Hypothyroidism, current approach

Abstract

Hypothyroidism has an elevate prevalence in our population, the unspecific clinical mani-festations implicate sub diagnosis and not control with undesirable complications, that may be easy corrigible with adequate treatment, it has more significant implications in pregnant women. With the objective to resume actualized information and to dispose of the major medical evidence we realized a systematic review about thyroid diminished function that include extensive revision of electronic data (MEDLINE, CUIDEN plus). As result 45 articles were included, three of them were metanalysis about hypothyroidism. We apply two models to combine the results statistically: fixed effects model and random model, it showed concordance of 82,5 % for etiology, 94,5% for clinical manifestations, 98,6 % for diagnosis and 96,1 % for the treatment (IC 95 %). It permits resume important elements about clinical diagnosis and treatment, in order to obtain a synthetic and didactic resume to permit our professionals to appropriate the necessary competence for clinical diagnosis and treatment of this illness, to avoid sub diagnosis and to prevent complications and develop strategies about prevention and early diagnosis of this prevalent pathology.