Evidence map›Paper›PMID 37685830›Full record

ArticleJournal of clinical medicine2023

High Thyroid-Stimulating Hormone and Low Free Triiodothyronine Levels Are Associated with Chronic Kidney Disease in Three Population-Based Studies from Germany.

Till Ittermann, Sabrina von Rheinbaben, Marcello R P Markus, Marcus Dörr, Antje Steveling, Matthias Nauck, Alexander Teumer, Maik Gollasch, Dominik Spira, Maximilian König and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
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

14 authors at 2 institutions in 1 country.

Till IttermannInstitute for Community Medicine-SHIP Clinical-Epidemiological Research, University Medicine Greifswald, 17475 Greifswald, Germany.ORCID 0000-0002-0154-7353
Sabrina von RheinbabenDepartment of Medicine A-Gastroenterology, Nephrology, Endocrinology and Rheumatology, University Medicine Greifswald, 17475 Greifswald, Germany.
Marcello R P MarkusDepartment of Internal Medicine B-Cardiology, Intensive Care, Pulmonary Medicine and Infectious Diseases, University Medicine Greifswald, 17475 Greifswald, Germany.ORCID 0000-0002-6234-4955
Marcus DörrDepartment of Internal Medicine B-Cardiology, Intensive Care, Pulmonary Medicine and Infectious Diseases, University Medicine Greifswald, 17475 Greifswald, Germany.ORCID 0000-0001-7471-475X
Antje StevelingDepartment of Medicine A-Gastroenterology, Nephrology, Endocrinology and Rheumatology, University Medicine Greifswald, 17475 Greifswald, Germany.
Matthias NauckDZHK (German Center for Cardiovascular Research), Partner Site Greifswald, 17475 Greifswald, Germany.
Alexander TeumerDZHK (German Center for Cardiovascular Research), Partner Site Greifswald, 17475 Greifswald, Germany.ORCID 0000-0002-8309-094X
Maik GollaschDepartment of Internal Medicine and Geriatrics, University Medicine Greifswald, 17475 Greifswald, Germany.
Dominik SpiraDepartment of Endocrinology and Metabolism, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.
Maximilian KönigDepartment of Internal Medicine and Geriatrics, University Medicine Greifswald, 17475 Greifswald, Germany.
Ilja DemuthDepartment of Endocrinology and Metabolism, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.ORCID 0000-0002-4340-2523
Elisabeth Steinhagen-ThiessenDepartment of Endocrinology and Metabolism, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.
Henry VölzkeInstitute for Community Medicine-SHIP Clinical-Epidemiological Research, University Medicine Greifswald, 17475 Greifswald, Germany.
Sylvia StrackeDepartment of Medicine A-Gastroenterology, Nephrology, Endocrinology and Rheumatology, University Medicine Greifswald, 17475 Greifswald, Germany.
Universitätsmedizin Greifswald · DEHumboldt-Universität zu Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High serum thyroid-stimulating hormone (TSH) levels have previously been associated with a low estimated glomerular filtration rate (eGFR), but studies associating thyroid hormone levels with albuminuria revealed inconsistent results. We used cross-sectional data from 7933 individuals aged 20 to 93 years of the Berlin Aging Study II and the Study of Health in Pomerania to associate serum TSH, fT3, and fT4 levels with eGFR and albuminuria. In multivariable analyses adjusted for confounding, we found inverse non-linear associations of serum TSH levels with eGFR, while serum fT3 levels showed a positive association with eGFR. High as well as low serum fT4 levels were associated with a lower eGFR. Age but not sex modified the association between thyroid hormone levels and eGFR. The inverse associations between serum TSH levels and eGFR were strongest in the youngest age groups, while the positive associations between serum fT3 levels and eGFR were strongest in older individuals. No significant associations between thyroid hormone levels and albuminuria were found. Our results indicate that hypothyroidism might be associated with a reduced kidney function. Thyroid function might be more tightly related to the eGFR than to albuminuria in the general population.

Indexed as

albuminuriachronic kidney diseaseestimated glomerular filtration ratethyroid hormonesthyroid-stimulating hormone

Identifiers

PMID37685830
PMCPMC10489120
OpenAlexW4386423178

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.