Evidence map›Paper›PMID 29102040›Full record

ArticleFertility and sterility2017

Preconceptional antithyroid peroxidase antibodies, but not thyroid-stimulating hormone, are associated with decreased live birth rates in infertile women.

Aimee Seungdamrong, Anne Z Steiner, Clarisa R Gracia, Richard S Legro, Michael P Diamond, Christos Coutifaris, William D Schlaff, Peter Casson, Gregory M Christman, Randal D Robinson and 8 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Fertility and sterility, 2017. 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 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT00719186 phase3completednot on this map

A 20 Week Double-Blind Randomized Trial of Clomiphene Citrate and Letrozole for the Treatment of Infertility in Women With Polycystic Ovary Syndrome

TypeinterventionalSponsorYale UniversityRan2009 to 2013Enrolled750ConditionsPregnancy, Polycystic Ovary SyndromeArmsClomiphene citrate, Letrozole
NCT01044862 phase3completednot on this map

Assessment of Multiple Intrauterine Gestations From Ovarian Stimulation

TypeinterventionalSponsorYale UniversityRan2010 to 2014Enrolled900ConditionsPregnancy, Unexplained InfertilityArmsLetrozole (aromatase inhibitor), Clomiphene Citrate, Follicle Stimulating Hormone (gonadotropin)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Meta-analysis of ART outcomes in women with different preconception TSH levels.Reproductive biology and endocrinology : RB&E · 2018
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The Thyroid Hormone Axis and Female Reproduction.International journal of molecular sciences · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Pre-Conceptional Anti-Thyroid Antibodies and Thyroid Function in Association with Natural Conception Rates.International journal of environmental research and public health · 2022
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
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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

18 authors at 12 institutions in 1 country.

Aimee SeungdamrongDepartment of Obstetrics, Gynecology and Women's Health, Rutgers New Jersey Medical School, Newark, New Jersey; Damien Fertility Partners, Shrewsbury, New Jersey.
Anne Z SteinerDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.
Clarisa R GraciaDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: cgracia@obgyn.upenn.edu.
Richard S LegroDepartment of Obstetrics and Gynecology, Penn State University, Hershey, Pennsylvania.
Michael P DiamondDepartments of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan.
Christos CoutifarisDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.
William D SchlaffDepartment of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado.
Peter CassonDepartment of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont.
Gregory M ChristmanDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Randal D RobinsonDepartment of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Hao HuangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Ruben AlveroDepartment of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado.
Karl R HansenDepartment of Obstetrics and Gynecology, University of Oklahoma, Oklahoma City, Oklahoma.
Susan JinDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Esther EisenbergFertility and Infertility Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Heping ZhangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado.
Eunice Kennedy Shriver National Institute of Child Health and Human Development Reproductive Medicine Network
University of Colorado Anschutz Medical Campus · USYale University · USUniversity of Pennsylvania · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USPenn State Milton S. Hershey Medical Center · USRutgers, The State University of New Jersey · USThe University of Texas Health Science Center at San Antonio · USUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · USUniversity of Oklahoma · USUniversity of Vermont · USWayne State University · US

Funding

Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1990 to 2017
$5.2M
GHSU/WSU Cooperative Reproductive Medicine NetworkU10HD039005 · NICHD · WAYNE STATE UNIVERSITY · PI DIAMOND, MICHAEL PETER · 2000 to 2017
$5.2M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038992 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2000 to 2017
$5.0M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038998 · NICHD · UNIVERSITY OF COLORADO DENVER · PI POLOTSKY, ALEX JOEL · 2000 to 2015
$2.6M
The Clinical Research/Reproductive Scientist Training Program (CREST)R25HD075737 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Nanette F. Santoro · 2013 to 2026
$2.3M
Cooperative Multicenter Reproductive Medicine Network (U10)U10HD055936 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, YOLANDA R · 2007 to 2014
$2.1M
The Utility of Empiric Medical Treatment of Infertile Oligo-asthenospermic MenU10HD055944 · NICHD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MCGEE, ELIZABETH A · 2007 to 2013
$2.1M
Cooperative Multicenter Reproductive Medicine Network UNC Clinical SiteU10HD077844 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STEINER, ANNE ZWEIFEL · 2013 to 2017
$1.8M
Letrozole Therapy for IVF/ET: Effects on Multiple Pregnancy and Treatment BurdenU10HD055942 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ROBINSON, RANDAL D. · 2007 to 2015
$1.7M
Luteal Progesterone Supplementation in Clomiphene Citrate-IUI CyclesU10HD077680 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HANSEN, KARL RICHARD · 2013 to 2017
$1.5M
MIGRATION AND URBAN FERTILITYR01HD029834 · NICHD · YALE UNIVERSITY · PI GUINNANE, TIMOTHY W · 1995 to 1997
–
NICHD NIH HHS R01 HD029834NICHD NIH HHS R25 HD075737NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD038992NICHD NIH HHS U10 HD038998NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925NICHD NIH HHS U10 HD055936NICHD NIH HHS U10 HD055942NICHD NIH HHS U10 HD055944NICHD NIH HHS U10 HD077680NICHD NIH HHS U10 HD077844
6 · The paper itself

Abstract

objectiveTo study whether preconceptual thyroid-stimulating hormone (TSH) and antithyroid peroxidase (TPO) antibodies are associated with poor reproductive outcomes in infertile women.

designSecondary analysis of data from two multicenter, randomized, controlled trials conducted by the Reproductive Medicine Network of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Multivariable logistic regression analyses were performed to assess the association between preconceptual TSH levels and anti-TPO antibodies.

settingNot applicable. PATIENT(S): Serum samples from 1,468 infertile women were utilized. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Cumulative conception, clinical pregnancy, miscarriage, and live birth rates were calculated. RESULT(S): Conception, clinical pregnancy, miscarriage, and live birth rates did not differ between patients with TSH ≥2.5 mIU/L vs. TSH < 2.5 mIU/L. Women with anti-TPO antibodies had similar conception rates (33.3% vs. 36.3%) but higher miscarriage rates (43.9% vs. 25.3%) and lower live birth rates (17.1% vs. 25.4%) than those without anti-TPO antibodies. Adjusted, multivariable logistic regression models confirmed elevated odds of miscarriage (odds ratio 2.17, 95% confidence interval 1.12-4.22) and lower odds of live birth (oddr ratio 0.58, 95% confidence interval 0.35-0.96) in patients with anti-TPO antibodies. CONCLUSION(S): In infertile women, preconceptional TSH ≥2.5 mIU/L is not associated with adverse reproductive outcomes; however, anti-TPO antibodies are associated with increased risk of miscarriage and decreased probability of live birth. CLINICAL TRIAL REGISTRATION NUMBER: PPCOS II NCT00719186; AMIGOS NCT01044862.

Indexed as

Antibodiesautoimmunityinfertilitypregnancyspontaneous abortionthyroid

Identifiers

PMID29102040
PMCPMC8129952
OpenAlexW2765471614

What OpenQuestion holds

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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.