Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Thyroid function

New guidelines for the management of hypothyroidism

A joint task force of the American Association of Clinical Endocrinologists and the American Thyroid Association has produced updated clinical guidelines for the diagnosis and treatment of hypothyroidism in adults. The new guidelines include 52 evidence-based best practice recommendations to help clinicians provide optimal care for patients with hypothyroidism.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Chakera, A. J., Pearce, S. H. & Vaidya, B. Treatment for primary hypothyroidism: current approaches and future possibilities. Drug Des. Devel. Ther. 6, 1–11 (2012).

    PubMed  Google Scholar 

  2. Baskin, H. J. et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr. Pract. 8, 457–469 (2002).

    Article  Google Scholar 

  3. Garber, J. R. et al. Clinical practice guidelines for hypothyroidism in adults: co-sponsored by American Association of Clinical Endocrinologists and the American Thyroid Association. Endocr. Pract. http://dx.doi.org/10.4158/EP12280.GL.

  4. Grozinsky-Glasberg, S., Fraser, A., Nahshoni, E., Weizman, A. & Leibovici, L. Thyroxine-triiodothyronine combination therapy versus thyroxine monotherapy for clinical hypothyroidism: meta-analysis of randomized controlled trials. J. Clin. Endocrinol. Metab. 91, 2592–2599 (2006).

    Article  CAS  Google Scholar 

  5. Panicker V. et al. Common variation in the DIO2 gene predicts baseline psychological well-being and response to combination thyroxine plus triiodothyronine therapy in hypothyroid patients. J. Clin. Endocrinol. Metab. 94, 1623–1629 (2009).

    Article  CAS  Google Scholar 

  6. Wiersinga, W. M., Duntas, L., Fadeyev, V., Nygaard, B. & Vanderpump, M. P. 2012 ETA guidelines: the use of L-T4 + L-T3 in the treatment of hypothyroidism. Eur. Thyroid J. 1, 55–71 (2012).

    Article  Google Scholar 

  7. Stagnaro-Green, A. et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid 21, 1081–1125 (2011).

    Article  Google Scholar 

  8. De Groot, L. et al. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society clinical practice guideline. J. Clin. Endocrinol. Metab. 97, 2543–2565 (2012).

    Article  CAS  Google Scholar 

  9. Haddow, J. E. et al. Maternal thyroid deficiency during pregnancy and subsequent neuropsychological development of the child. N. Engl. J. Med. 341, 549–555 (1999).

    Article  CAS  Google Scholar 

  10. Lazarus, J. H. et al. Antenatal thyroid screening and childhood cognitive function. N. Engl. J. Med. 366, 493–501 (2012).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

The author declares no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vaidya, B. New guidelines for the management of hypothyroidism. Nat Rev Endocrinol 9, 11–12 (2013). https://doi.org/10.1038/nrendo.2012.226

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrendo.2012.226

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing