Preview

Clinical and experimental thyroidology

Advanced search

Possible Consequences of Changing of the TSH Reference Ranges

https://doi.org/10.14341/ket20095230-33

Abstract

We retrospectively analyzed the results of measurements of serum TSH and free T4 concentrations performed in1014 patients hospitalised in Federal Endocrinological Research Center without known thyroid disorders. According to the present TSH reference ranges (0.4–4.0 mU/l), prevalence of a hypothyroidism in the sample was10% (n = 104). For an estimation of possible consequences of lowering TSH reference interval prevalence of TSH> 2.5 mU/l has been calculated as 24% (n = 250). Тhus, in case of reduction of upper limits for TSH the quantity of persons with a hypothyroidism can increase in 2,5 times.

References

1. Свиридонова М.А., Фадеев В.В. Значение вариабельности уровня ТТГ в клинической практике // Клин. и экспер. тиреоидол. 2008. № 4. С. 16–24.

2. Baloch Z., Carayon P., Conte-Devolx B. et al. Guidelines Committee, National Academy of Clinical Biochemistry. Laboratory medicine practice guidelines. Laboratory support for the diagnosis and monitoring of thyroid disease // Thyroid. 2003. V. 13. P. 3–126.

3. Brabant G., Beck-Peccoz P., Jarzab B. et al. Is there a need to redefine the upper normal limit of TSH? // Eur. J. Endocrinol. 2006. V. 154. P. 633–637.

4. Gharib H., Tuttle R.M., Baskin H.J. et al. American Association of Clinical Endocrinologists/American Thyroid Association/Endocrine Society. Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society // Endocrin. Pract. 2004. V. 10(6). P. 497–501.

5. Hollowell J.G., Staehling N.W., Flanders W.D. et al. Serum TSH, T(4), and thyroid antibodies in the United States population (1988 to 1994): National Health and Nutrition Examination Survey (NHANES III) // J. Clin. Endocrinol. Metab. 2002. V. 87. P. 489–499.

6. McDermott M.T., Haugen B.R., Lezotte D.C. et al. Management practices among primary care physicians and thyroid specialists in the care of hypothyroid patients // Thyroid. 2001. V. 11. P. 757–764.

7. Wartofsky L., Dickey R.A. The Evidence for a Narrower Thyrotropin Reference Range Is Compelling // J. Clin. Endocrinol. Metab. 2005. V. 90. P. 5483–5488.


Review

For citations:


 ,  ,  ,   Possible Consequences of Changing of the TSH Reference Ranges. Clinical and experimental thyroidology. 2009;5(2):30-33. (In Russ.) https://doi.org/10.14341/ket20095230-33

Views: 456


ISSN 1995-5472 (Print)
ISSN 2310-3787 (Online)