THYROID SCREENING - HOW TO INTERPRET AND APPLY THE RESULTS

被引:4
作者
BRODY, MB
REICHARD, RA
机构
关键词
D O I
10.1080/00325481.1995.11946028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recommendations for thyroid screening remain ill-defined. Case-finding in selected groups appears logical and is potentially advantageous. The preferred screening test is the ultrasensitive thyrotropin (TSH) assay. Abnormal results on screening laboratory tests do not mandate treatment in all cases; subclinical disease should be treated only in selected patients. Unfortunately, the literature lacks a large, longitudinal study showing that screening improves overall morbidity and mortality rates. Until such a study is completed, the role of thyroid screening in preventive healthcare will remain elusive. We hope that in the interim this review can serve as a guide for clinicians, indicating who should be screened, which tests should be ordered, and how test results should guide management.
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