The impact of the SARS-CoV2 pandemic on the prescription of thyroid medication in Austria - A nationwide population-based registry analysis.
J Infect Public Health
; 17(7): 102445, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38815533
ABSTRACT
BACKGROUND:
Case reports indicate a clinical connection between SARS-CoV-2 and thyroid dysfunctions. However, evidence from large population-based registry analyses is sparse, especially in Europe, where iodine deficiency is common. This study aimed to analyze the impact of the COVID-19 pandemic on healthcare provision for thyroid diseases in Austria.METHODS:
We performed a retrospective, population-based registry analysis of the Austrian health insurance fund database, covering more than 9 million inhabitants. Data from all patients with prescriptions of thyroid-specific drugs and/or inpatient thyroid-related diagnoses from 2017 to 2019 (pre-pandemic years) were compared to 2020 and 2021 (pandemic years; characterized by high numbers of SARS-CoV2 infections and population-wide vaccination strategy). The incidence rates of thyroid medication prescriptions for hypothyroidism and hyperthyroidism were calculated for every year to evaluate the impact of the pandemic.RESULTS:
The incidence rate for total thyroid medication prescription was 539.07/100,000 individuals (534.23-543.93 95%CI) in 2018 and declined during the pandemic (2020 387.19/100,000 (383.12-391.29 95%CI); 2021 336.90/100,000 (333.11-340.73 95%CI)). Similarly, the incidence rate for levothyroxine prescription was higher pre-pandemic (2018 465.46/100,000 (460.97-469.98 95%CI) and declined during the pandemic (2020 348.14/100,000 (344.28-352.03 95%CI); 2021 300.30/100,000 (296.7-303.91 95%CI). The incidence rates of thiamazole prescriptions (2018 10.24/100,000 (9.58-10.93 95%CI); 2020 8.62/100,000 (8.03-9.26 95%CI); 2021 11.17/100,000 (10.49-11.89 95%CI) were stable.CONCLUSIONS:
These findings suggest no clinically significant impact of SARS-CoV2 and/or vaccination on thyroid function at a population level.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sistema de Registros
/
COVID-19
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Infect Public Health
Assunto da revista:
DOENCAS TRANSMISSIVEIS
/
SAUDE PUBLICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Áustria