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Debate Over Universal Screening for Thyroid Dysfunction in Pregnancy Centers on What to Treat
The question about screening for thyroid dysfunction during pregnancy remains one with no clear answer, according to a debate at the Endocrine Society Annual Meeting.
Determining whether screening for any condition — including thyroid dysfunction — should be recommended is based on criteria established by the WHO, which calls for a common condition, an available and reliable screening tool, proof of favorable influences of intervention, relative cost-effectiveness and a uniform policy.
Experts mostly agree that thyroid dysfunction in pregnancy is common. Alex Stagnaro-Green, MD, MHPE, MHA, of the University of Illinois College of Medicine in Rockford, who argued for universal screening during the debate, noted that in searching the current literature, the ranges for prevalence were up to 13.1% for overt hypothyroidism and up to 2.5% for overt hyperthyroidism.
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