New challenge in subclinical thyroid disease:from guideline to practice

VernacularTitle:亚临床甲状腺疾病的新挑战：从指南到实践
Author: Guofang CHEN ; Chao LIU
Keywords: Subclinical hyperthyroidism; Subclinical hypothyroidism; Thyrotropin
From: Chinese Journal of Endocrinology and Metabolism 2017;33(1):88-90
CountryChina
Language:Chinese
Abstract: [Summary ] Accumulating evidence showed the associations between subclinical hyperthyroidism or subclinical hypothyroidism and adverse health outcomes. The related guidelines could be very helpful in making treatment decisions. However, even within the reference range, thyroid function is associated with adverse health outcomes, such as atrial fibrillation, coronary artery disease, osteoporosis, and dyslipidemia. Also, there is limitation to use TSH value as intervention threshold by the influence of age and other diseases. In this regard, a grading system is proposed to diagnose thyroid dysfunction, and risk stratification according to individual TSH values and comorbidities would be constructed to evaluate the utility of treatment.