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Rigshospitalet - en del af Københavns Universitetshospital
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Revisiting the role of surgery in the treatment of Graves' disease

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

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  • Oded Cohen
  • Ohad Ronen
  • Avi Khafif
  • Juan P Rodrigo
  • Ricard Simo
  • Pia Pace-Asciak
  • Gregory Randolph
  • Lauge H Mikkelsen
  • Luiz P Kowalski
  • Kerry D Olsen
  • Alvaro Sanabria
  • Ralph P Tufano
  • Silvia Babighian
  • Ashok R Shaha
  • Mark Zafereo
  • Alfio Ferlito
Vis graf over relationer

Graves' disease (GD) can be managed by antithyroid drugs (ATD), radioactive iodine (RAI) and surgery. Thyroidectomy offers the highest success rates for both primary and persistent disease, yet it is the least recommended or utilized option reaching <1% for primary disease and <25% for persistent disease. Several surveys have found surgery to be the least recommended by endocrinologists worldwide. With the development of remote access thyroidectomies and intraoperative nerve monitoring of the recurrent laryngeal nerve, combined with current knowledge of possible risks associated with RAI or failure of ATDs, revaluation of the benefit to harm ratio of surgery in the treatment of GD is warranted. The aim of this review is to discuss possible reasons for the low proportion of surgery in the treatment of GD, emphasizing an evidence-based approach to the clinicians' preferences for surgical referrals, surgical indications and confronting traditional reasons and concerns relating to the low referral rate with up-to-date data.

OriginalsprogEngelsk
TidsskriftClinical Endocrinology
Vol/bind96
Udgave nummer6
Sider (fra-til)747-757
Antal sider11
ISSN0300-0664
DOI
StatusUdgivet - jun. 2022

Bibliografisk note

© 2021 John Wiley & Sons Ltd.

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