title: Detecting congenital hypothyroidism with newborn screening: the relevance of thyroid-stimulating hormone cutoff values.
abstract: OBJECTIVE
  To assess the prevalence of congenital hypothyroidism and the ability of various neonatal thyroid-stimulating hormone (TSHneo) cutoff values to detect this disease.
  
  
  METHODS
  This cohort study was based on the retrospective collection of information available from the Reference Service for Newborn Screening database for all live births from January 1, 2010, to December 31, 2012, assessed using the Newborn Screening Program of a Brazilian state, Brazil. The infants were divided into two groups: I - Control: infants with normal newborn screening tests and II - Study: infants with congenital hypothyroidism. Analysis included comparing the TSHneo levels from both groups. A receiver operating characteristic (ROC) curve was constructed to assess the TSHneo cutoff values.
  
  
  RESULTS
  Using a TSHneo cutoff value of 5.0μIU/mL, 50 out of 111,705 screened infants had diagnosis of congenital hypothyroidism (prevalence 1:2234 live births). The ROC curve showed that TSHneo value of 5.03μIU/mL had 100% sensitivity and the greatest associated specificity (93.7%). The area under the curve was 0.9898 (p<0.0001).
  
  
  CONCLUSIONS
  The ROC curve confirmed that the TSHneo cutoff value of 5.0μIU/mL adopted by the Newborn Screening Program of a Brazilian state was the most appropriate for detecting congenital hypothyroidism and most likely explains the high prevalence that was found.
authors.affiliation: Universidade Federal de Mato Grosso (UFMT), Faculdade de Medicina, Departamento de Pediatria, Cuiabá, MT, Brazil. Electronic address: silvestrin.stelamaris@gmail.com.
authors.forename: Stela Maris
authors.initials: SM
authors.lastname: Silvestrin
authors.affiliation: Universidade de São Paulo (USP), Faculdade de Saúde Pública, Departamento de Saúde Materno-Infantil, São Paulo, SP, Brazil.
authors.forename: Claudio
authors.initials: C
authors.lastname: Leone
authors.affiliation: Universidade de São Paulo (USP), Faculdade de Medicina, Departamento de Pediatria, São Paulo, SP, Brazil.
authors.forename: Cléa Rodrigues
authors.initials: CR
authors.lastname: Leone
mesh_terms: D001938:Brazil; D003409:Congenital Hypothyroidism / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening; D011237:Predictive Value of Tests; D012372:ROC Curve; D012016:Reference Values; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D013972:Thyrotropin / Q000097:blood*
chemical_list: D013972:Thyrotropin
keywords: Congenital hypothyroidism; Hipotireoidismo congênito; Neonatal screening; Newborn screening; Thyrotropin; Tirotropina; Triagem de recém-nascidos; Triagem neonatal