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Approach to the Patient With Thyrotoxicosis Using Telemedicine
Michelle L Griffith1, Lindsay A Bischoff1, Howard B A Baum1
1Division of Diabetes, Endocrinology, and Metabolism, Vanderbilt University Medical Center, Nashville, Tennessee.
The Journal of Clinical Endocrinology and Metabolism
|June 12, 2020
Summary
Telemedicine offers a viable approach for evaluating and managing thyrotoxicosis, especially for patients with limited access to in-person endocrinology care. Further studies are needed to establish telemedicine care standards for endocrine disorders.
Area of Science:
- Endocrinology
- Telemedicine
- Thyroid Disorders
Background:
- Telemedicine has demonstrated success in improving glycemic control since the early 2000s.
- The COVID-19 pandemic accelerated telemedicine adoption beyond diabetes care into areas with limited data.
- Thyrotoxicosis evaluation traditionally relies on lab tests, imaging, and physical examination.
Observation:
- This case describes a patient evaluated for new thyrotoxicosis using telemedicine.
- Modifications for a safe and thorough telemedicine evaluation of thyrotoxicosis are discussed.
Findings:
- Telemedicine is suitable for thyrotoxicosis management when patients have laboratory access but cannot attend in-person visits.
- Challenges include ensuring access to necessary imaging and specialized surgical care.
- Clinical and economic outcomes of telemedicine for thyrotoxicosis require further investigation.
Implications:
- Telemedicine can expand access to endocrine care for patients with thyrotoxicosis.
- Standardizing telemedicine protocols is crucial for endocrine care.
- Research into the outcomes of telemedicine for thyrotoxicosis is essential for establishing best practices.
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