Diagnosis and Management of Hypothyroidism in Gulf Cooperation Council (GCC) Countries
Autor: | Ali S. Alzahrani, Kevin Hafez, Fahad Abdulrahman Alamri, Musa D AlZahrani, Hisham El Bahtimy, Mourad Al Mourad, Alhussien Sagr Alhazmi, Wiam I. Hussein, Nasser R Al Juhani, Ahmed Adel, Nadia Al Ali, Abdulrahman M Almaghamsy, Eslam Abdelhamid, Mohamed Ismail, Mohammad Y Saeedi, Saud Alsefri |
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Rok vydání: | 2020 |
Předmět: |
Male
030213 general clinical medicine Pediatrics endocrine system diseases Prevalence Review 0302 clinical medicine Subclinical hypothyroidism Pharmacology (medical) Family history Child Diagnostic Techniques and Procedures Subclinical infection Aged 80 and over education.field_of_study Incidence l-thyroxine Incidence (epidemiology) Thyroid disease General Medicine Middle Aged Congenital hypothyroidism Child Preschool 030220 oncology & carcinogenesis Practice Guidelines as Topic Female Symptom Assessment Thyroid function Adult endocrine system medicine.medical_specialty Adolescent education Population Saudi Arabia Young Adult 03 medical and health sciences Hypothyroidism medicine Humans Aged business.industry Infant Newborn Infant medicine.disease Thyroxine Cross-Sectional Studies business |
Zdroj: | Advances in Therapy |
ISSN: | 1865-8652 0741-238X |
Popis: | Hypothyroidism is one of the most common chronic endocrine conditions. However, as symptoms of hypothyroidism are non-specific, up to 60% of those with thyroid dysfunction are unaware of their condition. Left untreated, hypothyroidism may contribute to other chronic health conditions. In the Arabian Gulf States, hypothyroidism is thought to be common, but is underdiagnosed, and management approaches vary. An advisory board of leading Saudi endocrinologists and policy advisers was convened to discuss and formulate recommendations for the diagnosis and management of hypothyroidism in Saudi Arabia based on their clinical expertise. The final document was shared with leading endocrinologists from the other Gulf Cooperation Council (GCC) and aconsensus report was generated and summerized in this article. While there is no consensus regarding population screening of hypothyroidism, current recommendations suggest screening patients with risk factors, including those with a history of head or neck irradiation, a family history of thyroid disease or pharmacological treatment that may affect thyroid function. Evidence from a cross-sectional study in Saudi Arabia suggests screening the elderly (> 60 years), at least in the primary care setting. In Saudi Arabia, the incidence of congenital hypothyroidism is approximately 1 in every 3450 newborns. Saudi nationwide population prevalence data are lacking, but a single-centre study estimated that the prevalence of subclinical hypothyroidism in the primary care setting was 10%. Prevalence rates were higher in other cross-sectional studies exclusively in women (13–35%). The recommendations included in this article aim to streamline the diagnosis and clinical management of hypothyroidism in the GCC, especially in the primary care setting, with the intention of improving treatment outcomes. Further study on the incidence, prevalence and risk factors for, and clinical features of, hypothyroidism in the GCC countries is required. |
Databáze: | OpenAIRE |
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