ITEMS IN AFP WITH KEYWORD:
Thyroid and Parathyroid Disorders
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Oct 15, 2018 Issue
Morning vs. Evening Administration of Levothyroxine [FPIN's Clinical Inquiries]
The effectiveness of levothyroxine for reducing TSH levels is most dependent on the timing of meals in relation to drug administration. There is conflicting evidence. In two studies, levothyroxine taken at least two hours after eating in the evening maintained or improved TSH levels compared with morning administration.
A 45-year-old Korean American woman comes to your office for a wellness visit. She has a history of allergic rhinitis, and her family history is significant for diabetes mellitus in her father. She describes her health as good and has no concerns.
Mar 15, 2018 Issue
Screening for Thyroid Cancer: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends against screening for thyroid cancer in asymptomatic adults.
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).
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.
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.
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.