Physician Choice of Hypothyroidism Therapy: Influence of Patient Characteristics.

ABSTRACT:

Background

Most endocrinologists encounter patients who are dissatisfied with their current hypothyroidism therapy and request combination therapy with either liothyronine (LT3) or thyroid extract.

Methods

A survey of American Thyroid Association members was conducted in 2017. Respondents were presented with 13 scenarios describing patients with hypothyroidism and were asked to choose among six therapeutic options. The index patient was satisfied taking levothyroxine (LT4) therapy. Twelve variations introduced parameters that potentially provide reasons for considering combination therapy (presence of symptoms, low serum triiodothyronine concentration, documentation of deiodinase polymorphisms). Therapeutic options included (i) continuing LT4, (ii) increasing LT4, (iii) addi

SUBMITTER: Jonklaas J 

PROVIDER: S-EPMC6247977 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature