Choosing Wisely:
Avoid TSH screening in annual well-visits for asymptomatic adults, regardless of age.
Rationale and Comments: | TSH screening is a common ambulatory practice; however, no evidence finds routine screening improves patient care. Testing is appropriate when patients are considered at-risk or demonstrate subtle or direct signs of thyroid dysfunction upon physical evaluation. |
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References: | • Lefevre ML; U.S. Preventive Services Task Force. Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015;162(9):641. • Surks MI, Ortiz E, Daniels GH, et al. Subclinical thyroid disease: scientific review and guidelines for diagnosis and management. JAMA. 2004;291(2):228-238. • Donangelo I, Braunstein GD. Update on subclinical hyperthyroidism. Am Fam Physician. 2011;83(8):933-938. |
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