Table 2.
Disease or health condition | Resource use | Average days of incapacity to work |
---|---|---|
Hyperthyroidism in the year of diagnosis (without thyroidectomy/RAI) (35, 47) | 1. Doctor’s appointment (1st)– Full-body consultation– ECG2. Doctor’s appointment (2nd) – Thyroid sonography – Blood sampling, laboratory tests3. Doctor’s appointment (3rd) – Consultation, discussion of results4. Doctor’s appointment (3-month follow-up) – Consultation, examination – Blood sampling, laboratory tests5. Doctor’s appointment (6- to 12-month follow-up) – Consultation, examination – Thyroid sonography – Blood sampling, laboratory tests6. Medication – Anti-thyroid medication for 9 months |
18.17 |
Euthyroid health condition with ATM (individuals one year after diagnosis of hyperthyroidism) (35, 47) | 1. Doctor’s appointment (follow-up) (one per year) – Consultation, examination – Thyroid sonography – Blood sampling, laboratory tests2. Medication – Hormone replacement therapy for 12 months |
0 |
Hypothyroidism in the year of diagnosis (25, 35) | 1. Doctor’s appointment (1st) – Full-body consultation – ECG2. Doctor’s appointment (2nd) – Thyroid sonography – Blood sampling, laboratory tests3. Doctor’s appointment (3rd) – Consultation, discussion of results4. Doctor’s appointment (3-month follow-up) – Consultation, examination – Blood sampling, laboratory tests5. Doctor’s appointment (6 –12 month follow-up) – Consultation, examination – Thyroid sonography – Blood sampling, laboratory tests6. Medication – Hormone replacement therapy for 9 months |
17.11 |
Euthyroid health condition with HRT (individuals one year after diagnosis of hypothyroidism) (25, 35) | 1. Doctor’s appointment (follow-up) (one per year) – Consultation, examination – Thyroid sonography – Blood sampling, laboratory tests2. Medication – Hormone replacement therapy for 12 months |
0 |
Goiter/thyroid nodules (without thyroidectomy/RAI) (18, 19, 22, 48) | 1. Doctor’s appointment (1st) – Full-body consultation – ECG2. Doctor’s appointment (2nd) – Thyroid sonography – Blood sampling, laboratory tests3. Doctor’s appointment (3rd) – Consultation, discussion of results4. Doctor’s appointment (3-month follow-up) – Consultation, examination – Blood sampling, laboratory tests5. Doctor’s appointment (6 –12 month follow-up) – Consultation, examination – Thyroid sonography – Blood sampling, laboratory tests6. Optional: scintigraphy and fine-needle biopsy |
17.51 |
Spontaneous abortion (43, 44) | Option 1: Expectant care – Noninvasive assistance – Consultation of female genitalia – SonographyOption 2: Medical care – Noninvasive assistance – Sonography – Medication Option 3: Surgical care: First consultation – Noninvasive assistance – Consultation of female genitalia – SonographyOption 3: Surgical care: Surgery (OPS-Code 5-751) – Average period of hospitalization: 3 daysOption 3: Surgical care: Second consultation |
9.31 |
Thyroidectomy (41) | Weighted mean of costs for different types of thyroidectomies OPS-Codes: 5-060: Incision in the area of the thyroid gland (2.7%) 5-061: Hemithyreoidectomy (28.2%) 5-062: Other partial thyroid gland resection (18.6%) 5-063: Thyroidectomy (50.2%) 5-064: Thyroid surgery via sternotomy (0.3%) |
- |
Radioiodine therapy (42) | Weighted mean of costs for different types of radioiodine therapies OPS-Codes: Radioiodine therapy up to 1,2 GBq I-131 8-531.00: without rh-TSH (64.6%) 8-531.01: with rh-TSH (4.3%) Radioiodine therapy from 1,2 to 5 GBq I-131 8-531.10: without rh-TSH (19.7%) 8-531.1: with rh-TSH (6.1%) Radioiodine therapy with 5 or more GBq I-131 8-531.20: without rh-TSH (3%) 8-531.21: with rh-TSH (2.3%) |
- |
ATM, anti-thyroid medication; GBq, gigabecquerel; HRT, hormone replacement therapy; I-131, radioisotope of iodine; IDD, iodine deficiency disorders; OPS, ‘German surgery and procedure code’ (Operations- und Prozedurenschlüssel); RAI, radioiodine therapy; rh-TSH, recombinant thyrotropin.