The British Thyroid Association and the British Thyroid Federation continue to refer to a document known as:
UK Guidelines for the Use of Thyroid Function Tests
Which is available here:
The document itself contains this statement:
6 Mechanism for updating
The guidelines were completed in June 2006. Comments on their accuracy and
relevance are invited during the first year after publication and should be directed to
It is intended that a full review will take place after three years.
It is now over ten years since the document was published. Clearly no review has taken place.
The document is deficient in several ways. There have been numerous papers published referring to thyroid + tsh + assay - quite a number of which are likely to have some impact on any review of these guidelines.
The document has an obvious typo in it which should be corrected. I even managed to contact the named contact gbeastal who fully accepted that this mistake exists and expressed surprise that no-one else had noticed such an obvious, but potentially misleading, mistake. He had, I believe, retired so was unable to actually pick this issue up properly.
There is no mechanism in place to manage reports of issues with the document. Any mistakes, whether simple typos, or issues with the possibility of causing more serious issues, cannot readily be raised. There are no other contact details within the document.
The BTA and BTF should be challenged as to why they continue to refer to this unmanaged and unmaintained document as active guidelines. It is unacceptable. It appears to show disregard for the well-being of thyroid patients. If that were not the case, there would be a fully managed and maintained document available.