Research Article
SpectrumandPrevalenceofThyroidDiseasesataTertiaryReferral
Hospital in Mogadishu, Somalia: A Retrospective Study of
976 Cases
Mohamed A. Hassan-Kadle ,
1
Abdulkamil Abdullahi Adani ,
2
Hasan Huseyin Eker ,
3
Esra Keles ,
4
Marian Muse Osman ,
5
Hussein Mahdi Ahmed ,
2
and S ¸eymaG¨ orçin Karaketir
6
1
SomGastro Clinic, Center for Digestive and Liver Disease, College of Medicine & Health Science, Abrar University,
Mogadishu, Somalia
2
Department of Internal Medicine, University of Health Sciences Turkey,
Mogadishu Somalia-Turkey Recep Tayyip Erdo˘ gan Training and Research Hospital, Mogadishu, Somalia
3
Department of Public Health, University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Istanbul 34668, Turkey
4
Department of Gynecologic Oncology, University of Health Sciences Turkey, Zeynep Kamil Training and Research Hospital,
Istanbul 34668, Turkey
5
Department of Public Health, University of Health Sciences Turkey,
Mogadishu Somalia-Turkey Recep Tayyip Erdo˘ gan Training and Research Hospital, Mogadishu, Somalia
6
Occupational Health Training Programme, Department of Public Health,
˙
Istanbul University,
˙
Istanbul School of Medicine,
˙
Istanbul, Turkey
Correspondence should be addressed to Mohamed A. Hassan-Kadle; kadlesom@gmail.com
Received 4 August 2021; Accepted 7 December 2021; Published 26 December 2021
Academic Editor: Alexander Schreiber
Copyright © 2021 Mohamed A. Hassan-Kadle et al. is is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. yroid disorder is one of the most common noncommunicable diseases worldwide and neglected public health
issues in Somalia. e aim of the study thus was to investigate the thyroid disorders in patients attending to the largest tertiary
referral hospital in Somalia. Methods. is retrospective study was conducted on patients admitted to the internal department of
Somalia Mogadishu-Turkey Education and Research Hospital, Somali, between January 2017 and December 2019. Patients who
were tested for thyroid function tests and had complete data were included. Patients with incomplete data and currently treated for
any thyroid disorder were excluded from the study. Abstracted data including patients’ sociodemographic characteristics, thyroid
function tests, and histopathological findings were retrieved from the hospital database system. Results.Atotalof976patientswith
thyroid disorders were enrolled, of whom 66.6% (n � 650) were female and 33.4% (n � 326) were male. e mean age of the
patients was 47 ± 18.5 years. e majority of the patients were reported in the 31–50 (35.9%) age range. e most reported thyroid
function disorders were 58.8% euthyroid sick syndrome followed by 15.4% hypothyroidism, 12.5% subclinical hypothyroidism,
7.6% hyperthyroidism, and 5.7% subclinical hyperthyroidism. e distribution of comorbidity indicated that 13.4% had diabetes
mellitus, 10.4% had HIV, 4.9% had malaria, and 4.5% had HIV and malaria coinfection. yroid malignancies were detached in 22
(2.2%) patients including eleven papillary thyroid cancer, nine patients had follicular thyroid cancer, and two patients had
differentiated thyroid cancer. Conclusions. Euthyroid sick syndrome was the most common type of thyroid disease in our setup.
Hypothyroidism is the second most common, followed by subclinical hypothyroidism. Papillary thyroid cancer was the pre-
dominant histology among thyroid malignancies, followed by follicular thyroid cancer. is study revealed that thyroid diseases
emerge as an important endocrine disorder encountered in Somali, necessitating a major public health response.
Hindawi
International Journal of Endocrinology
Volume 2021, Article ID 7154250, 7 pages
https://doi.org/10.1155/2021/7154250