American thyroid association guidelines for detection of thyroid dysfunction

被引:330
作者
Ladenson, PW
Singer, PA
Ain, KB
Bagchi, N
Bigos, ST
Levy, EG
Smith, SA
Daniels, GH
机构
[1] Johns Hopkins Univ, Sch Med, Div Endocrinol & Metab, Baltimore, MD 21287 USA
[2] Univ So Calif, Los Angeles, CA USA
[3] Univ Kentucky, Lexington, KY USA
[4] Maine Med Ctr, Bangor, ME USA
[5] Univ Miami, Miami, FL 33152 USA
[6] Mayo Clin & Mayo Fdn, Rochester, MN 55905 USA
[7] Massachusetts Gen Hosp, Boston, MA 02114 USA
[8] Harvard Univ, Sch Med, Boston, MA USA
关键词
D O I
10.1001/archinte.160.11.1573
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To define the optimal approach to identify patients with thyroid dysfunction. Participants: The 8-member Standards of Care Committee of the American Thyroid Association prepared a draft, which was reviewed by the association's 780 members, 50 of whom responded with suggested revisions. Evidence: Relevant published studies were identified through MEDLINE and the associations membership's personal resources. Consensus Process: Consensus was reached at group meetings. The first draft was prepared by a single author (P.W.L.) after group discussion. Suggested revisions were incorporated after consideration by the committee. Conclusions: The American Thyroid Association recommends that adults be screened for thyroid dysfunction by measurement of the 35 years and every 5 years thereafter. The indication for screening is particularly compelling in women, but it can also be justified in men as a relatively cost-effective measure in the context of the periodic health examination. Individuals with symptoms and signs potentially attributable to thyroid dysfunction and those with risk factors for its development may require more frequent serum thyrotropin testing.
引用
收藏
页码:1573 / 1575
页数:3
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