Evidence map›Paper›PMID 30350120›Full record

ArticleImmunologic research2018

The link between schizophrenia and hypothyroidism: a population-based study.

Kassem Sharif, Shmuel Tiosano, Abdulla Watad, Doron Comaneshter, Arnon D Cohen, Yehuda Shoenfeld, Howard Amital

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Article in Immunologic research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Trial
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  5. Article
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  9. Effects of PMEnvironment & health (Washington, D.C.) · 2024
    Article
  10. Evaluation of Nasal Mucociliary Clearance Time in Patients with Schizophrenia.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  11. Article
  12. Article
  13. Review
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  15. Article
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  18. Adherence of patients with schizophrenia to hypothyroidism treatment.Global mental health (Cambridge, England) · 2023
    Article
  19. Article
  20. 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

7 authors.

Kassem SharifDepartment of Medicine 'B', Sheba Medical Center, 5262100, Tel Hashomer, Israel.
Shmuel TiosanoDepartment of Medicine 'B', Sheba Medical Center, 5262100, Tel Hashomer, Israel.
Abdulla WatadDepartment of Medicine 'B', Sheba Medical Center, 5262100, Tel Hashomer, Israel.
Doron ComaneshterChief Physician's Office, Faculty of Health Sciences, Clalit Health Services Tel Aviv, Tel Aviv, Israel.
Arnon D CohenChief Physician's Office, Faculty of Health Sciences, Clalit Health Services Tel Aviv, Tel Aviv, Israel.
Yehuda ShoenfeldZabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel.
Howard AmitalDepartment of Medicine 'B', Sheba Medical Center, 5262100, Tel Hashomer, Israel. howard.amital@sheba.health.gov.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schizophrenia is considered to be of the severe psychiatric disorders characterized by chronic debilitating course marked with frequent relapses and high clinical and financial burden. Aberrations of thyroid hormone levels have been documented in several psychiatric conditions including bipolar disease. The aim of this study is to provide insight into whether an association exists between hypothyroidism and schizophrenia. A population-based cross-sectional study was conducted using data retrieved from the largest medical records database in Israel, the Clalit Health Services (CHS). Patients were defined as having hypothyroidism or schizophrenia when there was at least one such documented diagnosis in their medical records. The proportion of schizophrenia was compared between hypothyroid and age- and sex frequency-matched healthy controls. A logistic regression model was used to estimate the association between psychiatric manifestations and hypothyroidism in a multivariate analysis adjusted for age, gender, and smoking status. The study included 40,843 patients with hypothyroidism and 40,918 age- and sex frequency-matched controls. The proportion of schizophrenia in hypothyroid patients was higher than that in controls (2.01% vs. 1.25%, respectively, p < 0.0001). Multivariate logistic regression demonstrated a robust independent association between hypothyroidism and schizophrenia (OR 1.62, p ≤ 0.001). Our study confirms a higher proportion of hypothyroidism among patients with schizophrenia. The awareness of such interrelation should drive physicians treating patients with schizophrenia to consider screening for hypothyroidism. Further studies are required to elucidate the underlying mechanism or the common denominator favoring the co-occurrence of schizophrenia and hypothyroidism.

Indexed as

Case-Control StudiesCross-Sectional StudiesFemaleHumansHypothyroidismLogistic ModelsMaleMiddle AgedRisk FactorsSchizophreniaThyroid GlandAutoimmunityHypothyroidismPsychosisSchizophreniaThyroid dysfunction

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Registered trials

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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.