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首页> 外文期刊>European thyroid journal >How Do We Improve the Impact of Iodine Deficiency Disorders Prevention in Europe and Beyond?
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How Do We Improve the Impact of Iodine Deficiency Disorders Prevention in Europe and Beyond?

机译：我们如何改善碘缺乏症状和超越碘缺乏症的影响？

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Background: Iodine deficiency disorders (IDD) represent a global health threat to individuals and societies. IDD prevention programmes have been introduced in many parts of the world. However, challenges remain, particularly in Europe due to fragmentation and diversity of approaches that are not harmonized. Objectives: This review is dedicated to the public-health impact of IDD prevention programmes. It sums up experiences collected by the EUthyroid consortium so far and provides information on stakeholders that should be involved in actions directed to improve the impact of IDD prevention. Methods: A joint European database for combining registry-based outcome and monitoring data as well as tools for harmonizing study methods were established. Methods for analyzing thyroglobulin from a dried blood spot are available for assessing the iodine status in the general population and at-risk groups. Mother-child cohorts are used for in-depth analysis of the potential impact of mild-to-moderate iodine deficiency on the neurocognitive development of the offspring. A decision-analytic model has been developed to evaluate the long-term effectiveness and cost effectiveness of IDD prevention programmes. Results: EUthyroid has produced tools and infrastructure to improve the quality of IDD monitoring and follows a dissemination strategy targeting policymakers and the general public. There are tight connections to major stakeholders in the field of IDD monitoring and prevention. Conclusions: EUthyroid has taken steps towards achieving a euthyroid Europe. Our challenge is to inspire a greater sense of urgency in both policymakers and the wider public to address this remediable deficit caused by IDD.
机译：背景：碘缺乏症（IDD）代表对个人和社会的全球健康威胁。 IDD预防计划已在世界许多地方引入。然而，由于不统一的方法的碎片和多样性，仍然存在挑战，特别是在欧洲。目标：本综述致力于IDD预防计划的公共卫生影响。迄今为止，它总结了Euthyroid联盟收集的经验，并提供了有关应参与针对改善IDD预防影响的行动的利益相关者的信息。方法：建立了欧洲联合欧洲数据库，用于结合基于登记的结果和监测数据以及用于协调研究方法的工具。用于分析干燥血液斑的甲状腺素蛋白的方法可用于评估一般人群和风险群体中的碘状态。母婴队列用于深入分析温和至中等碘缺乏对后代神经认知发展的潜在影响。已经制定了决策分析模型来评估IDD预防计划的长期有效性和成本效益。结果：Euthyroid生产了工具和基础设施，以提高IDD监测的质量，并遵循针对政策制定者和公众的传播战略。 IDD监测和预防领域的主要利益相关者有紧张的联系。结论：Euthyroid采取了措施实现了欧洲欧洲欧洲欧洲的步骤。我们的挑战是激励在政策制定者和更广泛的公众方面更加紧迫感，以解决因国防军而造成的这种可补偿赤字。

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