BPSU study - Congenital hypothyroidism

Surveillance of primary congenital hypothyroidism concluded its surveillance period in June 2012 with follow-up to June 2015. This UK study explored how many babies and children up to and including five years of age were found each year to have congenital hypothyroidism. This included babies diagnosed after a positive newborn screening test or because of clinical manifestations.

A paper has now been published in The Journal of Clinical Endocrinology & Metabolism. A link to the abstract can be found below.

Lead Investigator

Dr Rachel Knowles
Population, Policy and Practice Programme
UCL Great Ormond Street Institute of Child Health
30 Guilford Street
London WC1N 1EH
Email: rachel.knowles@ucl.ac.uk

Support group

About the study

Overview

Information was collected about the diagnostic tests and initial treatment of children screened for or diagnosed with congenital hypothyroidism between June 2011 and June 2012. Additional information was collected from doctors about each child’s health for three years after screening or diagnosis (until June 2015). This helped us to understand what percentage of babies had permanent or temporary (transient) CHT.

The UK has had newborn screening (using the newborn blood spot or heel-prick test) for 30 years. This study has shown that screening works very well but it has also led to improvements being made in the screening test. 

You can download the protocol card for the surveillance study below.

Publications

Published papers

Published conference abstracts

Duration

June 2011 – June 2012 (13 months of surveillance).

Coverage

United Kingdom only (excluding Ireland).

Extended follow-up (2019-2023)

The researchers are now doing further follow-up to track the outcomes of babies in the original study who had a positive screening test or were diagnosed with congenital hypothyroidism between June 2011 and June 2012.

The aim of follow-up is to find out if children

  • are still taking treatment for their congenital hypothyroidism
  • how often they go to hospital and why
  • had a hearing problem at the newborn hearing screen, and
  • how well they are doing at school.

These questions will be answered using information already recorded in children’s medical and school records. Children and families will not be contacted and there will be no change to any child’s care.

Protecting confidentiality during the study and after

The researchers know the NHS numbers, sex and dates of birth of children in the study but do not know the names or addresses of any children. Public Health England, NHS Digital and the Department for Education will use the study information (such as NHS numbers, sex and dates of birth) to trace children’s records and provide some information from these to the researchers. The study team will only use de-personalised information and will not know the identity of any child.

After the study is finished in 2023, the information will be stored by the National Congenital Anomaly and Rare Disease Registration Service (NCARDRS) at Public Health England. All information held by NCARDRS is held securely and kept confidential. More information about NCARDRS can be found at https://www.gov.uk/government/publications/national-congenital-anomaly-and-rare-disease-registration-service-introductory-leaflet

Opting out 

You should contact the research team if you 

  • want to find out more about the follow-up study 
  • want to know how to stop your child’s information being used in the follow-up study.

Email: rachel.knowles@ucl.ac.uk

Write to:  Dr Rachel Knowles, Senior Clinical Research Fellow, PPP Programme, UCL Great Ormond St Institute of Child Health, 30 Guilford St, London WC1N 1EH

Funding

NHS Newborn Blood Spot Screening Programme (Public Health England).

Ethics and governance approval

The follow-up study has been approved by Cambridge South Research Ethics Committee (11/EE/0152) and by the Health Research Authority (ECC 3-04(k)2011).

Privacy information

UCL is the sponsor and data controller for this research study so is responsible for looking after your information and using it properly. The smallest amount of personally identifiable information will be used. We cannot withdraw or remove personal information from the study as this would make the research invalid.

If you want access to the information in your child’s NHS or school records, then you should contact your child’s NHS hospital/doctor or school.