Evidence map›Paper›PMID 36596904›Full record

ArticleEndocrine2023

A prospective follow-up on thyroid function, thyroid autoimmunity and long COVID among 250 COVID-19 survivors.

David Tak Wai Lui, Kimberly Hang Tsoi, Chi Ho Lee, Chloe Yu Yan Cheung, Carol Ho Yi Fong, Alan Chun Hong Lee, Anthony Raymond Tam, Polly Pang, Tip Yin Ho, Chun Yiu Law and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Thyroid dysfunction in COVID-19.Nature reviews. Endocrinology · 2024
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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

17 authors at 2 institutions in 2 countries.

David Tak Wai LuiDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Kimberly Hang TsoiDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Chi Ho LeeDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Chloe Yu Yan CheungDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Carol Ho Yi FongDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Alan Chun Hong LeeDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Anthony Raymond TamDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Polly PangDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Tip Yin HoDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Chun Yiu LawDivision of Chemical Pathology, Queen Mary Hospital, Hong Kong, China.
Ching Wan LamDepartment of Pathology, The University of Hong Kong, Hong Kong, China.
Kelvin Kai Wang ToDepartment of Microbiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Wing Sun ChowDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Yu Cho WooDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Ivan Fan Ngai HungDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Kathryn Choon Beng TanDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Karen Siu Ling LamDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. ksllam@hku.hk.ORCID 0000-0001-5757-541X
Queen Mary Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe evaluated the evolution of thyroid function and autoimmunity among COVID-19 survivors over 6 months in relation to interferon beta-1b treatment and long COVID.

methodsWe included COVID-19 survivors managed in a major COVID-19 centre between July 2020 and May 2021 who were reassessed three and/or six months after acute COVID-19. Thyroid function tests (TFTs) and anti-thyroid antibody titres were measured at acute COVID-19, 3-month and 6-month.

results250 COVID-19 survivors were included (mean age 52.7 years, 50.4% men). Persistent thyroid function abnormalities were more likely in those with abnormal TFTs in acute COVID-19 (P < 0.001). Among 51 patients with abnormal TFTs in acute COVID-19, 82.4% resolved upon follow-up. Of 199 patients with normal TFTs in acute COVID-19, only 4.5% had incident abnormal TFTs, more likely in interferon-treated patients (P = 0.044) and none clinically overt. Among 129 patients with complete 6-month follow-up for anti-thyroid antibody titres, there was no significant change overall, except for modest increase in anti-thyroid antibody titres among the 84 interferon-treated patients (P < 0.05 at both 3 months and 6 months). Long COVID occurred in 19.5% and 10.4% at 3 and 6 months respectively, where TFTs and anti-thyroid antibody titres were not predictive of its occurrence.

conclusionOver 6 months, most abnormal TFTs in acute COVID-19 resolved, with no significant incident thyroid dysfunction. SARS-CoV-2 infection did not lead to change in thyroid autoimmunity, while interferon treatment was associated with modest increase in anti-thyroid antibody titres. Thyroid function and anti-thyroid antibodies did not play a significant role in long COVID.

Indexed as

COVID-19Thyroid DiseasesAutoimmunityFemaleFollow-Up StudiesHumansInterferonsMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesSARS-CoV-2SurvivorsInterferonsautoimmunityCOVID-19interferonspost-acute COVID-19 syndromethyroid function tests

Identifiers

PMID36596904
PMCPMC9810240
OpenAlexW4313451300

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.