Evidence map›Paper›PMID 29259428›Full record

ArticleReproductive medicine and biology2016

The impact of elevated thyroid stimulating hormone on female subfertility.

Takehiro Hiraoka, Osamu Wada-Hiraike, Yasushi Hirota, Tetsuya Hirata, Kaori Koga, Yutaka Osuga, Tomoyuki Fujii

Open access · goldAbstract read
In one paragraph

Article in Reproductive medicine and biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Takehiro HiraokaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Osamu Wada-HiraikeDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Yasushi HirotaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Tetsuya HirataDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Kaori KogaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Yutaka OsugaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
Tomoyuki FujiiDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Tokyo 7-3-1, Hongo, Bunkyo-Ku 113-8655 Tokyo Japan.
The University of Tokyo · JPWeatherford College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Hypothyroidism is known to have a negative impact on female reproduction even in subclinical form, subclinical hypothyroidism (SH). This study aimed to investigate the association between elevated TSH level and reproductive outcome. Methods: We retrospectively evaluated a total of 203 infertile women who first visited our infertility treatment division from January 1, 2009 to August 31, 2012, including 13 patients with TSH above 4.5 mIU/l (elevated-TSH patients), 11 of whom were diagnosed as SH, and 190 patients with normal TSH (normo-TSH patients). We evaluated them according to reproductive outcome, including clinical pregnancy, miscarriage, and live birth until April 31, 2014. We also aimed to redefine the upper limit of normal serum TSH level. Results: Multivariate analysis showed significant influence of elevated TSH on clinical pregnancy, although miscarriage and live birth were not affected. In addition, we revealed that the rate of decreased ovarian reserve and unexplained infertility was increased in patients with elevated TSH levels. Conclusions: We found an association between elevated TSH and the decreased rate of clinical pregnancy. This might be related to an ovulatory disorder and pathophysiology of unexplained infertility. These results may reinforce the usefulness of TSH screening in infertility population.

Indexed as

Clinical pregnancyOvulatory disorderSubclinical hypothyroidismThyroid stimulation hormoneUnexplained infertility

Identifiers

PMID29259428
PMCPMC5715848
OpenAlexW1121887005

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.