Evidence map›Paper›PMID 28853052›Full record

ReviewJournal of endocrinological investigation2018

Thyroid diseases and bone health.

G R Williams, J H D Bassett

2 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of endocrinological investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
12.4field-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.

NCT04734457 unknown statusnot on this mapstarted 2021, after this paper: background citation

Final Height in Patients With Congenital Hypothyroidism Diagnosed by Neonatal Screening

TypeobservationalSponsorAin Shams UniversityRan2021 to 2022Enrolled60ConditionsCongenital HypothyroidismArmsLevothyroxin
NCT06509776 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Early Life Determinants of Skeletal Maturation and Endocrine Health in Young Adults - A Nationwide Birth Cohort Study

TypeobservationalSponsorHolbaek SygehusRan2024 to 2031Enrolled2,000ConditionsOsteoporosis, Sarcopenia, Obesity, Cardiovascular Diseases
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it, 260 citations in OpenAlex.

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  17. Advances in the management of osteopenia: a case series.Journal of medical case reports · 2026
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63 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

2 authors at 1 institution in 1 country.

G R WilliamsMolecular Endocrinology Laboratory, Department of Medicine, Imperial College London, Hammersmith Campus, Du Cane Road, 10N5 Commonwealth Building, London, W12 0NN, UK. graham.williams@imperial.ac.uk.ORCID http://orcid.org/0000-0002-8555-8219
J H D BassettMolecular Endocrinology Laboratory, Department of Medicine, Imperial College London, Hammersmith Campus, Du Cane Road, 10N6 Commonwealth Building, London, W12 0NN, UK.ORCID http://orcid.org/0000-0003-0817-0082
Hammersmith Hospital · GB

Funding

Horizon 2020 Framework Programme 666869Wellcome Trust 101123Wellcome Trust 110140Wellcome Trust 110141Wellcome Trust 110141/Z/15/Z
6 · The paper itself

Abstract

Thyroid hormones are essential for skeletal development and are important regulators of bone maintenance in adults. Childhood hypothyroidism causes delayed skeletal development, retarded linear growth and impaired bone mineral accrual. Epiphyseal dysgenesis is evidenced by classic features of stippled epiphyses on X-ray. In severe cases, post-natal growth arrest results in a complex skeletal dysplasia. Thyroid hormone replacement stimulates catch-up growth and bone maturation, but recovery may be incomplete dependent on the duration and severity of hypothyroidism prior to treatment. A severe phenotype characteristic of hypothyroidism occurs in children with resistance to thyroid hormone due to mutations affecting THRA encoding thyroid hormone receptor α (TRα). Discovery of this rare condition recapitulated animal studies demonstrating that TRα mediates thyroid hormone action in the skeleton. In adults, thyrotoxicosis is well known to cause severe osteoporosis and fracture, but cases are rare because of prompt diagnosis and treatment. Recent data, however, indicate that subclinical hyperthyroidism is associated with low bone mineral density (BMD) and an increased risk of fracture. Population studies have also shown that variation in thyroid status within the reference range in post-menopausal women is associated with altered BMD and fracture risk. Thus, thyroid status at the upper end of the euthyroid reference range is associated with low BMD and increased risk of osteoporotic fragility fracture. Overall, extensive data demonstrate that euthyroid status is required for normal post-natal growth and bone mineral accrual, and is fundamental for maintenance of adult bone structure and strength.

Indexed as

Bone and BonesFractures, BoneHumansHypothyroidismMutationOsteoporosisReceptors, Thyroid HormoneThyroid HormonesThyrotoxicosisReceptors, Thyroid HormoneThyroid HormonesBone developmentHypothyroidismOsteoporosisThyroid hormone receptor αThyrotoxicosis

Identifiers

PMID28853052
PMCPMC5754375
OpenAlexW2752632293

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.