Comments to clinical guidelines “Iodine deficiency disorders and diseases”

Abstract

The Letter to Editor presents an analysis of some sections of the clinical guidelines «Diseases and conditions associated with iodine deficiency» published in No. 3 of the journal «Problems of Endocrinology» for 2021. In particular, the discussion deals with the coding of thyroid diseases according to ICD-10, depending on the iodine status of the population of constituent entities of the Russian Federation, as well as issues of diagnosis and treatment, such as «verification» of goiter detected by palpation, or treatment of the vast majority of children, adolescents and adults with potassium iodide. The obstacles to the epidemiological assessment of the iodine status of the population when examining schoolchildren are discussed separately, in connection with the introduction in 2020 of the new regulation, which requires the mandatory use of iodized salt for cooking in school canteens throughout the country.