| Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. | |
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MedLine Citation:
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PMID: 21510801 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Thyrotoxicosis has multiple etiologies, manifestations, and potential therapies. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions and patient preference. This article describes evidence-based clinical guidelines for the management of thyrotoxicosis that would be useful to generalist and subspeciality physicians and others providing care for patients with this condition. METHODS: The development of these guidelines was commissioned by the American Thyroid Association in association with the American Association of Clinical Endocrinologists. The American Thyroid Association and American Association of Clinical Endocrinologists assembled a task force of expert clinicians who authored this report. The task force examined relevant literature using a systematic PubMed search supplemented with additional published materials. An evidence-based medicine approach that incorporated the knowledge and experience of the panel was used to develop the text and a series of specific recommendations. The strength of the recommendations and the quality of evidence supporting each was rated according to the approach recommended by the Grading of Recommendations, Assessment, Development, and Evaluation Group. RESULTS: Clinical topics addressed include the initial evaluation and management of thyrotoxicosis; management of Graves' hyperthyroidism using radioactive iodine, antithyroid drugs, or surgery; management of toxic multinodular goiter or toxic adenoma using radioactive iodine or surgery; Graves' disease in children, adolescents, or pregnant patients; subclinical hyperthyroidism; hyperthyroidism in patients with Graves' ophthalmopathy; and management of other miscellaneous causes of thyrotoxicosis. CONCLUSIONS: One hundred evidence-based recommendations were developed to aid in the care of patients with thyrotoxicosis and to share what the task force believes is current, rational, and optimal medical practice. |
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Authors:
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Rebecca S Bahn Chair; Henry B Burch; David S Cooper; Jeffrey R Garber; M Carol Greenlee; Irwin Klein; Peter Laurberg; I Ross McDougall; Victor M Montori; Scott A Rivkees; Douglas S Ross; Julie Ann Sosa; Marius N Stan; ; |
Publication Detail:
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Type: Journal Article; Practice Guideline Date: 2011-04-21 |
Journal Detail:
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Title: Thyroid : official journal of the American Thyroid Association Volume: 21 ISSN: 1557-9077 ISO Abbreviation: Thyroid Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-06-13 Completed Date: 2011-09-26 Revised Date: 2011-10-28 |
Medline Journal Info:
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Nlm Unique ID: 9104317 Medline TA: Thyroid Country: United States |
Other Details:
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Languages: eng Pagination: 593-646 Citation Subset: IM |
Affiliation:
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Division of Endocrinology, Metabolism, and Nutrition, Mayo Clinic , Rochester, Minnesota 55905, USA. bahn.rebecca@mayo.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adrenergic beta-Antagonists / therapeutic use Antithyroid Agents / therapeutic use Child Evidence-Based Medicine Female Graves Disease / therapy Humans Hyperthyroidism / therapy* Iodine Radioisotopes / therapeutic use Pregnancy Thyroid Crisis / therapy Thyroid Hormones / therapeutic use Thyroidectomy Thyrotoxicosis / diagnosis, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Antagonists; 0/Antithyroid Agents; 0/Iodine Radioisotopes; 0/Thyroid Hormones |
| Comments/Corrections | |
Comment In:
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Thyroid. 2011 Jun;21(6):581-4
[PMID:
21663419
]
Thyroid. 2011 Jun;21(6):585-91 [PMID: 21663420 ] Thyroid. 2011 Jun;21(6):573-6 [PMID: 21663417 ] Thyroid. 2011 Jun;21(6):577-80 [PMID: 21663418 ] |
Erratum In:
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Thyroid. 2011 Oct;21(10):1169 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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