Ensuring Effective Prevention of Iodine Deficiency Disorders
Language English Country United States Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
26700864
DOI
10.1089/thy.2015.0543
Knihovny.cz E-resources
- MeSH
- Diet MeSH
- Outcome Assessment, Health Care MeSH
- Hypothyroidism epidemiology prevention & control MeSH
- Iodine adverse effects deficiency therapeutic use MeSH
- Humans MeSH
- International Cooperation MeSH
- Health Care Costs MeSH
- Thyroid Diseases epidemiology prevention & control MeSH
- Preventive Medicine economics methods MeSH
- Research Design MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
- Names of Substances
- Iodine MeSH
BACKGROUND: Programs initiated to prevent iodine deficiency disorders (IDD) may not remain effective due to changes in government policies, commercial factors, and human behavior that may affect the efficacy of IDD prevention programs in unpredictable directions. Monitoring and outcome studies are needed to optimize the effectiveness of IDD prevention. SUMMARY: Although the need for monitoring is compelling, the current reality in Europe is less than optimal. Regular and systematic monitoring surveys have only been established in a few countries, and comparability across the studies is hampered by the lack of centralized standardization procedures. In addition, data on outcomes and the cost of achieving them are needed in order to provide evidence of the beneficial effects of IDD prevention in countries with mild iodine deficiency. CONCLUSION: Monitoring studies can be optimized by including centralized standardization procedures that improve the comparison between studies. No study of iodine consumption can replace the direct measurement of health outcomes and the evaluation of the costs and benefits of the program. It is particularly important that health economic evaluation should be conducted in mildly iodine-deficient areas and that it should include populations from regions with different environmental, ethnic, and cultural backgrounds.
Centre for Regional Policy Research and Cooperation Studiorum Skopje Macedonia
Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
Department of Endocrinology and Nutrition Hospital de Sant Joan Despi Moisès Broggi Barcelona Spain
Department of Endocrinology Centre Hospitalier Universitaire de Larrey Toulouse France
Department of Endocrinology Hospital das Forças Armadas Lisbon Portugal
Department of Endocrinology Institute University of Patras Medical School Patras Greece
Department of Endocrinology Jagiellonian University Medical College Krakow Poland
Department of Endocrinology Slovakian Medical University Bratislava Slovakia
Department of Internal Medicine University of Latvia Riga Latvia
Department of Nuclear Medicine University Medical Centre Ljubljana Slovenia
Disease Risk Unit National Institute for Health and Welfare Helsinki Finland
Division of Endocrinology University of Debrecen Debrecen Hungary
Faculty of Medicine Sofia University Sv Kliment Ohridski Sofia Bulgaria
Human Studies National Institute of Nutrition and Seafood Research Bergen Norway
Institute for Community Medicine University Medicine Greifswald Greifswald Germany
Institute of Endocrinology Prague Czech Republic
Institute of Molecular Medicine Cardiff University Cardiff United Kingdom
Nuclear Medicine Department Erasme Hospital Université Libre de Bruxelles Brussels Belgium
References provided by Crossref.org
Iodine Intake and Iodine Status in the Czech Republic - Past, Present, Future