Evidence map›Paper›PMID 25789517›Full record

Trial reportClinics (Sao Paulo, Brazil)2015

Comparison of pre- and post-levothyroxine high-sensitivity c-reactive protein and fetuin-a levels in subclinical hypothyroidism.

Oktay Bilgir, Ferda Bilgir, Mehmet Calan, Ozlem Gursoy Calan, Arif Yuksel

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 53 citations in OpenAlex.

  1. Integrating Fetuin-A and Lipid-Based Phenotyping as Markers of Cardiometabolic Risk in Subclinical Hypothyroidism.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
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  16. C-reactive protein levels in the early stage of COVID-19.Medecine et maladies infectieuses · 2020
    Article
  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Oktay BilgirDepartment of Internal Medicine, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.
Ferda BilgirDepartment of Allergy and Immunology, Katip Celebi University Medical School, Izmir, Turkey.
Mehmet CalanDepartment of Internal Medicine, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.
Ozlem Gursoy CalanDepartment of Biochemistry, Dokuz Eylul University Medical School, Izmir, Turkey.
Arif YukselDepartment of Internal Medicine, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.
Izmir Bozyaka Eğitim ve Araştırma Hastanesi · TRDokuz Eylül University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this trial was to determine the levels of inflammatory markers, high-sensitivity C-reactive protein and fetuin-A pre- and post-levothyroxine treatment in cases of subclinical hypothyroidism. MATERIALS AND

methodsA total of 32 patients with a diagnosis of subclinical hypothyroidism and a control group of 30 healthy individuals were tested for high-sensitivity C-reactive protein and fetuin-A, followed by the administration of 50 µg of levothyroxine in the patient group for 3 months. During the post-treatment stage, high-sensitivity C-reactive protein and fetuin-A levels in the patient group were re-assessed and compared with pre-treatment values.

resultsPre-treatment levels of both high-sensitivity C-reactive protein and fetuin-A were observed to be higher in the patient group than in the control group. The decrease in high-sensitivity C-reactive protein levels during the post-treatment stage was not statistically significant. However, the decrease observed in post-treatment fetuin-A levels was found to be statistically significant.

conclusionThe decrease in fetuin-A levels in subclinical hypothyroidism cases indicates that levothyroxine treatment exerts anti-inflammatory and anti-apoptotic effects. Although the decrease in high-sensitivity C-reactive protein levels was statistically non-significant, it is predicted to reach significance with sustained treatment.

Indexed as

Adultalpha-2-HS-GlycoproteinBiomarkersCase-Control StudiesC-Reactive ProteinFollow-Up StudiesHumansHypothyroidismLuminescent MeasurementsMiddle AgedThyrotropinThyroxinealpha-2-HS-GlycoproteinBiomarkersC-Reactive ProteinThyrotropinThyroxine

Identifiers

PMID25789517
PMCPMC4351305
OpenAlexW2004676096

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.