Thyroid disease

2026 ETA guideline on interference in immunoassay measurements used in assessment of thyroid function

Eur Thyroid JPublished Clinical practice guideline

Recommendations

As issued by the authors

  1. In discordant thyroid function, exclude assay interference before diagnosing rare inherited (resistance to thyroid hormone) or tumoural conditions (TSHoma)

  2. Liaison between clinician and clinical biochemistry teams is essential when investigating assay interference; further testing depends on clinical picture, initial biochemistry and local expertise

  3. In a subset of cases, access to a regional centre for clinical assessment with specialised laboratory testing (biochemical, +/- genetic) may be required

  4. When interference is identified, clear communication with the patient (ideally with reliable, accessible patient literature) and documentation to their physician are necessary

  5. Professionals must stay updated on advances in testing and be alert for evolving assay interferences

Original publication

2026 ETA guideline on interference in immunoassay measurements used in assessment of thyroid function. Eur Thyroid J. Published 17 July 2026. doi:10.1530/etj-26-0011

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