American thyroid association guidelines for detection of thyroid dysfunction
American thyroid association guidelines for detection of thyroid dysfunction
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DOI：
10.1001/archinte.160.11.1573
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发表时间：
2000-06-12
影响因子：
--
通讯作者：
Daniels, GH
中科院分区：
文献类型：
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作者：
Ladenson, PW;Singer, PA;Daniels, GH
目标：确定识别甲状腺功能障碍患者的最佳方法。参与者：美国甲状腺协会护理标准委员会的 8 名成员起草了一份草案，该草案由该协会的 780 名成员进行了审查，其中 50 名成员提出了修改建议。证据：通过 MEDLINE 和协会成员的个人资源确定了相关已发表的研究。共识过程：在小组会议上达成共识。初稿是由一位作者 (P.W.L.) 经过小组讨论后编写的。委员会考虑后纳入了建议的修订。结论：美国甲状腺协会建议成人通过 35 岁及此后每 5 年的测量来筛查甲状腺功能障碍。筛查的适应症对于女性来说尤其引人注目，但对于男性来说，作为定期健康检查中相对具有成本效益的措施，它也可以被证明是合理的。具有可能归因于甲状腺功能障碍的症状和体征的个体以及具有其发展危险因素的个体可能需要更频繁的血清促甲状腺素检测。
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.