O rastreamento de indivíduos assintomáticos para a detecção de hipertireoidismo e doença de Graves não é recomendado.[74]U.S. Preventive Services Task Force. Final recommendation statement: thyroid dysfunction - screening. Mar 2015 [internet publication].
http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/thyroid-dysfunction-screening
[75]Birtwhistle R, Morissette K, Dickinson JA, et al. Recommendation on screening adults for asymptomatic thyroid dysfunction in primary care. CMAJ. 2019 Nov 18;191(46):E1274-80.
https://www.cmaj.ca/content/191/46/E1274
http://www.ncbi.nlm.nih.gov/pubmed/31740537?tool=bestpractice.com
Entretanto, durante exames de rotina para outras indicações, vários indivíduos assintomáticos podem ser diagnosticados com hipertireoidismo subclínico devido à doença de Graves.
Rastreamento para disfunção tireoidiana materna na gestação
As diretrizes dos EUA recomendam exames direcionados do hormônio estimulante da tireoide (TSH) para as mulheres com aumento do risco de doença tireoidiana (por exemplo, história pessoal ou familiar de doença tireoidiana, diabetes do tipo 1, suspeita clínica de doença da tireoide) que estiverem grávidas ou planejando engravidar.[76]Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.
https://www.liebertpub.com/doi/10.1089/thy.2016.0457
http://www.ncbi.nlm.nih.gov/pubmed/28056690?tool=bestpractice.com
[77]American College of Obstetricians and Gynecologists. Thyroid disease in pregnancy: ACOG practice bulletin, number 223. Obstet Gynecol. 2020 Jun;135(6):e261-74.
http://www.ncbi.nlm.nih.gov/pubmed/32443080?tool=bestpractice.com
O rastreamento universal para doenças tireoidianas durante a gravidez não é recomendado.[76]Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.
https://www.liebertpub.com/doi/10.1089/thy.2016.0457
http://www.ncbi.nlm.nih.gov/pubmed/28056690?tool=bestpractice.com
[77]American College of Obstetricians and Gynecologists. Thyroid disease in pregnancy: ACOG practice bulletin, number 223. Obstet Gynecol. 2020 Jun;135(6):e261-74.
http://www.ncbi.nlm.nih.gov/pubmed/32443080?tool=bestpractice.com