Thyroid disease: assessment and management : guidance (NG145)

National Institute for Health and Care Excellence - NICE
Publication date:
20 November 2019


This guideline covers investigating all suspected thyroid disease and managing primary thyroid disease (related to the thyroid rather than the pituitary gland). It does not cover managing thyroid cancer or thyroid disease in pregnancy. It aims to improve quality of life by making recommendations on diagnosis, treatment, long-term care and support.

NICE is also developing a guideline on thyroid cancer.


This guideline includes recommendations on:

View visual summary

See a visual summary on the recommendations for managing and monitoring hyperthyroidism in adults

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • People with thyroid disease, their families and carers

Guideline development process

How we develop NICE guidelines