Thyroid and Parathyroid Disorders

Oct 15, 2017 Issue
Treatment of Subclinical Hypothyroidism Ineffective in Older Adults [POEMs]

Treatment of patients with a minimally elevated thyrotropin (thyroid-stimulating hormone) level did not result in any improvement in symptoms. If patients present with a thyrotropin level between 4.6 and 10 mIU per L, repeat the test because the levels often normalize (this occurred in 60% of the patients initially referred for the study).

Jun 1, 2017 Issue
Subclinical Hyperthyroidism: When to Consider Treatment [Article]

Learn about new research on the association between subclinical hyperthyroidism and the risk of cardiovascular disease and bone fractures.

Mar 1, 2017 Issue
Radioactive Iodine Therapy vs. Antithyroid Medications for Graves Disease [Cochrane for Clinicians]

Radioactive iodine therapy and antithyroid medications produce similar health-related quality-of-life outcomes in patients with Graves disease. Radioactive iodine therapy is an appropriate choice for patients who prefer definitive treatment.

Mar 1, 2016 Issue
Hyperthyroidism: Diagnosis and Treatment [Article]

Review the common causes, including Graves disease, toxic multinodular goiter, and toxic adenoma. Learn how to confirm the diagnosis and choose the most appropriate treatment option.

Oct 15, 2015 Issue
Screening for Thyroid Dysfunction [Putting Prevention into Practice]

A 40-year-old woman presents for a routine well-woman examination. She is not pregnant, is in good health, reports no symptoms, and her physical examination is unremarkable. After seeing a health news segment on television, she asks if she should have her thyroid function checked.

Jun 1, 2015 Issue
Screening for Thyroid Dysfunction: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for thyroid dysfunction in nonpregnant, asymptomatic adults.

Mar 15, 2015 Issue
Primary Hypothyroidism [Clinical Evidence Handbook]

What are the effects of treatments for clinical (overt) hypothyroidism and subclinical hypothyroidism?

Sep 15, 2014 Issue
Thyroiditis: An Integrated Approach [Article]

Learn how to differentiate between common types, and how each is treated.

Jul 15, 2014 Issue
Stable TSH Can Be Rechecked in Two Years [POEMs]

Most patients receiving thyroid replacement therapy with less than 125 mcg of levothyroxine per day can wait two years before monitoring thyroid-stimulating hormone (TSH) levels if their results are normal. Fewer than one in 10 patients who take less than 125 mcg of levothyroxine per day with a norm...

Feb 15, 2014 Issue
Thyroid Disease in Pregnancy [Article]

Thyroid disease is the second most common endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Current guidelines recommend targeted screen...

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