[The practice guideline 'Thyroid disorders' (first revision) from the Dutch college of General Practitioners; a response from the perspective of general practice]. / De standaard 'Schildklieraandoeningen' (eerste herziening) van het Nederlands Huisartsen Genootschap; reactie vanuit de huisartsgeneeskunde.

The Dutch College of General Practitioners has launched its revised guideline for thyroid disorders. By including palpable lesions this guideline now covers a broad range of thyroid disorders. In general, the guideline is clear, usable and evidence-based. The measurement of thyroid antibody concentrations has been added to the work-up of hyperthyroidism, and the treatment of hyperthyroidism is considered optional for the general practitioner. Nearly all forms of hypothyroidism can be diagnosed and treated by a general practitioner, and the guideline provides well-defined recommendations on this topic. Regarding the treatment of subclinical hypothyroidism, however, the guidelines are ambivalent and less clear. The work-up for palpable lesions is unambiguous; this addition certainly enriches the new guideline for thyroid disorders.