A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America

Objective: Management of Graves' orbitopathy (GO) continues to be a challenge to clinical endocrinologists. In the last few years, surveys on GO management have succeeded in elucidating trends in Europe and Latin America. To determine how endocrinologists in China assess and treat patients with...

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Autores principales:	Shu-Hang Xu, Xing-Jia Li, Guo-Fang Chen, Quan-Xi Zheng, Yu Yang, Yong-Xin Hu, Kun Wang, Chao Liu
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2015
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fad291c7a5e94838b8fa034e8d90b8f9
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spelling	oai:doaj.org-article:fad291c7a5e94838b8fa034e8d90b8f92021-12-02T14:14:28ZA questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America2095-882X10.1016/j.cdtm.2015.06.001https://doaj.org/article/fad291c7a5e94838b8fa034e8d90b8f92015-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X15000328https://doaj.org/toc/2095-882XObjective: Management of Graves' orbitopathy (GO) continues to be a challenge to clinical endocrinologists. In the last few years, surveys on GO management have succeeded in elucidating trends in Europe and Latin America. To determine how endocrinologists in China assess and treat patients with GO and gain insight into how to make the management of this disease more uniform and standardized. Methods: Based on the questionnaire used in the European survey on GO, a questionnaire in China was drafted and circulated to the members of Chinese Society of Endocrinology (CSE) during the annual meeting. Results: A total of 124 valid responses were analysed. Almost all respondents (94.4%) claimed that a multidisciplinary approach for GO management was valuable. Over 80% of the participants advocated the assessment of exophthalmometry, vision, visual fields by perimetry, eye movements, and fundoscopy. Glucocorticoids were preferred as the first-line therapy by 92.7% of respondents, among them, 59.7% choose the intravenous route. The treatment strategy for GO with intravenous glucocorticoids therapy still remains debatable. Anti-thyroid drugs (ATDs) were the most common choice (72.6%) for first-line therapy of coexisting hyperthyroidism. Treatment options for GO were very similar among Chinese, Latin-American and European respondents, whereas radioactive iodine and surgical treatment were more often indicated for co-existing hyperthyroidism in China. Conclusion: The appropriate treatment for patients with GO is controversial even among thyroid specialists. Further training of thyroid specialists, easier access of patients to multidisciplinary centres and establishment of practice guidelines are required for the management of this condition in China. Keywords: Graves' orbitopathy, Thyrotoxicosis, Questionnaire surveyShu-Hang XuXing-Jia LiGuo-Fang ChenQuan-Xi ZhengYu YangYong-Xin HuKun WangChao LiuKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 1, Iss 2, Pp 117-123 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Shu-Hang Xu Xing-Jia Li Guo-Fang Chen Quan-Xi Zheng Yu Yang Yong-Xin Hu Kun Wang Chao Liu A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
description	Objective: Management of Graves' orbitopathy (GO) continues to be a challenge to clinical endocrinologists. In the last few years, surveys on GO management have succeeded in elucidating trends in Europe and Latin America. To determine how endocrinologists in China assess and treat patients with GO and gain insight into how to make the management of this disease more uniform and standardized. Methods: Based on the questionnaire used in the European survey on GO, a questionnaire in China was drafted and circulated to the members of Chinese Society of Endocrinology (CSE) during the annual meeting. Results: A total of 124 valid responses were analysed. Almost all respondents (94.4%) claimed that a multidisciplinary approach for GO management was valuable. Over 80% of the participants advocated the assessment of exophthalmometry, vision, visual fields by perimetry, eye movements, and fundoscopy. Glucocorticoids were preferred as the first-line therapy by 92.7% of respondents, among them, 59.7% choose the intravenous route. The treatment strategy for GO with intravenous glucocorticoids therapy still remains debatable. Anti-thyroid drugs (ATDs) were the most common choice (72.6%) for first-line therapy of coexisting hyperthyroidism. Treatment options for GO were very similar among Chinese, Latin-American and European respondents, whereas radioactive iodine and surgical treatment were more often indicated for co-existing hyperthyroidism in China. Conclusion: The appropriate treatment for patients with GO is controversial even among thyroid specialists. Further training of thyroid specialists, easier access of patients to multidisciplinary centres and establishment of practice guidelines are required for the management of this condition in China. Keywords: Graves' orbitopathy, Thyrotoxicosis, Questionnaire survey
format	article
author	Shu-Hang Xu Xing-Jia Li Guo-Fang Chen Quan-Xi Zheng Yu Yang Yong-Xin Hu Kun Wang Chao Liu
author_facet	Shu-Hang Xu Xing-Jia Li Guo-Fang Chen Quan-Xi Zheng Yu Yang Yong-Xin Hu Kun Wang Chao Liu
author_sort	Shu-Hang Xu
title	A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
title_short	A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
title_full	A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
title_fullStr	A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
title_full_unstemmed	A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America
title_sort	questionnaire survey on the management of graves' orbitopathy in china: a comparison with europe and latin-america
publisher	KeAi Communications Co., Ltd.
publishDate	2015
url	https://doaj.org/article/fad291c7a5e94838b8fa034e8d90b8f9
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A questionnaire survey on the management of Graves' orbitopathy in China: A comparison with Europe and Latin-America

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