Thyroid dysfunction in the era of precision medicine

Endocrinol Nutr. 2016 Aug-Sep;63(7):354-63. doi: 10.1016/j.endonu.2016.04.009. Epub 2016 Jun 3.
[Article in English, Spanish]

Abstract

The launching of the Precision Medicine Initiative by the President of the United States in January 2015 was an invitation for all healthcare professionals to review their practice. This call should stimulate thyroidologists working in different areas (from basic research or epidemiology to the frontline of the clinical arena or to those designing public health programs) to be aware of this new outlook. The aim of the initiative is to eradicate imprecision in estimating the probability of a correct diagnosis, to be as sure as possible of the most effective treatment, and to maximize the chances of a successful outcome. This paper summarizes some of the current challenges faced by endocrinologists in the field of thyroid dysfunction, and illustrates how precision medicine may improve diagnosis and therapy in the future.

Keywords: Disfunción tiroidea; Enfermedades tiroideas; Hipertiroidismo; Hipotiroidismo; Hyperthyroidism; Hypothyroidism; Medicina de precisión; Precision medicine; Thyroid disease; Thyroid dysfunction.

MeSH terms

  • Autoantibodies / blood
  • Endocrinology / trends*
  • Female
  • Forecasting
  • Genetic Predisposition to Disease
  • Humans
  • Immunotherapy
  • Precision Medicine*
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / therapy
  • Professional Practice
  • Research / trends
  • Thyroid Diseases* / blood
  • Thyroid Diseases* / diagnosis
  • Thyroid Diseases* / prevention & control
  • Thyroid Diseases* / therapy
  • Thyroid Hormones / blood
  • Thyrotropin / blood
  • United States

Substances

  • Autoantibodies
  • Thyroid Hormones
  • Thyrotropin