2014
DOI: 10.1590/0004-2730000003382
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Abstract: Objective: To determine how endocrinologists in Latin America deal with clinical case scenarios related to hypothyroidism and pregnancy. Materials and methods: In January 2013, we sent an electronic questionnaire on current practice relating to management of hypothyroidism in pregnancy to 856 members of the Latin American Thyroid Society (LATS) who manage pregnant patients with thyroid disease. Subsequently, we have analyzed responses from physician members. Results: Two hundred and ninety-three responders rep… Show more

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Cited by 14 publications
(6 citation statements)
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References 9 publications
(6 reference statements)
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“…A similar attitude was previously demonstrated by other surveys published between 2012 and 2018, all showing that keeping TSH < 2.5 mIU/L is a common attitude, especially when TPOAb are positive [10][11][12]. Since the publication of previous ATA guidelines in 2011, several studies have shown that the number of women defined as hypothyroid, and consequently treated, remarkably increased when considering 2.5 mIU/L as the cut-off value [32][33][34].…”
Section: Discussionsupporting
confidence: 77%
See 1 more Smart Citation
“…A similar attitude was previously demonstrated by other surveys published between 2012 and 2018, all showing that keeping TSH < 2.5 mIU/L is a common attitude, especially when TPOAb are positive [10][11][12]. Since the publication of previous ATA guidelines in 2011, several studies have shown that the number of women defined as hypothyroid, and consequently treated, remarkably increased when considering 2.5 mIU/L as the cut-off value [32][33][34].…”
Section: Discussionsupporting
confidence: 77%
“…A previous survey among European Thyroid Association (ETA) members revealed that 42% of respondents screened all pregnant women and 43% adopted a case-finding approach; in another survey, 75% of Iranian endocrinologists opted for targeted screening, whilst universal screening was supported by 57% in Israel and by 43% in Latin America [9][10][11][12]. Two large-scale trials failed to demonstrate any benefit of LT4 on cognitive outcomes, and a recent study found a similar proportion of children with an IQ < 85 from women with normal and suboptimal gestational thyroid function [13][14][15].…”
Section: Discussionmentioning
confidence: 99%
“…The Spanish Society of Endocrinology and Nutrition [ 13 ] and the Indian Thyroid Society [ 71 ] have advocated global screening in early stages of pregnancy or before pregnancy. A survey of members of professional associations showed that 42.7% of respondents in Latin America and 43% in Europe perform global screening [ 72 , 73 ], while only 21% of members of the Asia-Oceania Thyroid Association (AOTA) perform this [ 74 ], and 74% of ATA members support such an approach [ 75 ].…”
Section: Discussionmentioning
confidence: 99%
“…This divergence is also observed in clinical practice. A Latin American study showed that 38.4% of responders use a universal screening strategy and 43% prefer a casefinding approach in high-risk groups (6). Finally, the recommendations for levothyroxine (L-T4) treatment were revised in the recent ATA/AACE guidelines (1).…”
Section: Introductionmentioning
confidence: 99%