scholarly journals Comparison of the American Thyroid Association with the Endocrine Society practice guidelines for the screening and treatment of hypothyroidism during pregnancy

HORMONES ◽  
2002 ◽  
Author(s):  
Atieh Amouzegar ◽  
Ladan Mehran ◽  
Farzaneh Sarvghadi ◽  
Hossein Delshad ◽  
Fereidoun Azizi, ◽  
...  
2014 ◽  
Vol 171 (2) ◽  
pp. 285-291 ◽  
Author(s):  
Iman Z Ahmed ◽  
Yara M Eid ◽  
Hussein El Orabi ◽  
Hani Refat Ibrahim

ObjectiveTo compare universal vs targeted screening for thyroid dysfunction and to estimate the prevalence of hypothyroidism in pregnant Egyptian women.Subjects and methodsA total of 168 of pregnant women who attended the outpatient obstetric clinic at Ain Shams University Hospital (Cairo, Egypt) for antenatal care between September 2011 and December 2011 were enrolled. Based on the detailed data collection and results of laboratory testing, they were subdivided into the high- and low-risk group for thyroid disease according to the most recent Endocrine Society clinical practice guidelines, as well as into groups by trimester for application of American Thyroid Association guidelines. The group values were subjected to statistical analysis for estimating the prevalence of clinical and subclinical hypothyroidism and for identifying significant differences.ResultsOf the 168 patients, 104 were classified into the low-risk group and 64 into the high-risk group. Using the trimesteric and normal population cutoff values for thyroid functions, the prevalence of hypothyroidism was found to be 56% (n=94) and 44.6% (n=75) respectively. No statistically significant differences were found between the high- and low-risk group regarding prevalence of either clinical or subclinical hypothyroidism, and no significant differences were found regarding the prevalence of hypothyroidism in the first, second, or third trimester.ConclusionUse of the most recent Endocrine Society clinical practice guidelines led to missed detection of clinical or subclinical hypothyroidism in 34.5% of pregnant women. Universal screening of pregnant women for thyroid dysfunction should thus be adopted throughout Egypt.


2018 ◽  
Vol 103 (12) ◽  
pp. 4339-4342 ◽  
Author(s):  
Christopher R McCartney ◽  
Clifford J Rosen

Abstract An analysis of the Endocrine Society’s clinical practice guidelines (CPGs) published from 2010 to 2017—presented by Irwig et al. in the current issue of The Journal of Endocrinology and Metabolism—suggested that the Endocrine Society met five of seven National Academy of Medicine (NAM) standards concerning financial conflicts of interest in CPGs. As current contributors to the Endocrine Society’s CPG efforts, we offer additional context related to the 2011 NAM standards and the current environment concerning industry support in medicine, and we comment on the nature of industry support received by the Society’s CPG authors according to Irwig and colleagues’ analysis of the Centers for Medicare and Medicaid Services’ Open Payments database. Perhaps most importantly, we outline the Society’s recent and ongoing efforts to enhance the value of its CPGs. Such efforts include a 2016 revision of CPG author conflict of interest rules—a change that was invisible to the investigatory methods used by Irwig et al.—in addition to other processes designed to enhance CPG objectivity. We conclude our commentary by recognizing that good-faith attempts to enhance transparency and to reduce conflicts of interest (real or apparent) in CPGs will ultimately serve the best interests of patients and providers; we confirm the Endocrine Society’s resolute commitment to providing high-quality, evidence-based clinical guidance via a CPG development process that faithfully accords with current CPG best practices.


Author(s):  
Revista ACE

12th Annual Word Congress on Insulin Resistance, Diabetes & Cardiovascular Disease (WCIRDC). 30 de Octubre a 01 de Noviembre de 2014. Los Ángeles, California, Estados Unidos. ENDO 2015 - The Endocrine Society´s 97th Annual Meeting & Expo. 05 al 08 de Marzo de 2015. San Diego, California, Estados Unidos. AACE 2015 - 24th Annual Scientific & Clinical Congress. 13 al 17 de Mayo de 2015. Nashville, Tennessee, Estados Unidos. 17th European Congress of Endocrinology. 16 al 20 de Mayo de 2015. Dublín, Irlanda. ADA 2015 - 75th Scientific Sessions American Diabetes Association. 05 al 09 de Junio de 2015. Boston, Massachusetts, Estados Unidos. American Association of Clinical Endocrinologists Advances in the Medical and surgical Management of Thyroid Cancer. 23 y 24 de Junio de 2015. Tampa, Florida, Estados Unidos. 51st EASD Annual Meeting, European Association for the Study of Diabetes. 14 al 18 de Septiembre de 2015. Estocolmo, Suecia. 15th International Thyroid Congress (ITC hosted by the American Thyroid Association). 18 al 23 de Octubre de 2015. Orlando, Florida, Estado Unidos.


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