Title |
An international survey of screening and management of hypothyroidism during pregnancy in Latin America
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Published in |
Archives of Endocrinology and Metabolism, December 2014
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DOI | 10.1590/0004-2730000003382 |
Pubmed ID | |
Authors |
Mateus Fernandes da Silva Medeiros, Taise Lima de Oliveira Cerqueira, Joaquim Custódio Silva, Magali Teresopolis Reis Amaral, Bijay Vaidya, Kris Gustave Poppe, Gisah Amaral de Carvalho, Silvia Gutierrez, Graciela Alcaraz, Marcos Abalovich, Helton Estrela Ramos |
Abstract |
Objective To determine how endocrinologists in Latin America deal with clinical case scenarios related to hypothyroidism and pregnancy. Materials and methods In January 2013, we sent an electronic questionnaire on current practice relating to management of hypothyroidism in pregnancy to 856 members of the Latin American Thyroid Society (LATS) who manage pregnant patients with thyroid disease. Subsequently, we have analyzed responses from physician members. Results Two hundred and ninety-three responders represent clinicians from 13 countries. All were directly involved in the management of maternal hypothyroidism and 90.7% were endocrinologists. The recommendation of a starting dose of L-thyoxine for a woman diagnosed with overt hypothyroidism in pregnancy, preconception management of euthyroid women with known thyroid autoimmunity and approach related to ovarian hyperstimulation in women with thyroid peroxidase antibodies were widely variable. For women with known hypothyroidism, 34.6% of responders would increase L-thyroxine dose by 30-50% as soon as pregnancy is confirmed. With regard to screening, 42.7% of responders perform universal evaluation and 70% recommend TSH < 2.5 mUI/L in the first trimester and TSH < 3 mUI/L in the second and third trimester as target results in known hypothyroid pregnant women. Conclusion Deficiencies in diagnosis and management of hypothyroidism during pregnancy were observed in our survey, highlighting the need for improvement of specialist education and quality of care offered to patients with thyroid disease during pregnancy in Latin America. Arq Bras Endocrinol Metab. 2014;58(9):906-11. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 1 | 3% |
Unknown | 28 | 97% |
Readers by discipline | Count | As % |
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Nursing and Health Professions | 1 | 3% |
Medicine and Dentistry | 1 | 3% |
Unknown | 27 | 93% |