Evidence map›Paper›PMID 36967795›Full record

ArticleFrontiers in endocrinology2023

Increased prevalence of autoimmune thyroid disease after COVID-19: A single-center, prospective study.

Alessandro Rossini, Sara Cassibba, Francesca Perticone, Simone Vasilij Benatti, Serena Venturelli, Greta Carioli, Arianna Ghirardi, Marco Rizzi, Tiziano Barbui, Roberto Trevisan and 1 more

Open access · goldFull text read
In one paragraph

Article in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  9. COVID-19 pandemic and thyroid diseases.Frontiers in endocrinology · 2026
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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

11 authors at 2 institutions in 1 country.

Alessandro RossiniEndocrinology and Diabetes Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Sara CassibbaEndocrinology and Diabetes Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Francesca PerticoneEndocrinology Unit, San Raffaele Scientific Institute, Milan, Italy.
Simone Vasilij BenattiInfectious Diseases Unit, Papa Giovanni XXII Hospital, Bergamo, Italy.
Serena VenturelliInfectious Diseases Unit, Papa Giovanni XXII Hospital, Bergamo, Italy.
Greta CarioliFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Arianna GhirardiFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Marco RizziInfectious Diseases Unit, Papa Giovanni XXII Hospital, Bergamo, Italy.
Tiziano BarbuiFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Roberto TrevisanEndocrinology and Diabetes Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Silvia IppolitoEndocrinology and Diabetes Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Ospedale Papa Giovanni XXIII · ITSan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Thyroid dysfunctions associated with SARS-CoV-2 acute infection have been extensively described since the beginning of COVID-19 pandemics. Conversely, few data are available on the occurrence of thyroid autoimmunity after COVID-19 resolution. We assessed the prevalence of autoimmune thyroid disease (ATD) and thyroid dysfunctions in COVID-19 survivors three months after hospital admission. Design and methods: Single-center, prospective, observational, cohort study performed at ASST Papa Giovanni XXIII Hospital, Bergamo, Italy. 599 COVID-19 survivors were prospectively evaluated for thyroid function and autoimmunity thyroperoxidase antibodies (TPOAb), thyroglobulin antibodies (TgAb). When a positive antibody concentration was detected, thyroid ultrasound was performed. Multiple logistic regression model was used to estimate the association between autoimmunity and demographic characteristics, respiratory support, and comorbidities. Autoimmunity results were compared to a cohort of 498 controls referred to our Institution for non-thyroid diseases before the pandemic onset. A sensitivity analysis comparing 330 COVID-19 patients with 330 age and sex-matched controls was performed. Results: Univariate and multivariate analysis found that female sex was positively associated (OR 2.01, SE 0.48, p = 0.003), and type 2 diabetes (T2DM) was negatively associated (OR 0.36, SE 0.16, p = 0.025) with thyroid autoimmunity; hospitalization, ICU admission, respiratory support, or COVID-19 treatment were not associated with thyroid autoimmunity (p > 0.05). TPOAb prevalence was greater in COVID-19 survivors than in controls: 15.7% vs 7.7%, p = 0.002. Ultrasonographic features of thyroiditis were present in 94.9% of the evaluated patients with positive antibodies. TSH was within the normal range in 95% of patients. Conclusions: Autoimmune thyroid disease prevalence in COVID-19 survivors was doubled as compared to age and sex-matched controls, suggesting a role of SARS-CoV-2 in eliciting thyroid autoimmunity.

Indexed as

COVID-19Diabetes Mellitus, Type 2Hashimoto DiseaseThyroiditis, AutoimmuneCohort StudiesCOVID-19 Drug TreatmentFemaleHumansIodide PeroxidasePrevalenceProspective StudiesSARS-CoV-2Iodide Peroxidaseautoimmune diseasesautoimmune thyroid diseaseCOVID-19SARS-CoV-2thyroid autoimmunitythyroid dysfunctionsthyroiditisthyroid peroxidase (TPO) antibodies

Identifiers

PMID36967795
PMCPMC10031076
OpenAlexW4323567590

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read38
table measurements read26
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.