Center for International Health, University of Bergen, Bergen, Norway
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Department of Microbiology, Innlandet Hospital Trust, Lillehammer, Norway
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Department of Clinical Science, University of Bergen, Bergen, Norway
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Department of Research, Innlandet Hospital Trust, Lillehammer, Norway
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study was to use national medical registers to describe the proportion of pregnant women using thyroid therapy during the last two decades in Norway. Material and methods This is an observational population-based study combining historical data
Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital/ University Medical Center Utrecht, Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands
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Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
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Developmental Endocrinology Research Group, Royal Hospital for Children, University of Glasgow, Glasgow, UK
Office for Rare Conditions, University of Glasgow, Glasgow, UK
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Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands
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Background
Although differentiated thyroid carcinoma (DTC) is the most frequent endocrine pediatric cancer, it is rare in childhood and adolescence. While tumor persistence and recurrence are not uncommon, mortality remains extremely low. Complications of treatment are however reported in up to 48% of the survivors. Due to the rarity of the disease, current treatment guidelines are predominantly based on the results of small observational retrospective studies and extrapolations from results in adult patients. In order to develop more personalized treatment and follow-up strategies (aiming to reduce complication rates), there is an unmet need for uniform international prospective data collection and clinical trials.
Methods and analysis
The European pediatric thyroid carcinoma registry aims to collect clinical data for all patients ≤18 years of age with a confirmed diagnosis of DTC who have been diagnosed, assessed, or treated at a participating site. This registry will be a component of the wider European Registries for Rare Endocrine Conditions project which has close links to Endo-ERN, the European Reference Network for Rare Endocrine Conditions. A multidisciplinary expert working group was formed to develop a minimal dataset comprising information regarding demographic data, diagnosis, treatment, and outcome. We constructed an umbrella-type registry, with a detailed basic dataset. In the future, this may provide the opportunity for research teams to integrate clinical research questions.
Ethics and dissemination
Written informed consent will be obtained from all participants and/or their parents/guardians. Summaries and descriptive analyses of the registry will be disseminated via conference presentations and peer-reviewed publications.
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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been applied which makes comparisons difficult. It can be argued that the dose in our cohort should be higher as our subjects generally had untreated disease due to side effects of anti-thyroid therapy. Optimal doses and duration of therapy to achieve
AESKU.KIPP Institute, Wendelsheim, Germany
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, skin, nerves, etc. Thyroid Therapy Gluten free diet Symptomatic, thyroid replacement therapy CMV, cytomegalo virus; DGP, diamidated gliadin peptide; EBV, Epshtein Bar virus; EMA, endomysial antibodies; HBV, hepatitis B virus; HCV
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received questionnaires, a physical examination, laboratory tests and segmental fat measurements. The exclusion criteria included a history of thyroid disease with thyroxine supplement or anti-thyroid therapy; abnormal thyroid function; a history of
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evaluated in hyperthyroidism, hypothyroidism, and euthyroidism). Discussion The data about changes of body composition, especially in regional analysis, during anti-thyroid therapy is still scarce. This study clearly demonstrates
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remission was defined as a lack of clinical symptoms of hyperthyroidism, accompanied by full normalization of TSH and free thyroid hormones without anti-thyroid therapy or with the use of a low maintenance dose of 2.5 mg of thiamazole per day. Studied