroidism-A Literature Review (2001-2021). Int J Mol Sci. 2021 Sep 20;22(18):10147. doi: 10.3390/ijms221810147.

Reference Type BACKGROUND
PMID: 34576309 (View on PubMed)

Taylor PN, Albrecht D, Scholz A, Gutierrez-Buey G, Lazarus JH, Dayan CM, Okosieme OE. Global epidemiology of hyperthyroidism and hypothyroidism. Nat Rev Endocrinol. 2018 May;14(5):301-316. doi: 10.1038/nrendo.2018.18. Epub 2018 Mar 23.

Reference Type BACKGROUND
PMID: 29569622 (View on PubMed)

Mitchell AL, Hegedus L, Zarkovic M, Hickey JL, Perros P. Patient satisfaction and quality of life in hypothyroidism: An online survey by the british thyroid foundation. Clin Endocrinol (Oxf). 2021 Mar;94(3):513-520. doi: 10.1111/cen.14340. Epub 2020 Dec 17.

Reference Type RESULT
PMID: 32978985 (View on PubMed)

Related Links

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Other Identifiers

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quality of life

Identifier Type: -

Identifier Source: org_study_id