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[对临床指南《碘缺乏病与疾病》的评论]

[Comments to clinical guidelines "Iodine deficiency disorders and diseases"].

作者信息

Gerasimov G A

机构信息

Iodine Global Network (IGN).

出版信息

Probl Endokrinol (Mosk). 2021 Sep 26;67(5):104-109. doi: 10.14341/probl12823.

Abstract

The Letter to Editor presents an analysis of some sections of the clinical guidelines «Diseases and conditions associated with iodine deficiency» published in No. 3 of the journal «Problems of Endocrinology» for 2021. In particular, the discussion deals with the coding of thyroid diseases according to ICD-10, depending on the iodine status of the population of constituent entities of the Russian Federation, as well as issues of diagnosis and treatment, such as «verification» of goiter detected by palpation, or treatment of the vast majority of children, adolescents and adults with potassium iodide. The obstacles to the epidemiological assessment of the iodine status of the population when examining schoolchildren are discussed separately, in connection with the introduction in 2020 of the new regulation, which requires the mandatory use of iodized salt for cooking in school canteens throughout the country.

摘要

致编辑的信对《内分泌问题》杂志2021年第3期发表的临床指南《与碘缺乏相关的疾病和状况》的部分内容进行了分析。特别是,讨论了根据国际疾病分类第十版(ICD - 10)对甲状腺疾病进行编码的问题,这取决于俄罗斯联邦各组成实体的人口碘状况,以及诊断和治疗问题,例如触诊发现的甲状腺肿的“核实”,或对绝大多数儿童、青少年和成年人使用碘化钾进行治疗。还单独讨论了在检查学童时对人群碘状况进行流行病学评估的障碍,这与2020年新规定的出台有关,该规定要求在全国所有学校食堂烹饪时必须使用加碘盐。

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