You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 291 No. 13, April 7, 2004 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Letters
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Contact me when this article is cited
 Related Content
 •Related articles
 •Similar articles in JAMA
 Topic Collections
 •Endocrine Diseases
 •Thyroid/ Parathyroid Diseases
 •Alert me on articles by topic
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Screening and Treatment for Subclinical Thyroid Disease

Since this article does not have an abstract, we have provided the first 85 words of the full text and any section headings.

To the Editor: In their Scientific Review and Clinical Applications article about subclinical thyroid disease, Dr Col and colleagues1 performed thyroid screening for 3 asymptomatic patients (patients 1, 3, and 4) who did not seem to have any indication for these tests. As far as I know, there have been no authoritative calls for screening for asymptomatic thyroid disease.2

The negative consequences (eg, iatrogenic disease, clinical cascade, labelling) of performing laboratory tests in patients with a low prior probability of disease often outweigh the benefits.3

A. Mark Clarfield, MD, FRCPC
Department of Geriatrics
Soroka Hospital
Ben Gurion University of the Negev
Beer-sheva, Israel

1. Col NF, Surks MI, Daniels GH. Subclinical thyroid disease: clinical applications. JAMA. 2004;291:239-243. FREE FULL TEXT
2. US Preventive Services Task Force. Recommendation Statement: Screening for Thyroid Disease. Available at: http://www.ahrq.gov/clinic/3rduspstf/thyroid/thyrrs.htm. Accessibility verified March 12, 2004.
3. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. 2nd ed. Boston, Mass: Little Brown & Co; 1992:153-170.

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291:1562.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

RELATED ARTICLES

Screening and Treatment for Subclinical Thyroid Disease
, , and
JAMA. ;291():1562-1562.
FULL TEXT  

Screening and Treatment for Subclinical Thyroid Disease--Reply
, , , and
JAMA. ;291():1562-1563.
FULL TEXT  

Subclinical Thyroid Disease: Scientific Review and Guidelines for Diagnosis and Management
, , , , , , , , , , , , and
JAMA. ;291():228-238.
FULL TEXT  






HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2004 American Medical Association. All Rights Reserved.