Edit for typos

[diogenes]

Pregnancy, subclinical hypohyroidism and thyroid antibodies

This preview paper which will soon become completely in print shows that new evidence is making the US authorities on the treatment of pregnancy rethink their guidance sooner than they normally do. I present this not just because it may be important for thyroid treatment in pregnancy, but that this rethink might force the authorities to rethink in other situations such as Hashimoto's and hypothyroidism/treatment. Progress is coming fast to encourage this rethink. I don't think this will apply to the UK, because the new NICE guidelines produced by hidebound, restricted-analytic and partial evidence from out-of-date physicians (who of highest calibre would go into thyroid, when genetics is the whizz field nowadays) will be stubbornly defended.

SYSTEMATIC REVIEW ARTICLE

Front. Endocrinol. | doi: 10.3389/fendo.2020.00193

The Need for Dynamic Clinical Guidelines: A Systematic Review of New Research Published After Release of the 2017 ATA Guidelines on Thyroid Disease during Pregnancy and the Postpartum Provisionally accepted The final, formatted version of the article will be published soon. Notify me

Allan C. Dong1, Mary D. Stephenson and Alex S. Stagnaro-Green

[TSH110]

You missed hypohyroidism first line, unless this is an actual term?

[BadHare in reply to TSH110]

Would it make a difference whether our endo’s spell it right when they are inept at how to treat it ? 🤠🤡🙇🏼‍♀️🤦🏼‍♀️

[TSH110 in reply to BadHare]

Was that actually how it was spelt in the article? I agree - but perhaps the the good spellers might pay more attention to detail....How can they be consultants so supposedly experts, yet be so ignorant.

[loueldhen]

frontiersin.org/articles/10...

The NICE folk specifically excluded thyroid disease in pregnancy. They state they're developing a separate guideline on thyroid cancer (but don't mention pregnancy).

"This guideline covers investigating all suspected thyroid disease and managing primary thyroid disease (related to the thyroid rather than the pituitary gland). It does not cover managing thyroid cancer or thyroid disease in pregnancy. It aims to improve quality of life by making recommendations on diagnosis, treatment, long-term care and support."

Dynamic guidelines - here's looking forward to that! (and nice characterisation).