Evidence map›Paper›PMID 28155170›Full record

ArticleEndocrine2017

Treatment pattern and frequency of serum TSH measurement in users of different levothyroxine formulations: a population-based study during the years 2009-2015.

Rosarita Ferrara, Valentina Ientile, Vincenzo Arcoraci, Carmen Ferrajolo, Carlo Piccinni, Andrea Fontana, Salvatore Benvenga, Gianluca Trifirò

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Article in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

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  8. Levothyroxine Therapy in Thyrodectomized Patients.Frontiers in endocrinology · 2020
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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

8 authors at 5 institutions in 1 country.

Rosarita FerraraUnit of Clinical Pharmacology, Academic Hospital G. Martino, Messina, Italy.
Valentina IentileUnit of Clinical Pharmacology, Academic Hospital G. Martino, Messina, Italy.
Vincenzo ArcoraciUnit of Clinical Pharmacology, Academic Hospital G. Martino, Messina, Italy.
Carmen FerrajoloDepartment of Experimental Medicine, Second University of Naples, Naples, Italy.
Carlo PiccinniUnit of Clinical Pharmacology, Academic Hospital G. Martino, Messina, Italy.
Andrea FontanaUnit of Biostatistics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo (FG), Italy.
Salvatore BenvengaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Gianluca TrifiròUnit of Clinical Pharmacology, Academic Hospital G. Martino, Messina, Italy. trifirog@unime.it.
Azienda Ospedaliera Universitaria Policlinico "G. Martino" · ITUniversity of Messina · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Bologna · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral conditions can modify the intestinal absorption of levothyroxine tablets, with potential consequences on their therapeutic effect. Pre-dosed ampoules and oral drops have been recently made available to overcome this limitation.

aimsTo describe the pattern of use of different formulations of levothyroxine in a general population of Southern Italy and to perform an exploratory analysis investigating the effect of switching from levothyroxine tablets to oral liquid formulations.

methodsData were extracted from the Caserta Local Health Unit database. All patients receiving at least one levothyroxine prescription during the years 2009-2015 were identified. 1-year incidence of use of formulation-specific levothyroxine was calculated. Switchers between levothyroxine tablets and oral liquid formulations were identified and the frequency of thyroid-stimulating hormone measurement within 2 years prior and after the switch date was explored.

resultsOverall, 56,354 levothyroxine users were included in the study. Of these, 55,147 patients received at least one prescription for tablets (97.9%), 1867 pre-dosed ampoules (3.3%) and 1550 oral drops (2.8%). The proportion of levothyroxine users receiving oral liquid formulations slightly increased over time. Patients switching from tablets to oral liquid formulations showed a statistically significant reduction in the number of thyroid-stimulating hormone measurements after switching from tablets, especially in presence of drugs interacting with levothyroxine potentially altering its absorption.

conclusionsUse of levothyroxine oral liquid formulations is increasing over time even though their use is still limited in a general population of Southern Italy. Our exploratory analysis showed that the frequency of thyroid-stimulating hormone measurement was reduced in patients switching from levothyroxine tablet to new formulations.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsDrug CompoundingFemaleHormone Replacement TherapyHumansHypothyroidismIncidenceItalyLongitudinal StudiesMaleMiddle AgedPharmaceutical SolutionsPharmaceutical SolutionsTabletsThyrotropinThyroxineAbsorptionFormulationsLevothyroxineSwitchingTSH

Identifiers

PMID28155170
OpenAlexW2584191594

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.