Danese MD, Powe NR, Sawin CT, Ladenson PW
Screening for mild thyroid failure at the periodic health
J Am Med Assoc
(Jul) 286:285-292 1996
At the 1996 ASH meeting,
Fortini and colleagues
presented data that the incidence of hypothyroidism was 10% in women with
hypertension referred to a tertiary center (6% subclinical and 4% overt).
In the present paper, Danese and colleagues analyze the cost-effectiveness of
routinely screening both men and women every 5 years for hypothyroidism.
Cost effectiveness was more favorable for women than for men, and increased
with increasing age. The conclusion of the study was, that cost
effectiveness q 5 years for hypothyroidism beginning at age 35 years compared
favorably with other generally accepted preventive medical practices.
(John T. Daugirdas, M.D., Univ. of Illinois at Chicago)
The full abstract is available at
the AMA site.
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