Best practices in the laboratory diagnosis, prognostication, prediction, and monitoring of Graves’ disease: role of TRAbs
2024

Best Practices for Diagnosing and Managing Graves' Disease

publication 10 minutes Evidence: high

Author Information

Author(s): Kalra Sanjay, Selim Shahjada, Shrestha Dina, Somasundaram Noel, Raza Syed Abbas, Baruah Manash P., Bhattacharya Saptarshi, Gadve Sharvil, Bantwal Ganapathi, Sahay Rakesh

Hypothesis

The inclusion of TSH Receptor Antibodies (TRAbs) in the diagnostic algorithm for Graves' disease can improve management outcomes.

Conclusion

TRAbs play a crucial role in the diagnosis, management, and monitoring of Graves' disease, particularly in South Asia.

Supporting Evidence

  • TRAbs measurement improves the time to diagnosis by 46%.
  • TRAbs can help predict treatment response and prognosis in Graves' disease.
  • High TRAbs levels are associated with a greater risk of disease relapse.

Takeaway

Graves' disease is a condition that affects the thyroid, and measuring specific antibodies can help doctors make better decisions about treatment.

Methodology

A panel of experienced endocrinologists reviewed literature and developed recommendations based on evidence.

Potential Biases

Potential bias due to reliance on expert opinion rather than extensive clinical trials.

Limitations

The recommendations are based on expert opinion and need validation from larger cohorts; TRAbs availability is limited in South Asia.

Participant Demographics

Endocrinologists with a minimum of 10 years of experience in thyroid disorders.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 1.02–1.08

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12902-024-01809-9

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