Evidence map›Paper›PMID 29531156›Full record

ArticleEndocrine connections2018

Clinical diagnosis of Graves' or non-Graves' hyperthyroidism compared to TSH receptor antibody test.

Lauren Bell, Ann Louise Hunter, Angelos Kyriacou, Annice Mukherjee, Akheel A Syed

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Graves' disease.Nature reviews. Disease primers · 2020
    Review
  15. [Progress in the research of negative feedback effect of thyroglobulin].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2019
    Review
  16. Article
  17. 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

5 authors at 3 institutions in 2 countries.

Lauren BellFaculty of BiologyMedicine and Health, University of Manchester, Manchester, UK.
Ann Louise HunterFaculty of BiologyMedicine and Health, University of Manchester, Manchester, UK louise.hunter@manchester.ac.uk.
Angelos KyriacouEndocrinology & DiabetesSalford Royal NHS Foundation Trust, Salford, UK.
Annice MukherjeeFaculty of BiologyMedicine and Health, University of Manchester, Manchester, UK.
Akheel A SyedFaculty of BiologyMedicine and Health, University of Manchester, Manchester, UK.
Salford Royal NHS Foundation Trust · GBLimassol General Hospital · CYUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTSH receptor antibody (TRAb) is considered the gold standard diagnostic test for the autoimmunity of Graves' disease (GD), which is commonly diagnosed clinically.

aimTo evaluate the true positive (sensitivity) and true negative (specificity) rates of clinical diagnosis of GD or non-GD hyperthyroidism compared to the TRAb test.

settingUniversity teaching hospital in North West England.

participantsPatients in the Endocrinology service who had a TRAb measurement between December 2009 and October 2015.

methodsElectronic patient records were studied retrospectively for a pre-TRAb clinical diagnosis of GD or non-GD hyperthyroidism. We examined descriptive statistics and binary classification tests; Fisher exact test was used to analyse contingency tables.

resultsWe identified 316 patients with a mean age of 45 (range, 17-89) years; 247 (78%) were women. Compared to the TRAb result, clinical diagnosis had a sensitivity of 88%, specificity 66%, positive predictive value 72%, negative predictive value 84%, false negative rate 12%, false positive rate 34%, positive likelihood ratio 2.6 and negative likelihood ratio 0.2 (

conclusionsClinicians were liable to both over- and under-diagnose GD. The TRAb test can help reduce the number of incorrect or unknown diagnoses in the initial clinical assessment of patients presenting with hyperthyroidism.

Indexed as

Graves’ diseasehyperthyroidismsensitivityspecificitythyroid-stimulating immunoglobulins

Identifiers

PMID29531156
PMCPMC5881005
OpenAlexW2792280981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.