Graves’ Disease

Discharge Criteria

1. TSH and free hormones consistently in reference range
2. Graves’ in remission for at least 1 year or completed definitive treatment
3. Iatrogenic hypothyroidism post definitive treatment (RAI or surgery) is stable on thyroid supplementation
4. Not planning pregnancy in the near future 
5. No concerning thyroid nodules that need ongoing follow up
6. Graves’ Orbitopathy (if present) is inactive and stable or followed by ophthalmology

Resources:

• Letter to primary care provider
• Letter to patient

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

Reference: 

1. Burch, R et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and other causes of Thyrotoxicosis. Thyroid. Oct 2016, 26(10): 1343-1421.