Colombian consensus for the diagnosis, treatment and follow-up of hypothyroidism in the adult population
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Keywords

hypothyroidism
Diagnosis
Thyroid Function Tests
Therapeutics
Primary Health Care
Secondary Care
Consensus
Colombia

How to Cite

Vargas-Uricoechea, . H., Builes-Barrera, C. ., Arenas-Quintero, H. ., Castellanos-Pinedo, A. ., Restrepo-Erazo, K. ., Duque-Ossman, J. J. ., Rojas-Melo, L. ., Barraza-Gerardino, M. ., Mejía, G. ., Hernández-Triana, E. ., Vásquez-Awad, D. ., Tovar-Cortés, H. ., & Guerra-Rodríguez, N. (2023). Colombian consensus for the diagnosis, treatment and follow-up of hypothyroidism in the adult population. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 10(4). https://doi.org/10.53853/encr.10.4.818

Abstract

Background: Hypothyroidism is defined as a syndrome characterized by multiple systemic manifestations, where any of the components of the hypothalamic-pituitary-thyroid axis may be compromised; it is a highly prevalent entity that can affect different populations, regardless of their age group and biological conditions. However, the non-specificity of its symptoms and insidious clinical course generates a challenge in daily clinical practice for the timely and adequate diagnosis, treatment or follow-up of the disease. Regardless of its etiology and classification, currently the treatment of choice is levothyroxine, with the aim of achieving biochemical control. Finally, the follow-up of the patient with hypothyroidism is fundamental to guarantee adequate control, which will allow timely detection of associated comorbidities.

Purpose: Define the criteria for the diagnosis, treatment and follow-up of hypothyroidism in Colombia.

Methodology: A modified Delphi-type consensus was carried out, for which a panel of Colombian endocrinologists, experts in the management of thyroid pathologies, was chosen; Consensus management was performed by a clinical pharmacologist.

The results were analyzed and discussed and, based on the achievement of consensus, the conclusions of the recommendations in the different aspects related to hypothyroidism were summarized.

Results: Recommendations for the approach to patients with hypothyroidism in Colombia were obtained, including clinical suspicion, diagnosis, treatment, and follow-up of the patient with the disease, as well as considerations in special populations from the perspective of the national health system.

Conclusions: In Colombia, it is important to reduce variability in daily clinical practice, as well as to strengthen the knowledge of medical staff, from the primary care setting to highly complex care, regarding the diagnosis, treatment and follow-up of patients with hypothyroidism, in order to provide timely and appropriate management of the disease.

https://doi.org/10.53853/encr.10.4.818
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