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4 results on '"Rosemann T"'

1. [How do Swiss family physicians treat subclinical hypothyroidism?]

Author

Virgini V, Baumgartner C, Bischoff T, Dagmar Haller, Frey P, Rosemann T, Th, Collet, Sykiotis G, Pitteloud N, and Rodondi N

Subjects
Thyroxine, Hypothyroidism, Hormone Replacement Therapy, Surveys and Questionnaires, Humans, Physicians, Family, Practice Patterns, Physicians', Switzerland, Randomized Controlled Trials as Topic
Abstract

Subclinical hypothyroidism is a common condition, and its prevalence increases with age. Currently, guidelines regarding the screening and treatment of subclinical hypothyroidism are controversial. An international survey of general practitioners (GPs), to which Swiss GPs also contributed, showed large inter-country variations in treatment strategies for subclinical hypothyroidism. These differences are mainly explained by the lack of strong evidence for the management of this condition. The European randomized-controlled clinical trial TRUST should help clarify recommendations for screening and thyroxin replacement for the elderly with subclinical hypothyroidism. Working in close collaboration with GPs in Switzerland for the recruitment of patients will ensure that the findings from this study will be applicable to primary care settings.

Published
2014

2. How do Swiss family physicians treat subclinical hypothyroidism?

Author

Frey, P, Rosemann, T, Bischoff, T, Haller, D M, Rodondi, Nicolas, Collet, T-H, Baumgartner, Christine, Pitteloud, N, Virgini, V, and Sykiotis, G

Subjects
610 Medicine & health, 360 Social problems & social services
Abstract

L’hypothyroïdie infraclinique est fréquemment rencontrée et sa prévalence augmente avec l’âge. Les recommandations relatives au dépistage et au traitement de l’hypothyroïdie infraclinique sont controversées. Une enquête internationale auprès des médecins de famille, à laquelle la Suisse a participé, a mis en évidence de fortes variations dans la prise en charge de l’hypothyroïdie infraclinique entre les pays. Ces différences de traitement traduisent avant tout le manque de données fiables quant à la prise en charge de cette condition. L’essai clinique randomisé européen TRUST devrait permettre de clarifier les indications pour le dépistage et la substitution par thyroxine. Une collaboration avec les médecins de famille et le soutien des Instituts universitaires de médecine générale à Lausanne et à Berne pour le recrutement des patients devraient permettre d’obtenir des données directement applicables à une population représentative de la médecine ambulatoire., Subclinical hypothyroidism is a common condition, and its prevalence increases with age. Currently, guidelines regarding the screening and treatment of subclinical hypothyroidism are controversial. An international survey of general practitioners (GPs), to which Swiss GPs also contributed, showed large inter-country variations in treatment strategies for subclinical hypothyroidism. These differences are mainly explained by the lack of strong evidence for the management of this condition. The European randomized-controlled clinical trial TRUST should help clarify recommendations for screening and thyroxin replacement for the elderly with subclinical hypothyroidism. Working in close collaboration with GPs in Switzerland for the recruitment of patients will ensure that the findings from this study will be applicable to primary care settings.

Published
2014
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3. [Teaching practice recommendations: prevention and screening].

Author

Sommer J, Cornuz J, Goeldlin A, Haller DM, Humair JP, Rosemann T, Tschudi P, and Herzig L

Subjects
Aged, 80 and over, Delivery of Health Care methods, Family Practice methods, Female, Humans, Male, Mass Screening methods, Middle Aged, Physicians, Family organization & administration, Practice Guidelines as Topic, Teaching, Time Factors, Young Adult, Family Practice education, Physicians, Family education, Practice Patterns, Physicians', Preventive Health Services methods
Abstract

The aim of this article is to provide guidance to family doctors on how to tutor students about effective screening and primary prevention. Family doctors know their patients and adapt national and international guidelines to their specific context, risk profile, sex and age as well as to the prevalence of the disorders under consideration. Three cases are presented to illustrate guideline use according to the level of evidence (for a 19-year-old man, a 60-year-old woman, and an 80-year-old man). A particular strength of family medicine is that doctors see their patients over the years. Thus they can progressively go through the various prevention strategies, screening, counselling and immunisation, accompanying their patients with precious advice for their health throughout their lifetime.

Published
2014

4. [The chronic care model in Swiss primary care].

Author

Steurer-Stey C, Frei A, and Rosemann T

Subjects
Delivery of Health Care, Family Practice, Humans, Switzerland, Chronic Disease therapy, Models, Theoretical, Primary Health Care
Abstract

The care of patients with chronic disease is one of the most urgent medical challenges of actual society. The chronic care model (CCM) is an organizational, proactive approach for chronic disease in primary care. The system creates practical, supportive, evidence-based interactions between an informed, activated patient and a proactive practice team. CCM identifies six essential elements of high-quality health care: community; health system; self-management support; delivery system design; decision support, and clinical information systems. The article summarizes the evidence on the CCM, the adoption and implications for successful implementation into the Swiss health care system.

Published
2010

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