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[Treatment of Graves' disease is moving towards precision medicine]. | LitMetric

[Treatment of Graves' disease is moving towards precision medicine].

Lakartidningen

doktorand, forskningssjuksköterska, endokrina forskningsmottagningen, Specialistmedicin, Sahlgrenska universitetssjukhuset, Göteborg; avdelningen för invärtesmedicin och klinisk nutrition, institutionen för medicin, Sahlgrenska akademin, Göteborgs universitet.

Published: May 2024

This is the first national guideline in hyperthyroidism to harmonise and update clinical practice according to what is evidence based and direct care from patients' needs. We present 4 articles in Läkartidningen of different views of the guideline, including family care perspectives, patient care perspectives and perspectives on ophthalmology. This article concerns treatment of Graves' disease and includes endocrinological, surgical and oncological perspectives on what is established practice, but also news in the national guideline that remain to be fully implemented in Sweden in the years to come. News are precision medicine using the GREAT score, preoperative calcium/D vitamin treatment, individualized levothyroxine treatment after thyroid surgery, uniformed levothyroxine replacement strategy, access to national patient information and national guidelines on radiation protection and treatment schemes for radioactive iodine. A national guideline is the creation of many persons' views, including patient representatives, and the recommendations have undergone a thorough national review process from stakeholders. It is a guideline with future perspectives for an improved care.

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