0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

The Value of Color Flow Doppler Ultrasonography of the Superior Thyroid Artery in the Surgical Management of Graves Disease—Invited Critique

Scott M. Wilhelm, MD; Richard A. Prinz, MD
Arch Surg. 2003;138(2):151. doi:10.1001/archsurg.138.2.151.
Text Size: A A A
Published online

Extract

Surgery for Graves disease, which was once widely practiced in North America, has become rather uncommon. Because even women of child-bearing age and children are often treated with radioiodine, the current indications for thyroidectomy in Graves disease are limited to the following: patients who have failed antithyroid drug or radioiodine treatment, those who require a rapid and definitive reversal of hyperthyroidism (eg, during pregnancy), or those who have an aversion to irradiation. Finally, thyroidectomy should be used in patients who have Graves disease with a concomitant thyroid nodule that should be removed to rule out a potential malignancy. The shift to radioiodine therapy has occurred because it is less expensive, less invasive, and relatively safe: avoiding the main surgical complications of hyperparathyroidism and recurrent laryngeal nerve injury. Clearly, Huang et al have experience in treating Graves disease that is unmatched by any endocrine surgeon in North America. The ability of Huang and coworkers to amass 52 patients in a 7-month period indicates a major philosophical difference in the management of Graves disease in Asia.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 2

The Rational Clinical Examination
Location of Paracentesis and Ultrasound Guidance

brightcove.createExperiences();