Differences and Similarities in the Diagnosis and Treatment of Graves' Disease in Europe, Japan, and The United States

• DOI: 10.1089/thy.1991.1.129
• Publication Date: 2009-03-30T20:19:37Z
• Authors: LEONARD WARTOFSKY; DANIEL GLINOER; BARBARA SOLOMON; SHIGENOBU NAGATAKI; RAPHAEL LAGASSE; YUJI NAGAYAMA; MOTOMORI IZUMI
• Keywords: Antithyroid drugs

In three separate studies, members of the American Thyroid Association (ATA), European (ETA), and Japan (JTA) were surveyed by questionnaire on their management Graves' disease. The aim was to determine how expert clinical thyroidologists employ diagnostic procedures different therapies that are available for this disorder. report, we identify, summarize, compare, contrast similarities differences in results these surveys regions world. general, ATA used fewer tests than did or Japanese colleagues. For index patient, radioiodine therapy choice 69% respondents but only 22% 11% ETA JTA respondents, respectively. contrast, 30.5% chose antithyroid drugs as first-line compared 77% 88% respondents. There consensus relative lack a role thyroidectomy except narrow indications. implications differing approaches diagnosis treatment hyperthyroidism due disease discussed.