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COMMENTS & OPINIONS
Whether to Repeat Thyroid Disease Screening
Bernard Goichot, MD, PhD;
Stéphane Vinzio, MD
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We read with great interest the article by Meyerovitch et al1 on the follow-up of thyrotropin (TSH) measurements in the community. Although we share the authors' opinion on patient treatment and we acknowledge the convincing demonstration of the amazing costs of the current clinical bad practices, we think that the study has a major bias that prevents one to draw definitive conclusions. The authors stated that "to study the natural history," 37% of patients who received treatment with levothyroxine or antithryoid drugs after the initial TSH determination were excluded.1(p1534) It is not mentioned how many of these patients had either increased or decreased TSH levels.
One cannot exclude that these patients have been identified by their primary care physicians as being at risk of evolution toward an overt form of hyperthyroidism or hypothyroidism. As underlined by the authors, these risk factors are well . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Whether to Repeat Thyroid Disease Screening—Reply
Joseph Meyerovitch, Pnina Rotman-Pikielny, Michael Sherf, Erez Battat, Yair Levy, and Martin I. Surks
Arch Intern Med. 2008;168(3):330-331.
EXTRACT
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RELATED ARTICLES
Serum Thyrotropin Measurements in the Community: Five-Year Follow-up in a Large Network of Primary Care Physicians
Joseph Meyerovitch, Pnina Rotman-Pikielny, Michael Sherf, Erez Battat, Yair Levy, and Martin I. Surks
Arch Intern Med. 2007;167(14):1533-1538.
ABSTRACT
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Subclinical Thyroid Disease: Scientific Review and Guidelines for Diagnosis and Management
Martin I. Surks, Eduardo Ortiz, Gilbert H. Daniels, Clark T. Sawin, Nananda F. Col, Rhoda H. Cobin, Jayne A. Franklyn, Jerome M. Hershman, Kenneth D. Burman, Margo A. Denke, Colum Gorman, Richard S. Cooper, and Neil J. Weissman
JAMA. 2004;291(2):228-238.
ABSTRACT
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