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Screening for mild thyroid failure at the periodic health examination: a decision and cost-effectiveness analysis

Article Abstract:

Screening people 35 years old and older every 5 years for mild thyroid failure is as cost-effective as screening for high blood pressure. Researchers concluded this after running a hypothetical model assuming people would be screened every 5 years beginning at age 35 during their regular health examination. The cost-effectiveness was $9,223 per quality-adjusted life year (QALY) in women and $22,595 per QALY in men. Screening was more cost-effective in women because mild thyroid failure is more common in women.

Author: Powe, Neil R., Ladenson, Paul W., Sawin, Clark T., Danese, Mark D.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
Economic aspects, Medical screening, Health screening

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Subclinical thyroid disease: scientific review and guidelines for diagnosis and management

Article Abstract:

It is probably not necessary to screen most people for subclinical thyroid disease or to treat people who are diagnosed with this condition, according to researchers who evaluated 195 studies on this topic. The only possible exception is pregnant women, who should be screened and treated. Subclinical thyroid disease means the patient has normal blood levels of thyroid hormone, but abnormal levels of the pituitary hormone that stimulates the thyroid gland. Most also have no symptoms of thyroid disease.

Author: Cooper, Richard S., Hershman, Jerome M., Denke, Margo A., Ortiz, Eduardo, Weissman, Neil J., Surks, Martin I., Cobin, Rhoda H., Sawin, Clark T., Col, Nananda F., Franklyn, Jayne A., Daniels, Gilbert H., Burman, Kenneth D., Gorman, Colum
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2004

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Subclinical thyroid disease: clinical applications

Article Abstract:

The treatment of patients with subclinical thyroid disease is reviewed using five different clinical scenarios. Patients with subclinical have normal blood levels of thyroid hormone but abnormal levels of the pituitary hormone that stimulates the thyroid hormone. They also have few if any symptoms of thyroid disease.

Author: Surks, Martin I., Col, Nananda F., Daniels, Gilbert H.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2004

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Subjects list: Diagnosis, Thyroid diseases, Care and treatment
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