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Thyroid hormones for euthyroid patients with simple goiter growing over time: a survey of European thyroid specialists

التفاصيل البيبلوغرافية
العنوان: Thyroid hormones for euthyroid patients with simple goiter growing over time: a survey of European thyroid specialists
المؤلفون: Papini, Enrico, Attanasio, Roberto, Žarković, Miloš, Nagy, Endre Vezekenyi, Negro, Roberto, Perros, Petros, Galofré, Juan Carlos, Cohen, Chagit Adler, Akarsu, Ersin, Alevizaki, Maria, Ayvaz, Göksun, Bednarczuk, Tomasz, Beleslin, Biljana Nedeljković, Berta, Eszter, Bodor, Miklos, Borissova, Anna Maria, Boyanov, Mihail, Buffet, Camille, Burlacu, Maria-Cristina, Ćirić, Jasmina, Díez, Juan J., Dobnig, Harald, Fadeyev, Valentin, Field, Benjamin C. T., Führer-Sakel, Dagmar, Hakala, Tommi, Jiskra, Jan, Kopp, Peter Andreas, Krebs, Michael, Kršek, Michal, Lantz, Mikael, Lazúrová, Ivica, Leenhardt, Laurence, Luchytskiy, Vitaliy, Puga, Francisca Marques, McGowan, Anne, Melo, Miguel, Metso, Saara, Moran, Carla, Morgunova, Tatyana, Niculescu, Dan Alexandru, Perić, Božidar, Planck, Tereza, Robenshtok, Eyal, Rosselet, Patrick Olivier, Ruchala, Marek, Riis, Kamilla Ryom, Shepelkevich, Alla, Tronko, Mykola, Unuane, David, Vardarli, Irfan, Visser, W. Edward, Vryonidou, Andromachi, Younes, Younes Ramazan, Hegedüs, Laszlo
المصدر: Endocrine; 20240101, Issue: Preprints p1-11, 11p
مستخلص: Background: Treatment of simple goiter (SG) growing over time with thyroid hormone (TH) therapy is discouraged by international guidelines. Purpose: To ascertain views of European thyroid specialists about TH treatment for euthyroid patients with growing SG and explore associations with management choice. Methods: Online survey on the use of TH for growing SG among thyroid experts from 28 European countries. Results: The response rate was 31.5% (5430/17,247). Most respondents were endocrinologists. Twenty-eight percent asserted that TH therapy may be indicated in euthyroid patients with a growing SG. National and regional differences were noted, from 7% of positive responses in The Netherlands to 78% in Czech Republic (p< 0.0001). TH was more frequently prescribed by respondents over 40 years old (OR 1.77, 2.13, 2.41 if 41–50, 51–60, >60, respectively), and working in areas of former iodine insufficiency (OR 1.24, 95% CI 1.03–1.50). TH was less frequently prescribed by endocrinologists (OR 0.77, 95% CI 0.62-0.94) and respondents working in Southern Europe (OR 0.40, 95% CI 0.33–0.48), Northern Europe (OR 0.28, 95% CI 0.22–0.36) and Western Asia (OR 0.16, 95% CI 0.11–0.24) compared to Western Europe. Associations with respondents’ sex, country, availability of national thyroid guidelines, and gross national income per capita were absent or weak. Conclusions: Almost a third of European thyroid specialists support treating SG with TH, contrary to current guidelines and recommendations. This calls for urgent attention.
قاعدة البيانات: Supplemental Index
الوصف
تدمد:1355008x
15590100
DOI:10.1007/s12020-024-04002-z