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Book: Endocrine disorders during pregnancy

Pessah-Pollack, Rachel

(Endocrinology and metabolism clinics of North America ; 40,4)

2011

Author's details	guest ed.: Rachel Pessah-Pollack
Series title	Endocrinology and metabolism clinics of North America ; 40,4
Collection
Language	English
Size	XVI S., S. 703 - 919 S. : Ill., graph. Darst.
Publisher	Saunders
Publishing place	Philapdelphia u.a.
Publishing country	United States
Document type	Book
HBZ-ID	HT017095654
ISBN	978-1-4557-7982-6 ; 1-4557-7982-2
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Management of adrenal tumors in pregnancy.

Eschler, Deirdre Cocks / Kogekar, Nina / Pessah-Pollack, Rachel

Endocrinology and metabolism clinics of North America

2015 Volume 44, Issue 2, Page(s) 381–397

Abstract: Adrenal diseases, including Cushing syndrome (CS), primary aldosteronism (PA), pheochromocytoma, and adrenocortical carcinoma, are uncommon in pregnancy; a high degree of clinical suspicion must exist. Physiologic changes to the hypothalamus-pituitary- ... ...

Abstract	Adrenal diseases, including Cushing syndrome (CS), primary aldosteronism (PA), pheochromocytoma, and adrenocortical carcinoma, are uncommon in pregnancy; a high degree of clinical suspicion must exist. Physiologic changes to the hypothalamus-pituitary-adrenal axis in a normal pregnancy result in increased cortisol, renin, and aldosterone levels, making the diagnosis of CS and PA in pregnancy challenging. However, catecholamines are not altered in pregnancy and allow a laboratory diagnosis of pheochromocytoma that is similar to that of the nonpregnant state. Although adrenal tumors in pregnancy result in significant maternal and fetal morbidity, and sometimes mortality, early diagnosis and appropriate treatment often improve outcomes.
MeSH term(s)	Adrenal Cortex Neoplasms/diagnosis ; Adrenal Cortex Neoplasms/therapy ; Adrenal Gland Neoplasms/diagnosis ; Adrenal Gland Neoplasms/therapy ; Adrenalectomy ; Adrenocortical Adenoma/diagnosis ; Adrenocortical Adenoma/therapy ; Adrenocortical Carcinoma/diagnosis ; Adrenocortical Carcinoma/therapy ; Antihypertensive Agents/therapeutic use ; Cushing Syndrome/diagnosis ; Cushing Syndrome/therapy ; Disease Management ; Female ; Humans ; Pheochromocytoma/diagnosis ; Pheochromocytoma/therapy ; Pregnancy ; Pregnancy Complications, Neoplastic/diagnosis ; Pregnancy Complications, Neoplastic/therapy
Chemical Substances	Antihypertensive Agents
Language	English
Publishing date	2015-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	92116-6
ISSN	1558-4410 ; 0889-8529
ISSN (online)	1558-4410
ISSN	0889-8529
DOI	10.1016/j.ecl.2015.02.006
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Article ; Online: Endocrine disorders during pregnancy. Preface.

Pessah-Pollack, Rachel / Jovanovič, Lois

Endocrinology and metabolism clinics of North America

2011 Volume 40, Issue 4, Page(s) xv–xvi

MeSH term(s)	Endocrine System Diseases/complications ; Endocrine System Diseases/diagnosis ; Endocrine System Diseases/therapy ; Female ; Humans ; Pregnancy ; Pregnancy Complications/diagnosis ; Pregnancy Complications/therapy
Language	English
Publishing date	2011-12
Publishing country	United States
Document type	Editorial
ZDB-ID	92116-6
ISSN	1558-4410 ; 0889-8529
ISSN (online)	1558-4410
ISSN	0889-8529
DOI	10.1016/j.ecl.2011.09.003
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Article ; Online: American Association of Clinical Endocrinology And Associazione Medici Endocrinologi Thyroid Nodule Algorithmic Tool.

Garber, Jeffrey R / Papini, Enrico / Frasoldati, Andrea / Lupo, Mark A / Harrell, R Mack / Parangi, Sareh / Patkar, Vivek / Baloch, Zubair W / Pessah-Pollack, Rachel / Hegedus, Laszlo / Crescenzi, Anna / Lubitz, Carrie C / Paschke, Ralf / Randolph, Gregory W / Guglielmi, Rinaldo / Lombardi, Celestino P / Gharib, Hossein

Endocrine, metabolic & immune disorders drug targets

2022 Volume 21, Issue 11, Page(s) 2104–2115

Abstract: Objective: The first edition of the American Association of Clinical Endocrinology/American College of Endocrinology/Associazione Medici Endocrinologi Guidelines for the Diagnosis and Management of Thyroid Nodules was published in 2006 and updated in ... ...

Abstract	Objective: The first edition of the American Association of Clinical Endocrinology/American College of Endocrinology/Associazione Medici Endocrinologi Guidelines for the Diagnosis and Management of Thyroid Nodules was published in 2006 and updated in 2010 and 2016. The American Association of Clinical Endocrinology/American College of Endocrinology/Associazione Medici Endocrinologi multidisciplinary thyroid nodules task force was charged with developing a novel interactive electronic algorithmic tool to evaluate thyroid nodules. Methods: The Thyroid Nodule App (termed TNAPP) was based on the updated 2016 clinical practice guideline recommendations while incorporating recent scientific evidence and avoiding unnecessary diagnostic procedures and surgical overtreatment. This manuscript describes the algorithmic tool development, its data requirements, and its basis for decision making. It provides links to the web-based algorithmic tool and a tutorial. Results: TNAPP and TI-RADS were cross-checked on 95 thyroid nodules with histology-proven diagnoses. Conclusion: TNAPP is a novel interactive web-based tool that uses clinical, imaging, cytologic, and molecular marker data to guide clinical decision making to evaluate and manage thyroid nodules. It may be used as a heuristic tool for evaluating and managing patients with thyroid nodules. It can be adapted to create registries for solo practices, large multispecialty delivery systems, regional and national databases, and research consortiums. Prospective studies are underway to validate TNAPP to determine how it compares with other ultrasound-based classification systems and whether it can improve the care of patients with clinically significant thyroid nodules while reducing the substantial burden incurred by those who do not benefit from further evaluation and treatment.
MeSH term(s)	Biopsy, Fine-Needle ; Endocrinology ; Humans ; Prospective Studies ; Retrospective Studies ; Thyroid Neoplasms/diagnosis ; Thyroid Nodule/diagnostic imaging ; Ultrasonography ; United States
Language	English
Publishing date	2022-01-14
Publishing country	United Arab Emirates
Document type	Journal Article
ZDB-ID	2228325-0
ISSN	2212-3873 ; 1871-5303
ISSN (online)	2212-3873
ISSN	1871-5303
DOI	10.2174/187153032111211230225617
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Article ; Online: Apparent insufficiency of iodine supplementation in pregnancy.

Pessah-Pollack, Rachel / Eschler, Deirdre Cocks / Pozharny, Zhenya / Davies, Terry

Journal of women's health (2002)

2014 Volume 23, Issue 1, Page(s) 51–56

Abstract: Background: Pregnant woman are at increased risk for iodine deficiency, which may induce thyroid insufficiency and have damaging effects not only on the mother but also the fetus. We hypothesize that iodine supplementation during pregnancy reduces the ... ...

Abstract	Background: Pregnant woman are at increased risk for iodine deficiency, which may induce thyroid insufficiency and have damaging effects not only on the mother but also the fetus. We hypothesize that iodine supplementation during pregnancy reduces the risk for iodine deficiency. Methods: Cross-sectional study to assess iodine levels in random urine specimens during pregnancy in New York City. One hundred eighty-two women visited a clinic where free iodine supplementation was offered (150 μg of potassium iodide daily; Group A), and 183 women were seen at a practice at which no supplementation was offered (Group B). Results: Overall, more than one out of two pregnant women in New York City were at risk for iodine deficiency with a spot urinary iodine (UI) level less than 150 μg/L and could be defined as at risk for iodine deficiency. The median urine iodine concentration for the entire group was 152.5 μg/L, but there was considerable variation from 10.9 to 1210 μg/L. The median UI level of the supplemented Group A (169.8 μg/L) was significantly greater than that of Group B (128.4 μg/L; p<0.01). Based on World Health Organization (WHO) guidelines, 38.9% of Group B women were at risk for mild, moderate, or severe iodine deficiency, compared with 22.8% of Group A women. Conclusions: New York City pregnant women were significantly less prone to iodine deficiency when provided with iodine supplementation. Nevertheless, when spot UI levels were used to estimate iodine sufficiency, more than 20% of supplemented women were still at risk for iodine deficiency according to WHO guidelines, suggesting that current supplementation practices remain insufficient.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Biomarkers/urine ; Cross-Sectional Studies ; Dietary Supplements ; Female ; Humans ; Iodine/administration & dosage ; Iodine/deficiency ; Iodine/urine ; New York City ; Parity ; Pregnancy ; Pregnancy Complications ; Risk Factors ; Treatment Outcome ; Young Adult
Chemical Substances	Biomarkers ; Iodine (9679TC07X4)
Language	English
Publishing date	2014-01
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2013.4298
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Article: American Association of Clinical Endocrinology And Associazione Medici Endocrinologi Thyroid Nodule Algorithmic Tool.

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2021 Volume 27, Issue 7, Page(s) 649–660

Abstract	Objective: The first edition of the American Association of Clinical Endocrinology/American College of Endocrinology/Associazione Medici Endocrinologi Guidelines for the Diagnosis and Management of Thyroid Nodules was published in 2006 and updated in 2010 and 2016. The American Association of Clinical Endocrinology/American College of Endocrinology/Associazione Medici Endocrinologi multidisciplinary thyroid nodules task force was charged with developing a novel interactive electronic algorithmic tool to evaluate thyroid nodules. Methods: The Thyroid Nodule App (termed TNAPP) was based on the updated 2016 clinical practice guideline recommendations while incorporating recent scientific evidence and avoiding unnecessary diagnostic procedures and surgical overtreatment. This manuscript describes the algorithmic tool development, its data requirements, and its basis for decision making. It provides links to the web-based algorithmic tool and a tutorial. Results: TNAPP and TI-RADS were cross-checked on 95 thyroid nodules with histology-proven diagnoses. Conclusion: TNAPP is a novel interactive web-based tool that uses clinical, imaging, cytologic, and molecular marker data to guide clinical decision making to evaluate and manage thyroid nodules. It may be used as a heuristic tool for evaluating and managing patients with thyroid nodules. It can be adapted to create registries for solo practices, large multispecialty delivery systems, regional and national databases, and research consortiums. Prospective studies are underway to validate TNAPP to determine how it compares with other ultrasound-based classification systems and whether it can improve the care of patients with clinically significant thyroid nodules while reducing the substantial burden incurred by those who do not benefit from further evaluation and treatment.
Language	English
Publishing date	2021-06-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.1016/j.eprac.2021.04.007
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Article: AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY CLINICAL PRACTICE GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF POSTMENOPAUSAL OSTEOPOROSIS-2020 UPDATE.

Camacho, Pauline M / Petak, Steven M / Binkley, Neil / Diab, Dima L / Eldeiry, Leslie S / Farooki, Azeez / Harris, Steven T / Hurley, Daniel L / Kelly, Jennifer / Lewiecki, E Michael / Pessah-Pollack, Rachel / McClung, Michael / Wimalawansa, Sunil J / Watts, Nelson B

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2020 Volume 26, Issue Suppl 1, Page(s) 1–46

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Absorptiometry, Photon ; Aged ; Bone Density ; Endocrinologists ; Female ; Humans ; Middle Aged ; Osteoporosis, Postmenopausal/diagnosis ; Osteoporosis, Postmenopausal/therapy ; United States
Language	English
Publishing date	2020-06-21
Publishing country	United States
Document type	Journal Article ; Practice Guideline
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.4158/GL-2020-0524SUPPL
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Article: AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY CLINICAL PRACTICE GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF POSTMENOPAUSAL OSTEOPOROSIS- 2020 UPDATE

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2020 Volume 26, Issue 5, Page(s) 564–570

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Aged ; Endocrinologists ; Evidence-Based Medicine ; Female ; Humans ; Middle Aged ; Osteoporosis, Postmenopausal/diagnosis ; Osteoporosis, Postmenopausal/therapy ; United States
Language	English
Publishing date	2020-06-21
Publishing country	United States
Document type	Journal Article ; Practice Guideline
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.4158/GL-2020-0524
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Article: AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY PROTOCOL FOR STANDARDIZED PRODUCTION OF CLINICAL PRACTICE GUIDELINES, ALGORITHMS, AND CHECKLISTS - 2017 UPDATE.

Mechanick, Jeffrey I / Pessah-Pollack, Rachel / Camacho, Pauline / Correa, Ricardo / Figaro, M Kathleen / Garber, Jeffrey R / Jasim, Sina / Pantalone, Kevin M / Trence, Dace / Upala, Sikarin

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2018 Volume 23, Issue 8, Page(s) 1006–1021

Abstract: Clinical practice guideline (CPG), clinical practice algorithm (CPA), and clinical checklist (CC, collectively CPGAC) development is a high priority of the American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology ( ... ...

Abstract	Clinical practice guideline (CPG), clinical practice algorithm (CPA), and clinical checklist (CC, collectively CPGAC) development is a high priority of the American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology (ACE). This 2017 update in CPG development consists of (1) a paradigm change wherein first, environmental scans identify important clinical issues and needs, second, CPA construction focuses on these clinical issues and needs, and third, CPG provide CPA node/edge-specific scientific substantiation and appended CC; (2) inclusion of new technical semantic and numerical descriptors for evidence types, subjective factors, and qualifiers; and (3) incorporation of patient-centered care components such as economics and transcultural adaptations, as well as implementation, validation, and evaluation strategies. This third point highlights the dominating factors of personal finances, governmental influences, and third-party payer dictates on CPGAC implementation, which ultimately impact CPGAC development. The AACE/ACE guidelines for the CPGAC program is a successful and ongoing iterative exercise to optimize endocrine care in a changing and challenging healthcare environment. Abbreviations: AACE = American Association of Clinical Endocrinologists ACC = American College of Cardiology ACE = American College of Endocrinology ASeRT = ACE Scientific Referencing Team BEL = best evidence level CC = clinical checklist CPA = clinical practice algorithm CPG = clinical practice guideline CPGAC = clinical practice guideline, algorithm, and checklist EBM = evidence-based medicine EHR = electronic health record EL = evidence level G4GAC = Guidelines for Guidelines, Algorithms, and Checklists GAC = guidelines, algorithms, and checklists HCP = healthcare professional(s) POEMS = patient-oriented evidence that matters PRCT = prospective randomized controlled trial.
MeSH term(s)	Humans ; Algorithms ; Checklist ; Endocrinology ; Reference Standards ; Societies, Medical ; United States
Language	English
Publishing date	2018-01-26
Publishing country	United States
Document type	Journal Article ; Practice Guideline
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.4158/EP171866.GL
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Article: American Association of Clinical Endocrinologists and American College of Endocrinology Protocol for Standardized Production of Clinical Practice Guidelines, Algorithms, and Checklists--2014 Update and the AACe G4G Program.

Mechanick, Jeffrey I / Camacho, Pauline M / Garber, Alan J / Garber, Jeffrey R / Pessah-Pollack, Rachel / Petak, Steven M / Tangpricha, Vin / Trence, Dace L

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

2014 Volume 20, Issue 7, Page(s) 692–702

Abstract: In 2010, the American Association of Clinical Endocrinologists (AACE) published an update to the original 2004 guidelines. This update hybridized strict evidence-based medicine methods with subjective factors and improved the efficiency of clinical ... ...

Abstract	In 2010, the American Association of Clinical Endocrinologists (AACE) published an update to the original 2004 guidelines. This update hybridized strict evidence-based medicine methods with subjective factors and improved the efficiency of clinical practice guidelines (CPG) production, clinical applicability, and usefulness. Current and persistent shortcomings involving suboptimal implementation and protracted development timelines are addressed in the current 2014 update. The major advances include 1) formulation of an organizational educational strategy, represented by the AACE Council on Education, to address relevant teaching and decision-making tools for clinical endocrinologists, and to generate specific clinical questions to drive CPG, clinical algorithm (CA), and clinical checklist (CC) development; 2) creation and prioritization of printed and online CAs and CCs with a supporting evidence base; 3) focus on clinically relevant and question-oriented topics; 4) utilization of "cascades," where there can be more than 1 recommendation for 1 clinical question; and 5) incorporation of performance metrics to validate, optimize, and effectively update CPG, CAs, and CCs. Efforts continue to translate these clinical tools to electronic formats that can be integrated into a paperless healthcare delivery system, as well as applying them to diverse clinical settings by incorporating transcultural factors.
MeSH term(s)	Algorithms ; Checklist ; Endocrinology ; Humans ; Time Factors
Language	English
Publishing date	2014-02-14
Publishing country	United States
Document type	Journal Article ; Practice Guideline
ZDB-ID	1473503-9
ISSN	1530-891X
ISSN	1530-891X
DOI	10.4158/EP14166.PS
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