Thyroid guidelines

There are guidelines for all types of thyroid conditions including hypothyroidism , hyperthyroidism , and subclinical hypothyroidism. There are also guidelines for pregnancy and thyroid conditions.

Adrenals

Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline (2016)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4880116

Thyroid Cancer

Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer (2015)
The American Thyroid Association Guidelines Task Force on Pediatric Thyroid Cancer.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854274/

American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer (2015)
http://online.liebertpub.com/doi/pdfplus/10.1089/thy.2015.0020

British Thyroid Association Guidelines for the Management of Thyroid Cancer – 3rd edition (2014)
http://onlinelibrary.wiley.com/doi/10.1111/cen.12515/pdf

Guidelines for the management of thyroid cancer
https://pubmed.ncbi.nlm.nih.gov/24989897/

2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer https://www.liebertpub.com/doi/pdf/10.1089/thy.2020.0944

Indications and Strategy for Active Surveillance of Adult Low-Risk Papillary Thyroid Microcarcinoma: Consensus Statements from the Japan Association of Endocrine Surgery Task Force on Management for Papillary Thyroid Microcarcinoma https://www.liebertpub.com/doi/10.1089/thy.2020.0330

Congenital Hypothyroidism

European Society for Paediatric Endocrinology Consensus Guidelines on Screening, Diagnosis, and Management of Congenital Hypothyroidism (2014)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207909/

Congenital Hypothyroidism: A 2020–2021 Consensus Guidelines Update—
An ENDO-European Reference Network Initiative Endorsed by the European Society for Pediatric Endocrinology and the European Society for Endocrinology https://www.liebertpub.com/doi/pdf/10.1089/thy.2020.0333

Graves’ Orbitopathy

European Thyroid Association/European Group on Graves’ Orbitopathy Guidelines for the Management of Graves’ Orbitopathy (2016)
https://www.karger.com/Article/FullText/443828

Hyperthyroidism

Hyperthyroidism and Other Causes of Thyrotoxicosis : Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists (© 2011)
https://www.liebertpub.com/doi/10.1089/thy.2010.0417

American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Evaluation and Treatment of Hyperthyroidism and Hypothyroidism (2002)
http://www.mythyroid.com/documents/AACE%20Thyroid%20Guideslines-%202002.pdf

Hypoparathyroidism

European Society of Endocrinology Clinical Guideline: Treatment of chronic hypoparathyroidism in adults (2015)
http://www.eje-online.org/content/173/2/G1.long

Hypothyroidism/ Primary Hypothyroidism

European Thyroid Association (ETA) and Thyroid Federation International (TFI) Joint Position Statement on the Interchangeability of Levothyroxine Products in EU Countries
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198781/

Switching from Liothyronine (LT-3) to Levothyroxine (LT-4)? – 2016
https://www.british-thyroid-association.org/current-bta-guidelines-

Management of primary hypothyroidism : statement by the British Thyroid Association Executive Committee (2015)
http://www.british-thyroid-association.org/sandbox/bta2016/bta_statement_on_the_management_of_primary_hypothyroidism.pdf

Guidelines for the Treatment of Hypothyroidism – Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement (2014)
http://online.liebertpub.com/doi/abs/10.1089/thy.2014.0028

Clinical Practice Guidelines for Hypothyroidism in Adults: Co-sponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association (© 2012)
https://www.liebertpub.com/doi/pdf/10.1089/thy.2012.0205

American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Evaluation and Treatment of Hyperthyroidism and Hypothyroidism (2002)
http://www.mythyroid.com/documents/AACE%20Thyroid%20Guideslines-%202002.pdf

Iodine

Iodine Facts Written by members of the UK Iodine Group; Dr Sarah Bath, Dietician and Professor Margaret Rayman, RNutr., University of Surrey. Endorsed by The British Dietetic Association (BDA)
https://www.bda.uk.com/resource/iodine.html

Nodules

American Association of Clinical Endocrinologists, American College of Endocrinology, and Associzione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules (2016 Update – © 2016)
https://www.endocrinepractice.org/action/showPdf?pii=S1530-891X%2820%2942954-4

Pregnancy

Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum (2017)
http://online.liebertpub.com/doi/full/10.1089/thy.2016.0457

Should women with subclinical hypothyroidism receive thyroid hormone replacement prior to and during pregnancy? (2015)
https://www.thyroid.org/patient-thyroid-information/ct-for-patients/volume-issue-november/vol-8-issue-11-p-3-4/

Subclinical hypothyroidism in the infertile female population: a guideline (2015)
https://www.reproductivefacts.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/subclinical_hypothyroidism_in_the_infertile_female_population.pdf

European Thyroid Association Guidelines for the Management of Subclinical Hypothyroidism in Pregnancy and in Children (2014)
https://www.karger.com/Article/FullText/362597

The Endocrine Society – Clinical Practice Guideline – Management of Thyroid Dysfunction during Pregnancy and Postpartum (2012)
https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2011-2803

Hypothyroidism in Pregnancy
https://apps.nhslothian.scot/refhelp/guidelines/hypothyroidisminpregnancy/

Production of Clinical Guidelines

American Association of Clinical Endocrinologists Protocol for Standardized Production of Clinical Practice Guidelines (Updated 2010)
https://pubmed.ncbi.nlm.nih.gov/20350905/

Are guidelines following guidelines? The Methodological Quality of Clinical Practise Guidelines in the Peer-Reviewed Medical Literature (1999)
http://jamanetwork.com/journals/jama/fullarticle/190067

Radioiodine

Radiation Safety in the Treatment of Patients with Thyroid Diseases by Radioiodine: Practice Recommendations of the American Thyroid Association (2011)
http://online.liebertpub.com/doi/pdf/10.1089/thy.2010.0403

Royal College of Physicians – Radioiodine in the management of benign thyroid disease (2007)
https://cdn.shopify.com/s/files/1/0924/4392/files/radioiodine-management-benign-thyroid-disease.pdf?15599436013786148553

Subclinical Hyperthyroidism

Thyroid hormones treatment for subclinical hypothyroidism: a clinical practice guideline
https://www.bmj.com/content/365/bmj.l2006

European Thyroid Association Guidelines on Diagnosis and Treatment of Endogenous Subclinical Hyperthyroidism (2015)
http://www.eurothyroid.com/files/download/ETJ-2015-4-149-163-GUIDELINES-SUBCLIN-HYPER-PDF-438750.pdf

Guidance in Subclinical Hyperthyroidism and Subclinical Hypothyroidism: Are We Making Progress? (2015)
http://www.eurothyroid.com/files/download/Wiersinga-EDITORIAL-ETJ-2015-4-438909.pdf

Subclinical Hypothyroidism

European Thyroid Association – Management of subclinical hypothyroidism (2013)
http://www.eurothyroid.com/files/download/ETA-Guideline-Management-of-Subclinical-Hypothyroidism.pdf

Guidance in Subclinical Hyperthyroidism and Subclinical Hypothyroidism: Are We Making Progress? (2015)
http://www.eurothyroid.com/files/download/Wiersinga-EDITORIAL-ETJ-2015-4-438909.pdf

T3/T4 Combination Treatment and NDT

Thyroid hormone substitution: T4/T3 combination treatment and animal thyroid extracts (2014)
https://thyroid-fed.org/alternative-substitution-tfi-statement-2014/

Use of LT4 and LT3 in the treatment of hypothyroidism – European Thyroid Association (2012)
https://www.karger.com/Article/FullText/339444

Thyroxine -Triiodothyronine Combination Therapy Versus Thyroxine Monotherapy for Clinical Hypothyroidism: Meta-Analysis of Randomized Controlled Trials (2006) 
https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2006-0448

Evidence-Based Use of Levothyroxine/Liothyronine Combinations in Treating Hypothyroidism:
A Consensus Document https://www.liebertpub.com/doi/pdf/10.1089/thy.2020.0720

Thyroid Function Tests

Thyroid Function Test Guidelines (2006)
http://www.british-thyroid-association.org/sandbox/bta2016/uk_guidelines_for_the_use_of_thyroid_function_tests.pdf

Vitamin B12

Guidelines for the diagnosis and treatment of cobalamin and folate disorders (2014)
http://onlinelibrary.wiley.com/doi/10.1111/bjh.12959/full

Vitamin D

Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management

https://strwebprdmedia.blob.core.windows.net/media/ef2ideu2/ros-vitamin-d-and-bone-health-in-adults-february-2020.pdf

Date updated: 10.03.23 (V1.9)
Review date: 03.06.21