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Provider variability in the initial diagnosis and treatment of congenital hypothyroidism.
J Pediatr Endocrinol Metab ; 30(5): 583-586, 2017 May 01.
Article em En | MEDLINE | ID: mdl-28328531
BACKGROUND: Early diagnosis and expeditious treatment of newborns with congenital hypothyroidism (CH) is necessary to avoid mental retardation. METHODS: A survey of 44 practitioners in the southern US was conducted to better understand common practices regarding neonatal CH and the findings were compared with current guidelines in the US and Europe. RESULTS: Responses indicated some consensus that 10-15 µg of thyroid hormone/kg/day was the appropriate dosage. However, despite guidelines advocating their use, practitioners reported that they did not commonly use imaging or laboratory tests, though experienced providers apparently used them more often. CONCLUSIONS: Together, these results show moderate adherence to published guidelines for treating and diagnosing CH. Further research is needed to determine why providers deviate from these guidelines and to generalize these results to other populations.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tiroxina / Padrões de Prática Médica / Triagem Neonatal / Guias de Prática Clínica como Assunto / Fidelidade a Diretrizes / Hipotireoidismo Congênito Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Limite: Humans / Newborn País como assunto: Europa Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tiroxina / Padrões de Prática Médica / Triagem Neonatal / Guias de Prática Clínica como Assunto / Fidelidade a Diretrizes / Hipotireoidismo Congênito Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Limite: Humans / Newborn País como assunto: Europa Idioma: En Ano de publicação: 2017 Tipo de documento: Article