Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement.

@article{LeFevre2015ScreeningFT,
  title={Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement.},
  author={Michael LeFevre},
  journal={Annals of internal medicine},
  year={2015},
  volume={162 9},
  pages={
          641-50
        }
}
  • M. LeFevre
  • Published 5 May 2015
  • Medicine
  • Annals of internal medicine
DESCRIPTION Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for thyroid disease. METHODS The USPSTF reviewed the evidence on the benefits and harms of screening for subclinical and "overt" thyroid dysfunction without clinically obvious symptoms, as well as the effects of treatment on intermediate and final health outcomes. POPULATION This recommendation applies to nonpregnant, asymptomatic adults. RECOMMENDATION The USPSTF concludes that the… 

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Should we be screening for thyroid dysfunction in patients with type 2 diabetes mellitus?

In patients with T2DM, thyroid dysfunction was more prevalent in females than males and cases of hypothyroidism more frequent than hyperthyroidism, which was consistent with findings in the general population.
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References

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This report was commissioned by the USPSTF to update its 2004 recommendation on thyroid screening and builds on a 2011 comparative-effectiveness review funded by the Agency for Healthcare Research and Quality and previous USP STF reviews on identification and treatment of subclinical thyroid dysfunction.

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The strength of the evidence that untreated subclinical thyroid disease is associated with clinical symptoms and adverse clinical outcomes was assessed and recommendations for clinical practice developed and insufficient evidence to support population-based screening was found.

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The mechanisms underlying tissue alterations in SCTD and the effects of replacement therapy on progression and tissue parameters are examined, and the issue of the need to treat slight thyroid hormone deficiency or excess in relation to the patient's age is addressed.

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Fifty-two evidence-based recommendations and subrecommendations were developed to aid in the care of patients with hypothyroidism and to share what the authors believe is current, rational, and optimal medical practice for the diagnosis and care of hyp Timothyroidism.

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The currently available evidence for a causal relation of both hyperthyroidism and hypothyroidism with mortality is weak and should particularly not be used to decide whether patients with subclinical thyroid conditions should be treated.

Screening for Thyroid Disease

To help providers assess the potential benefits and harms of screening, this guideline focused on screening with thyroid function tests among patients who come to physicians for unrelated reasons, an approach called case finding and made recommendations for each of the four conditions detected by screening.
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