Evidence map›Paper›PMID 37115377›Full record

SynthesisEndocrine2023

Long-term outcome of treatments for Graves disease in the children and adolescent population.

Mohammad Jawwad, Syed Arsalan Ahmed, Syed Muhammad Mehdi Zaidi, Syed Ashad Ahmed Fatmi, Muhammad Hasan Ashraf, Shozab Naeem, Muhammad Shuraim Chola

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Radioiodine or thyroidectomy in children and adolescents with Graves' disease: a structured literature review of efficacy and safety.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Review
  2. Article
  3. Article
  4. Review
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

7 authors at 1 institution in 1 country.

Mohammad JawwadDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan. mohammadjawwad385@gmail.com.ORCID 0000-0002-5353-3316
Syed Arsalan AhmedDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Syed Muhammad Mehdi ZaidiDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Syed Ashad Ahmed FatmiDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Muhammad Hasan AshrafDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Shozab NaeemDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Muhammad Shuraim CholaDepartment of Medicine and Surgery, Dow University of Health and Sciences, Karachi, Pakistan.
Dow University of Health Sciences · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies were conducted over the years to find a significant association between non-surgical therapies such as Antithyroid Drug (ATD) Therapy and Radio-iodo therapy (RIT) with Graves' disease (GD) remission and relapse. However, these investigations did not have a specific focus on the age category of children and adolescents. Hence, this Research is performed to assess the association of non-surgical therapy (ATD and RIT) with Graves' disease (GD) remission and relapse in the children and adolescent population.

designA systematic review and meta-analysis of observational studies and clinical trials were carried out.

methodsA systematic search of PubMed, EMBASE, and SCOPUS from their inception till April 2022 was performed for studies stating an association between ATD therapy and GD remission and relapse in participants 1-17 years old. The random-effects model was used in the meta-analysis to provide a pooled proportion of both primary outcomes. The quality and each study were assessed using the Newcastle Ottawa Scale (NOS).

resultFrom 6195 studies searched from the databases, only 16 relevant articles remained after a detailed evaluation. These studies, having a total of 2557 patients aged 5-17 years, were involved in the analysis with a pooled estimate showing a significant association of ATD therapy with GD remission (Estimate: 0.400, 95% Confidence interval: 0.265-0.535; I^2 = 98.16%) and with GD relapse (Estimate: 0.359, 95% Confidence interval: 0.257-0.461; I^2 = 98.26%). Subgroup analyses were conducted to assess the remission rate of different therapies suggesting that antithyroid drugs play a significant role in the remission of the patients. All included studies were classified as moderate quality.

conclusionFollowing meta-analysis suggested that the ATD used in the analysis is effective in remitting GD in the children and adolescents population. Nevertheless, long-term RIT therapy and thyroidectomy leads to hypothyroidism. Still, large-sample, and high-quality studies targeting ATDs' use in children and adolescents with long-term surveillance of prognosis are needed.

Indexed as

Graves DiseaseIodineAdolescentAntithyroid AgentsChildChild, PreschoolHumansInfantPrognosisRecurrenceTreatment OutcomeAntithyroid AgentsIodineAdolescentsChildrenGraves DiseaseHyperthyroidismRelapseRemission

Identifiers

PMID37115377
OpenAlexW4367314064

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.