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current professional role (consultant endocrinologist or equivalent, trainee endocrinologist, or other clinician). In addition, to explore potential reasons underlying regional differences in treatment decisions of the older person with SCH, we also
Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands
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Dear Editor, In this letter we would like to emphasize a specific part of the new ETA guideline which was explained in the paper by Pearce et al. [ 1 ], more specifically the part on thyroid hormone supplementation in the oldest old. In
Clinical Institute, Aalborg University, Aalborg, Denmark
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Clinical Institute, Aalborg University, Aalborg, Denmark
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27 Sawin CT , Geller A , Wolf PA , Belanger AJ , Baker E , Bacharach P , et al. Low serum thyrotropin concentrations as a risk factor for atrial fibrillation in older persons . N Engl J Med . 1994 Nov ; 331 ( 19 ): 1249 – 52
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is growing faster than any other type of malignancy ( 1 ), regardless of sociodemographic, ethnic, or environmental differences ( 2 ). Conversely, mortality rates (MRs) for TC have decreased or remained stable at 0.5 cases per 100,000 person
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that this control was especially dramatic in the brain. Against the old thinking that the placenta was impermeable to thyroid hormones, she demonstrated that there is a transfer of thyroid hormones from mother to fetus from early gestational stages, and
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6 and older in NHANES survey periods 2001-2002, 2003-2004, 2005-2006 and 2009-2010, as well as in all survey participants aged 6 and older during the cycle 2007-2008. NHANES, conducted by the Centers for Disease Control and Prevention, is a
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between the increasing thyroid cancer incidence and the stable or declining mortality is one of the visible consequences in support of overdiagnosis ( 3 ). Overdiagnosis is a phenomenon that labels a person with a disease or abnormal condition that would
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.1300350 28 Sawin CT, Geller A, Wolf PA, Belanger AJ, Baker E, Bacharach P, Wilson PW, Benjamin EJ, D’Agostino RB: Low serum thyrotropin concentrations as a risk factor for atrial fibrillation in older persons. N Engl J Med 1994;331:1249–1252. 10.1056/NEJM
Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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performed in 27 patients due to locally advanced or disseminated disease, other advanced diseases, or old age in 22 patients. In 5 patients, MTC was diagnosed by autopsy. Those patients were excluded from this study. Fig. 1. Study cohort with
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.1159/000360621 25114879 5 Sawin CT, Geller A, Wolf PA, et al: Low serum thyrotropin concentrations as a risk factor for atrial fibrillation in older persons. N Engl J Med 1994;331:1249-1252. 10.1056/NEJM199411103311901 7935681 6 Zulewski H, Müller B, Exer