Evidence map›Paper›PMID 37815042›Full record

ArticleJournal of the American Heart Association2023

Iodine-Induced Hypothyroidism and Long-Term Risks of Incident Heart Failure.

Kosuke Inoue, Rong Guo, Martin L Lee, Natalia V Neverova, Ramin Ebrahimi, Jesse W Currier, Muhammad T Bashir, Angela M Leung

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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

8 authors at 3 institutions in 2 countries.

Kosuke InoueDepartment of Social Epidemiology, Graduate School of Medicine Kyoto University Kyoto Japan.ORCID 0000-0001-9614-8103
Rong GuoResearch Service Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.
Martin L LeeVeterans Affairs Health Services Research and Development Center for the Study of Health Care Innovation, Implementation, and Policy, Veterans Affairs Greater Los Angeles Healthcare System CA Los Angeles USA.
Natalia V NeverovaDivision of Cardiology, Department of Medicine Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.
Ramin EbrahimiDivision of Cardiology, Department of Medicine Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.ORCID 0000-0003-3728-1339
Jesse W CurrierDivision of Cardiology, Department of Medicine Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.
Muhammad T BashirResearch Service Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.
Angela M LeungDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine Veterans Affairs Greater Los Angeles Healthcare System Los Angeles CA USA.ORCID 0000-0001-8935-9332
University of California, Los Angeles · USKyoto University · JPVA Greater Los Angeles Healthcare System · US

Funding

IODINE EXCESS, THYROID DYSFUNCTION, CARDIOVASCULAR OUTCOMES, AND MORTALITY AMONG U.S. VETERANSI01CX001845 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI LEUNG, ANGELA MEI-TIN · 2020 to 2023
–
CSRD VA I01 CX001845
6 · The paper itself

Abstract

Background Although most individuals can adapt to a large iodine load and remain euthyroid, hypothyroidism can develop after iodine exposure. Hypothyroidism is associated with adverse cardiovascular consequences, including heart failure. This study was performed to investigate the relationships between iodine-induced hypothyroidism and incident heart failure. Methods and Results This cohort study of the US Veterans Health Administration (1998-2021) included adults aged ≥18 years with a serum thyroid-stimulating hormone (thyrotropin) <60 days of iodine contrast administration, and <1 year of a baseline normal serum thyroid-stimulating hormone. Cox proportional hazards regression ascertained risk of incident heart failure following iodine-induced hypothyroidism, adjusting for age, sex, race and ethnicity, body mass index, and history of coronary heart disease, dyslipidemia, diabetes, and hypertension. Of 45 470 veterans (mean±SD age, 61.1±14.1 years; 88% men), 3361 (7.4%) developed iodine-induced hypothyroidism. Heart failure developed in 5685 (12.5%) individuals over a median follow-up of 3.6 years (interquartile range, 1.9-7.2 years). Adjusted for risk factors, iodine-induced hypothyroidism was associated with increased risk of heart failure, compared with those who remained euthyroid after iodine exposure (adjusted hazard ratio [HR], 1.11 [95% CI, 1.01-1.22]). Women were at greater risk than men (adjusted HR: women, 1.65 [95% CI, 1.13-2.40]; men, 1.08 [95% CI, 0.98-1.19];

Indexed as

Heart FailureHypothyroidismIodineAdolescentAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedThyrotropinIodineThyrotropinheart failurehypothyroidismiodinethyroid dysfunction

Identifiers

PMID37815042
PMCPMC10757548
OpenAlexW4387473287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.