() Cohort III-2 1,889 To explore the influence of different Using targeted high-risk case testing strategy, Another study Aim: testing strategies on the prevalence of thyroid misdiagnosis rate of pregnancy with conducted at dysfunction and the missed diagnosis during hyperthyroidism, subclinical hyperthyroidism, the same pregnancy. pregnancy with hypothyroidism, subclinical hospital () hypothyroidism, low T4 syndrome and positive notes that the Setting: International Maternity and Child TPOAb were 87.5% (14 cases), 87.08% (155 study area is Health Hospital, Shanghai cases), 87.08% (155 cases), 83.93% (47 cases), an Population: Pregnant (13-27 weeks) 89.47% (17 cases) and 88.35% (91 cases), divided into high-risk and low-risk groups respectively. and adequate according to backgrounds collected by area There was no statistically significant difference questionnaire. High-risk women accounted for between the high-risk and low-risk groups in 10.69%. the prevalence of thyroid dysfunction. Observations: We detected the prevalence of Therefore, we believe that universal testing of thyroid dysfunction in high-risk groups and pregnant women can effectively reduce low-risk pregnant women by normal reference misdiagnosis rate of thyroid dysfunction. range during the second trimester. Further, we recommend universal testing for thyroid function in second trimester of pregnancy.
() Cohort III-2 1,889 Aim: To explore the influence of different testing strategies on the prevalence of thyroid dysfunction and the missed diagnosis during pregnancy. Setting: International Maternity and Child Health Hospital, Shanghai Population: Pregnant (13-27 weeks) divided into high-risk and low-risk groups according to backgrounds collected by questionnaire. High-risk women accounted for 10.69%. Observations: We detected the prevalence of thyroid dysfunction in high-risk groups and low-risk pregnant women by normal reference range during the second trimester. Using targeted high-risk case testing strategy, misdiagnosis rate of pregnancy with hyperthyroidism, subclinical hyperthyroidism, pregnancy with hypothyroidism, subclinical hypothyroidism, low T4 syndrome and positive TPOAb were 87.5% (14 cases), 87.08% (155 cases), 87.08% (155 cases), 83.93% (47 cases), 89.47% (17 cases) and 88.35% (91 cases), respectively. There was no statistically significant difference between the high-risk and low-risk groups in the prevalence of thyroid dysfunction. Therefore, we believe that universal testing of pregnant women can effectively reduce misdiagnosis rate of thyroid dysfunction. Further, we recommend universal testing for thyroid function in second trimester of pregnancy. Another study conducted at the same hospital () notes that the study area is an and adequate area
Thyroid%20dysfunction%20evidence%20evaluation%2016May17.docx