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An international survey of screening and management of hypothyroidism during pregnancy in Latin America

Overview of attention for article published in Arquivos Brasileiros de Endocrinologia & Metabologia
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Title
An international survey of screening and management of hypothyroidism during pregnancy in Latin America
Published in
Arquivos Brasileiros de Endocrinologia & Metabologia
DOI 10.1590/0004-2730000003382
Pubmed ID
Authors

Medeiros, Mateus Fernandes da Silva, Cerqueira, Taise Lima de Oliveira, Silva Junior, Joaquim Custódio, Amaral, Magali Teresopolis Reis, Vaidya, Bijay, Poppe, Kris Gustave, Carvalho, Gisah Amaral de, Gutierrez, Silvia, Alcaraz, Graciela, Abalovich, Marcos, Ramos, Helton Estrela, Medeiros, Mateus Fernandes da Silva, Cerqueira, Taise Lima de Oliveira, Silva Junior, Joaquim Custódio, Amaral, Magali Teresopolis Reis, Vaidya, Bijay, Poppe, Kris Gustave, Carvalho, Gisah Amaral de, Gutierrez, Silvia, Alcaraz, Graciela, Abalovich, Marcos, Ramos, Helton Estrela

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.

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Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 1 3%
Unknown 28 97%
Readers by discipline Count As %
Nursing and Health Professions 1 3%
Medicine and Dentistry 1 3%
Unknown 27 93%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 February 2015.
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#18,232,680
of 22,570,871 outputs
Outputs from Arquivos Brasileiros de Endocrinologia & Metabologia
#309
of 478 outputs
Outputs of similar age
#240,160
of 329,697 outputs
Outputs of similar age from Arquivos Brasileiros de Endocrinologia & Metabologia
#1
of 1 outputs
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