Evidence map›Paper›PMID 35232385›Full record

Observational studyBMC pregnancy and childbirth2022

Adherence to treatment for hypothyroidism in pregnancy and relationship with thyrotropin control: a retrospective observational cohort study.

Júlia Siscart, Míriam Orós, M Catalina Serna, Dani Perejón, Leonardo Galván, Marta Ortega

Abstract readObservational Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  4. Observational
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  6. Article
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  9. Review
  10. Observational
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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

6 authors.

Júlia SiscartPrimary Care Research Institute IDIAP Jordi Gol, Catalan Institute of Health, Lleida, Spain. jvsiscart.lleida.ics@gencat.cat.
Míriam OrósPrimary Care Research Institute IDIAP Jordi Gol, Catalan Institute of Health, Lleida, Spain.
M Catalina SernaPrimary Care Research Institute IDIAP Jordi Gol, Catalan Institute of Health, Lleida, Spain.
Dani PerejónPrimary Care Research Institute IDIAP Jordi Gol, Catalan Institute of Health, Lleida, Spain.
Leonardo GalvánDepartament de Salut Spain, Lleida, Spain.
Marta OrtegaPrimary Care Research Institute IDIAP Jordi Gol, Catalan Institute of Health, Lleida, Spain. mortega.lleida.ics@gencat.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypothyroidism is the second most common endocrinological disease during pregnancy, with percentages that can range between 3.2 and 5.5%. A good maternal and foetal health outcome depends on thyroid hormone replacement therapy. The goal of such therapy is to maintain thyrotropin (TSH) in a range that is specific for pregnant women and varies between the trimesters of pregnancy. In our study, we wanted to analyse the adherence to hypothyroidism treatment among pregnant women and to evaluate the degree of control of the disease.

methodsWe performed a retrospective observational cohort study in pregnant women between 2012 and 2018 in the Lleida health region. Therapeutic adherence was analysed by the proportion of days covered (PDC). The relationship with other variables was assessed using the regression coefficients and their 95% confidence interval (CI).

resultsWe examined a sample of 17,281 women, representing more than 92% of the pregnant women in the Lleida health region in the period analysed. Among this sample, the mean prevalence of hypothyroidism was 6.52% (0.07% clinical and 6.45% subclinical). 3.3% of the 17,281 pregnant women were treated. Among them, the mean adherence score was 79.6 ± 22.2. Of these, 54% presented high adherence. The latter had a higher mean age and better TSH control, in comparison to the ones showing low adherence.

conclusionsHalf of the treated patients had good adherence to treatment and a better TSH control, in comparison to the others. Most of them achieved a good control at the third trimester of pregnancy.

Indexed as

Hormone Replacement TherapyPatient ComplianceAdultCohort StudiesFemaleHumansHypothyroidismPregnancyPregnancy ComplicationsPregnancy TrimestersRetrospective StudiesSpainThyrotropinThyroxineThyrotropinThyroxineAdherence to treatmentHypothyroidismLevothyroxinePregnancyThyroid stimulating hormone

Identifiers

PMID35232385
PMCPMC8886742

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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.