Evidence map›Paper›PMID 27676320›Full record

ArticleHeadache2017

Headache Disorders May Be a Risk Factor for the Development of New Onset Hypothyroidism.

Andrew T Martin, Susan M Pinney, Changchun Xie, Robert L Herrick, Yun Bai, Jeanette Buckholz, Vincent T Martin

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Headache, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02295085 (Fernald Community Cohort - 18 Year Observational Study with Bio Banked Blood and Urine Samples), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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.

NCT02295085 unknown statusnot on this map

Fernald Community Cohort - 18 Year Observational Study with Bio Banked Blood and Urine Samples

TypeobservationalSponsorUniversity of CincinnatiRan1990 to 2025Enrolled9,782ConditionsCancer, Renal Failure, Diabetes, Cardiovascular Disease
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. High rates of (treated) hypothyroidism among chronic migraine patients consulting a specialized headache clinic: are we missing something?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  10. Review
  11. Pathophysiological Bases of Comorbidity in Migraine.Frontiers in human neuroscience · 2021
    Review
  12. Review
  13. Article
  14. Is Migraine Primarily a Metaboloendocrine Disorder?Current pain and headache reports · 2018
    Review
  15. Review
  16. Article
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

7 authors at 1 institution in 1 country.

Andrew T MartinDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID http://orcid.org/0000-0002-1219-0695
Susan M PinneyDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Changchun XieDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Robert L HerrickDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Yun BaiDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Jeanette BuckholzDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Vincent T MartinDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
University of Cincinnati Medical Center · US

Funding

REPRODUCTIVE AND DEVELOPMENTAL TOXICOLOGY RESEARCHP30ES006096 · NIEHS · UNIVERSITY OF CINCINNATI · PI YADAV, JAGJIT S · 1992 to 2022
$35.4M
Molecular Epidemiology in Children's Environmental Health Training Program (MECEH)T32ES010957 · NIEHS · UNIVERSITY OF CINCINNATI · PI Kelly J Brunst · 2001 to 2026
$11.1M
NIEHS NIH HHS P30 ES006096NIEHS NIH HHS T32 ES010957
6 · The paper itself

Abstract

objectiveTo determine whether headache disorders are a risk factor for the development of new onset hypothyroidism.

backgroundPast studies have reported associations between headache disorders and hypothyroidism, but the directionality of the association is unknown.

methodsThis was a longitudinal retrospective cohort study using data from the Fernald Medical Monitoring Program (FMMP). Residents received physical examinations and thyroid function testing every 3 years during the 20 year program. Residents were excluded from the cohort if there was evidence of past thyroid disease or abnormal thyroid function tests at the first office visit. A diagnosis of a headache disorder was established by self-report of "frequent headaches," use of any headache-specific medication, or a physician diagnosis of a headache disorder. The primary outcome measure was new onset hypothyroidism defined as the initiation of thyroid replacement therapy or TSH ≥ 10 without thyroid medication. A Cox survival analysis with time dependent variables were used for the model. Headache disorders, age, sex, body mass index, income, smoking, narcotic use, and hypothyroidism-producing medications were independent variables in the model.

resultsData from 8412 residents enrolled in the FMMP were used in the current study. Headache disorders were present in about 26% of the residents and new onset hypothyroidism developed in ∼7%. The hazard ratio for the development of new onset hypothyroidism was 1.21 (95% CI = 1.001, 1.462) for those with headache disorders.

conclusionsHeadache disorders may be associated with an increased risk for the development of new onset hypothyroidism.

Indexed as

AdolescentAdultAgedFemaleHeadache DisordersHumansHypothyroidismLongitudinal StudiesMaleMiddle AgedOhioProportional Hazards ModelsRetrospective StudiesRisk FactorsSelf ReportYoung Adultheadachehypothyroidismmigraine

Identifiers

PMID27676320
PMCPMC8805018
OpenAlexW2523808485

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.