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中国医科大学附属第一医院内分泌科、中国医科大学内分泌研究所、国家卫生健康委员会甲状腺疾病重点实验室(共建),沈阳 110011
李玉姝,Email:liyushu@126.com, 研究方向:自身免疫性甲状腺病发病机理研究。
单忠艳,Email:cmushanzhongyan@163.com。
收稿:2022-05-02,
纸质出版:2022-11-28
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李玉姝,单忠艳.解读中国首部《中国老年人甲状腺疾病诊疗专家共识》[J].重庆医科大学学报,2022,47(11):1297-1299.
Li Yushu,Shan Zhongyan.Interpretation of China’s first “Expert Consensus on Diagnosis and Treatment for Elderly with Thyroid Diseases in China”[J].Journal of Chongqing Medical University,2022,47(11):1297-1299.
李玉姝,单忠艳.解读中国首部《中国老年人甲状腺疾病诊疗专家共识》[J].重庆医科大学学报,2022,47(11):1297-1299. DOI: 10.13406/j.cnki.cyxb.003140.
Li Yushu,Shan Zhongyan.Interpretation of China’s first “Expert Consensus on Diagnosis and Treatment for Elderly with Thyroid Diseases in China”[J].Journal of Chongqing Medical University,2022,47(11):1297-1299. DOI: 10.13406/j.cnki.cyxb.003140.
2021年5月《中华老年医学杂志》和《中华内分泌代谢杂志》同步发表了《中国老年人甲状腺疾病诊疗专家共识》(简称《共识》),这是由内分泌代谢病和老年病专科医生共同制定的我国首部针对老年人甲状腺疾病诊疗的共识。《共识》包括5个部分,共提出40条推荐意见。结合中国的流行病学数据,以及国内外相关文献和证据,该指南着重关注老年甲状腺疾病患者的综合评估与筛查;老年人甲亢的临床特点、并发症及治疗的注意事项;老年人甲减、亚临床甲减并发症及个体化治疗选择和目标;老年人分化型甲状腺癌的临床特点及分层管理。该共识对提高我国老年人甲状腺疾病的临床诊疗水平、促进健康老龄化具有重要意义。
In May 2021,the “Expert Consensus on Diagnosis and Treatment for Elderly with Thyroid Diseases in China”(herinafter as the “Consensus”) was published on the
Chinese Journal of Geriatrics
and
the
Chinese Journal of Endocrinology and Metabolism
,simultaneously. This is the first consensus on the diagnosis and treatment of thyroid diseases for the elderly in China,which is drafted by endocrinologists and geriatricians jointly. The Consensus consists of five parts,with a total of 40 recommendations. Based on the epidemiological data of China,as well as relevant literature and evidence from domestic and abroad studies,the Consensus focuses on comprehensive evaluation and screening of elderly patients with thyroid diseases;clinical characteristics and complications of senile hyperthyroidism and points for attention in treatment; complications of subclinical hypothyroidism in the elderly and individualized treatment options and goals;clinical characteris
tics and stratified management of differentiated thyroid carcinoma in the elderly. The Consensus is of great significance to improve the clinical diagnosis and treatment of senile thyroid diseases in China and to promote healthy aging.
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Endocrine Metabolic Diseases Group of the Chinese Geriatrics Society , Chinese Medical Association Thyroid Group of the Chinese Society of Endocrinology . Expert consensus on diagnosis and treatment for elderly with thyroid diseases in China(2021) [J ] . Chin J Endocrinol Metab , 2021 , 37 ( 5 ): 399 - 418 .
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Collet TH , Gussekloo J , Bauer DC , et al . Subclinical hyperthyroidism and the risk of coronary heart disease and mortality [J ] . Arch Intern Med , 2012 , 172 ( 10 ): 799 - 809 .
Blum MR , Bauer DC , Collet TH , et al . Subclinical thyroid dysfunction and fracture risk:a Meta-analysis [J ] . JAMA , 2015 , 313 ( 20 ): 2055 - 2065 .
陈胜芳 , 毕佳音 , 宋浩明 , 等 . 老年住院患者非甲状腺病态综合征的影响因素分析 [J ] . 中华老年医学杂志 , 2018 , 37 ( 5 ): 532 - 535 .
Chen SF , Bi JY , Song HM , et al . Analysis of influential factors of non-thyroidal illness syndrome in elderly inpatients [J ] . Chin J Geriatr , 2018 , 37 ( 5 ): 532 - 535 .
Razvi S , Weaver JU , Butler TJ , et al . Levothyroxine treatment of subclinical hypothyroidism,fatal and nonfatal cardiovascular events,and mortality [J ] . Arch Intern Med , 2012 , 172 ( 10 ): 811 - 817 .
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Stott DJ , Rodondi N , Kearney PM , et al . Thyroid hormone therapy for older adults with subclinical hypothyroidism [J ] . N Engl J Med , 2017 , 376 ( 26 ): 2534 - 2544 .
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Haugen BR , Alexander EK , Bible KC , et al . 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer:the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer [J ] . Thyroid , 2016 , 26 ( 1 ): 1 - 133 .
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