Evidence map›Paper›PMID 34141994›Full record

ArticleJournal of the Endocrine Society2021

Use of Statins Among Patients Taking Levothyroxine: an Observational Drug Utilization Study Across Sites.

Thaer Idrees, Wesley H Prieto, Sabina Casula, Aswathy Ajith, Matthew Ettleson, Flavia A Andreotti Narchi, Pedro S T Russo, Fernando Fernandes, Julie Johnson, Anoop Mayampurath and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Thyroid Hormone Homeostasis in Levothyroxine-treated Patients: Findings From ELSA-Brasil.The Journal of clinical endocrinology and metabolism · 2024
    Article
  5. Emerging Therapies in Hypothyroidism.Annual review of medicine · 2024
    Review
  6. Critical Approach to Hypothyroid Patients With Persistent Symptoms.The Journal of clinical endocrinology and metabolism · 2023
    Article
  7. Are We Restoring Thyroid Hormone Signaling in Levothyroxine-Treated Patients With Residual Symptoms of Hypothyroidism?Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023
    Review
  8. Serum Thyrotropin and Triiodothyronine Levels in Levothyroxine-treated Patients.The Journal of clinical endocrinology and metabolism · 2023
    Observational
  9. The relevance of TThe lancet. Diabetes & endocrinology · 2022
    Review
  10. Optimal Thyroid Hormone Replacement.Endocrine reviews · 2022
    Article
  11. T3 levels and thyroid hormone signaling.Frontiers in endocrinology · 2022
    Review
  12. Article
  13. 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

12 authors at 4 institutions in 2 countries.

Thaer IdreesSection of Adult and Pediatric Endocrinology and Metabolism, University of Chicago, Chicago, IL 60637, USA.
Wesley H PrietoFleury Group, Sao Paulo, SP 04344, Brazil.
Sabina CasulaDepartment of Endocrinology, Miami Veterans Affairs Healthcare System, Miami, FL 33136, USA.
Aswathy AjithCenter for Research Informatics, University of Chicago, Chicago, IL 60637, USA.
Matthew EttlesonSection of Adult and Pediatric Endocrinology and Metabolism, University of Chicago, Chicago, IL 60637, USA.
Flavia A Andreotti NarchiBiolab Pharmaceutical, Sao Paulo, SP 04538, Brazil.
Pedro S T RussoFleury Group, Sao Paulo, SP 04344, Brazil.
Fernando FernandesBiolab Pharmaceutical, Sao Paulo, SP 04538, Brazil.
Julie JohnsonCenter for Research Informatics, University of Chicago, Chicago, IL 60637, USA.
Anoop MayampurathDepartment of Pediatrics, University of Chicago, Chicago, IL 60637, USA.
Rui M B MacielFleury Group, Sao Paulo, SP 04344, Brazil.
Antonio C BiancoSection of Adult and Pediatric Endocrinology and Metabolism, University of Chicago, Chicago, IL 60637, USA.ORCID https://orcid.org/0000-0001-7737-6813
University of Chicago · USFleury S.A. (Brazil) · BRBiolab Pharma (Brazil) · BRUniversity of Miami · US

Funding

Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 2013 to 2026
$20.9M
INTERGRATED CLINICAL AND BASIC ENDOCRINOLOGY RESEARCHT32DK007011 · NIDDK · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 1986 to 2026
$5.8M
NIDDK NIH HHS P30 DK020595NIDDK NIH HHS T32 DK007011
6 · The paper itself

Abstract

contextTreatment with levothyroxine (LT4) that normalize serum thyrotropin (TSH) is expected to restore lipid metabolism.

objectiveTo assess statin utilization in LT4-treated patients through an observational drug utilization study.

methodsThree sites were involved: (1) 10 723 outpatients placed on LT4 during 2006-2019 identified from the Clinical Research Data Warehouse of the University of Chicago; (2) ~1.4 million LT4 prescriptions prepared by primary care physicians during January-December 2018, identified from the IQVIA™ database of medical prescriptions in Brazil; (30 ~5.4 million patient interviews during 2009-2019, including ~0.32 million patients on LT4, identified from the Fleury Group database in Brazil.

resultsOn site 1, initiation of therapy with LT4 increased the frequency of statin utilization (19.1% vs 24.6%), which occurred ~1.5 years later (median 76 weeks) and, among those patients that were on statins, increased intensity of treatment by 33%, despite normalization of serum TSH levels; on site 2, after matching for sex and age, the frequency of statins prescription was higher for those patients using LT4: females, 2.1 vs 3.4% (odds ratio [OR] 1.656 [1.639-1.673]); males, 3.1 vs 4.4% (OR 1.435 [1.409-1.462]); and, on site 3, after matching for sex and age, the frequency of statin utilization was higher in those patients using LT4: females, 10 vs 18% (OR 2.02 [2.00-2.04]); males, 15 vs 25% (OR 1.92 [1.88-1.96]); all

conclusionPrescription and utilization of statins were higher in patients taking LT4. The reasons for this association should be addressed in future studies.

Indexed as

cholesterolhypothyroidismlevothyroxinestatinsthyroid

Identifiers

PMID34141994
PMCPMC8204793
OpenAlexW3138282173

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.