Universal screening for thyroid disease SHOULD NOT be recommended before and during pregnancy

被引：7
作者：
van der Spek, A. H. [1 ]
Bisschop, P. H. [1 ]
机构：
[1] Univ Amsterdam, Dept Endocrinol & Metab, Amsterdam UMC, Amsterdam, Netherlands
来源：
BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM | 2020年 / 34卷 / 04期
关键词：
thyroid hormone; thyroid autoimmunity; screening; pregnancy; miscarriage; premature delivery; SUBCLINICAL HYPOTHYROIDISM; LEVOTHYROXINE TREATMENT; WOMEN; RISK; DYSFUNCTION; OUTCOMES; MANAGEMENT; DISORDERS; COMMUNITY; HORMONE;
D O I：
10.1016/j.beem.2020.101429
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Thyroid dysfunction in pregnancy is strongly associated with adverse maternal and foetal outcomes. The effects of treatment are less clear. There is ongoing discussion on whom to treat, when to treat and whether treatment is beneficial. Although universal screening for thyroid disease during pregnancy increases diagnosis and treatment of thyroid dysfunction, there is currently insufficient evidence demonstrating a positive effect of screening on maternal and foetal outcomes. We therefore, at present, recommend against universal screening for thyroid disease before and during pregnancy. (c) 2020 Elsevier Ltd. All rights reserved.
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页数：9
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