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Cited by 2Thyroid Disorders and TreatmentsPatient Satisfaction in HealthcareThyroid and Parathyroid Surgery

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Levothyroxine Dose Changes and Hypothyroid Patient Satisfaction-Results of the CONTROL TS Study

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M, McMillan·2017·Annals of Thyroid Research
DOI 10.26420/annalsthyroidres.2017.1027
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Abstract

Introduction:The effects of levothyroxine dose adjustments on patient satisfaction with drug therapy and physician care have not been described previously.Primary Objective: To measure those effects among: patients who had no changes in levothyroxine dosage within the past year (n = 150), and patients who had ≥ 2 changes in levothyroxine dosage within the past year (n = 150).Methods: Eligible participants completed a 21-question online survey that employed ThyTSQ, a scientifically-validated instrument designed to assess patient satisfaction with: therapy performance and convenience, and the perceived quality of care provided by physicians.Between-group statistical testing was determined using a Chi-square test to compare proportions.Results: Compared with those reporting no levothyroxine dose changes in the past year, patients reporting ≥ 2 dose changes were significantly less satisfied with their treatment and treating physician: these patients had lower mean ThyTSQ-Present scores (30.1 vs. 33.2;P=.002); were less likely to be "very satisfied" with their treatment and dose (22% vs. 39%; P=.001); and were less likely to feel their hypothyroid symptoms were well controlled (15% vs. 34%; P<.001).Patients experiencing ≥ 2 dose changes were also less likely to be "very satisfied" with how their physician dealt with their condition since its diagnosis (21% vs. 34%; P=.015), and were more likely to have changed physicians in the past year (23% vs. 14%; P=.054).Conclusion: Results showed a strong correlation between the frequency of levothyroxine dose changes and reduced patient satisfaction with treatment, treatment convenience, symptom control and physician performance.

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  • In CONTROL TS, a survey involving 300 hypothyroid patients taking levothyroxine for more than 1 year, overall patient satisfaction with treatment was 44% lower among patients experiencing levothyroxine dose changes versus those without such changes (P < 0.001).

    “Overall patient satisfaction with treatment was 44% lower among patients experiencing levothyroxine dose changes versus those without such changes (P < 0.001).”

    From Diagnosis and management of treatment-refractory hypothyroidism: an expert consensus report (2017) · cites this paper as [105]

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Metadata

Authors
M, M.
Corresponding author
M, McMillan
Venue
Annals of Thyroid Research
Publisher
Austin Journals
Published
2017-08-08
Volume
3
Issue
2
ISSN
2690-0165 (ISSN-L)
DOI
10.26420/annalsthyroidres.2017.1027
OpenAlex
W2939952333
Cited by
2
References
15
Citations by year
2017: 2
FWCI
0.43
Type
journal article
Language
en
Open access
Locations
Annals of Thyroid Research (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
  • Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
Keywords
levothyroxine, dose adjustment, hypothyroidism, patient satisfaction, quality of care, physician-patient relationship, symptom management, treatment convenience

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