Evidence map›Paper›PMID 27257805›Full record

ArticlePloS one2016

Disease-Specific as Well as Generic Quality of Life Is Widely Impacted in Autoimmune Hypothyroidism and Improves during the First Six Months of Levothyroxine Therapy.

Kristian Hillert Winther, Per Cramon, Torquil Watt, Jakob Bue Bjorner, Ola Ekholm, Ulla Feldt-Rasmussen, Mogens Groenvold, Åse Krogh Rasmussen, Laszlo Hegedüs, Steen Joop Bonnema

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03880578 (Influence of Radioiodine Treatment on Thyroid Function and Quality of Life of Patients), which is not on this map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
12.9field-weighted citation impact, top 1% 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.

NCT03880578 completednot on this mapstarted 2019, after this paper: background citation

Influence of Radioiodine Treatment on Thyroid Function and Quality of Life of Patients

TypeobservationalSponsorKlinikum LüdenscheidRan2019 to 2022Enrolled101ConditionsThyroid, Deficiency, Quality of LifeArmsLevothyroxine Sodium
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 149 citations in OpenAlex.

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  19. Are We Restoring Thyroid Hormone Signaling in Levothyroxine-Treated Patients With Residual Symptoms of Hypothyroidism?Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023
    Review
  20. Article

15 more citing papers are in PubMed but not listed here.

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

10 authors at 6 institutions in 2 countries.

Kristian Hillert WintherDepartment of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.
Per CramonDepartment of Medical Endocrinology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Torquil WattDepartment of Medical Endocrinology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Jakob Bue BjornerDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Ola EkholmNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Ulla Feldt-RasmussenDepartment of Medical Endocrinology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Mogens GroenvoldDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Åse Krogh RasmussenDepartment of Medical Endocrinology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Laszlo HegedüsDepartment of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.
Steen Joop BonnemaDepartment of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.
Rigshospitalet · DKUniversity of Southern Denmark · DKBispebjerg Hospital · DKGentofte Hospital · DKOdense University Hospital · DKOptum (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypothyroidism is often diagnosed, and subsequently treated, due to health-related quality of life (HRQL) issues. However, HRQL following treatment has never previously been assessed in longitudinal descriptive studies using validated instruments.

objectiveTo investigate disease-specific (ThyPRO) and generic (SF-36) HRQL, following levothyroxine therapy in patients with hypothyroidism due to autoimmune thyroiditis.

methodsThis prospective cohort study was set at endocrine outpatient clinics at two Danish university hospitals. Seventy-eight consecutive patients were enrolled and completed HRQL questionnaires before, six weeks, and six months after initiation of levothyroxine therapy. Normative ThyPRO (n = 739) and SF-36 (n = 6,638) data were available for comparison and changes in HRQL following treatment were estimated and quantified.

resultsPrior to treatment, all ThyPRO scales were significantly impacted (p<0.0001), compared to the general population sample. The same was observed for seven of eight SF-36 scales, the exception being Bodily Pain. Tiredness (ThyPRO) and Vitality (SF-36) were the most markedly impacted scales. After six weeks of treatment, nine of thirteen ThyPRO scales had significantly improved. ThyPRO improvements were consistent at six months, where five of eight SF-36 scales had also significantly improved, but deficits persisted for a subset of both ThyPRO and SF-36 scales.

conclusionsIn this population of hypothyroid patients, HRQL was widely affected before treatment, with tiredness as the cardinal impairment according to both ThyPRO and SF-36. Many aspects of HRQL improved during the first six months of LT4 therapy, but full recovery was not obtained. Our results may help clinicians inform patients about expected clinical treatment effects.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHashimoto DiseaseHormonesHumansMaleMiddle AgedProspective StudiesPsychometricsQuality of LifeSurveys and QuestionnairesThyroiditis, AutoimmuneThyroxineHormonesThyroxine

Identifiers

PMID27257805
PMCPMC4892657
OpenAlexW2410385350

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.