Evidence map›Paper›PMID 36706788›Full record

ArticleExperimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association2023

Comparison Between Thyroid Stimulating Immunoglobulin and TSH-Receptor Antibodies in the Management of Graves' Orbitopathy.

Selwan Khamisi, Martin Lundqvist, Britt Edén Engström, Anders Larsson, F Anders Karlsson, Östen Ljunggren

Open access · hybridAbstract read
In one paragraph

Article in Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Management Aspects of Medical Therapy in Graves Disease.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
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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 at 3 institutions in 2 countries.

Selwan KhamisiDepartment of Endocrinology and Diabetes, Uppsala University Hospital, Uppsala, Sweden.
Martin LundqvistDepartment of Endocrinology and Diabetes, Uppsala University Hospital, Uppsala, Sweden.
Britt Edén EngströmDepartment of Endocrinology and Diabetes, Uppsala University Hospital, Uppsala, Sweden.
Anders LarssonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
F Anders KarlssonDepartment of Endocrinology and Diabetes, Uppsala University Hospital, Uppsala, Sweden.
Östen LjunggrenDepartment of Endocrinology and Diabetes, Uppsala University Hospital, Uppsala, Sweden.
Uppsala University Hospital · SEDepartment of Medical Sciences · RUUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTSH-receptor antibodies (TRAb) targeting the TSH receptor (TSH-R) induce hyperthyroidism in Graves´ disease (GD). Graves´ orbitopathy (GO) is influenced by stimulation of the TSH-R in the orbita. GO has been, among other factors, linked to high TRAb levels. Thyroid stimulating immunoglobulins (TSI) is a relatively new method for assessing TSH-receptor antibodies. The aim of this study was to investigate the role of TSI in the management of GO.

methodsPatients with newly diagnosed GD (n=30, median age 55 years (range 35-72), 29 women) received pharmacological therapy (methimazole+++thyroxine) for up to 24 months. GO was identified by clinical signs and symptoms. Eleven patients had GO at diagnosis, and another six developed GO during treatment. Blood samples for TSI and other thyroidal biomarkers were obtained at baseline and on five occasions during the 24-month follow-up. Twenty-two subjects completed the drug regimen without surgery or radioiodine treatment.

resultsAt baseline, TSI was highly correlated with TRAb (

conclusionThe present study does not support any added benefit of TSI compared to TRAb for the prediction and management of GO.

Indexed as

Graves DiseaseGraves OphthalmopathyAdultAgedAutoantibodiesFemaleHumansImmunoglobulins, Thyroid-StimulatingIodine RadioisotopesMiddle AgedReceptors, ThyrotropinThyrotropinAutoantibodiesImmunoglobulins, Thyroid-StimulatingIodine RadioisotopesReceptors, ThyrotropinThyrotropin

Identifiers

PMID36706788
PMCPMC10158629
OpenAlexW4318269977

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.