Screening for Thyroid Dysfunction
Authors: Albert L. Siu, Kirsten Bibbins-Domingo, David C. Grossman
Journal: Annals of Internal Medicine (2015)

Letters6 October 2015Screening for Thyroid DysfunctionAlbert L. Siu, MD, MSPH, Kirsten Bibbins-Domingo, PhD, MD, MAS, and David C. Grossman, MD, MPHAlbert L. Siu, MD, MSPHFrom U.S. Preventive Services Task Force, Rockville, Maryland.Search for more papers by this author, Kirsten Bibbins-Domingo, PhD, MD, MASFrom U.S. Preventive Services Task Force, Rockville, Maryland.Search for more papers by this author, and David C. Grossman, MD, MPHFrom U.S. Preventive Services Task Force, Rockville, Maryland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5141-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Drs. Stern and Hennessey's comment seems to reflect a misunderstanding of our recommendation process, including the methods underlying our systematic evidence reviews. We welcome the opportunity to clarify these points. The U.S. Preventive Services Task Force makes recommendations that apply to average-risk persons without signs or symptoms of disease; "aggressive case-finding" falls outside the scope of our work. An "I statement" is not a recommendation against screening—it is an acknowledgment that the requisite evidence is lacking so that the balance of benefits and harms cannot be determined (1). The systematic evidence review used a standardized, validated approach to ...References1. LeFevre ML; U.S. Preventive Services Task Force.. Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015;162:641-50. [PMID: 25798805] doi:10.7326/M15-0483 LinkGoogle Scholar2. Rugge JB, Bougatsos C, Chou R. Screening for and Treatment of Thyroid Dysfunction: An Evidence Review for the U.S. Preventive Services Task Force. Evidence synthesis no. 118. AHRQ publication no. 15-05217-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2014. Accessed at www.ncbi.nlm.nih.gov/books/NBK285869 on 1 July 2015. Google Scholar3. Joffe RT, Pearce EN, Hennessey JV, Ryan JJ, Stern RA. Subclinical hypothyroidism, mood, and cognition in older adults: a review. Int J Geriatr Psychiatry. 2013;28:111-8. [PMID: 22410877] doi:10.1002/gps.3796 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From U.S. Preventive Services Task Force, Rockville, Maryland.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0483. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Thyroid Dysfunction: U.S. Preventive Services Task Force Recommendation Statement Michael L. LeFevre and Screening for Thyroid Dysfunction Robert A. Stern and James V. Hennessey Screening for Thyroid Dysfunction Robert A. Stern and James V. Hennessey Metrics 6 October 2015Volume 163, Issue 7Page: 564-565KeywordsDisclosureFallsHormonal therapySigns and symptomsSystematic reviewsThyroidThyroid hormonesThyroid-stimulating hormoneThyroxine ePublished: 6 October 2015 Issue Published: 6 October 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...