Evidence map›Paper›PMID 38087476›Full record

ArticleRenal failure2023

Urinary excretion of thyroid hormone in CKD patients: a proof-of-concept of nephrogenic hypothyroidism.

Rena Yuasa, Masaki Muramatsu, Akinobu Saito, Hiroyoshi Osuka, Toshisuke Morita, Yuko Hamasaki, Ken Sakai

Open access · goldAbstract read
In one paragraph

Article in Renal failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  5. Optimizing Care for Primary Glomerulonephritis: The Role of Thyroid Evaluation.Endocrine, metabolic & immune disorders drug targets · 2025
    Observational
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  7. 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

7 authors at 1 institution in 1 country.

Rena YuasaDepartment of Clinical Medicine, Toho University Faculty of Nursing, Tokyo, Japan.
Masaki MuramatsuDepartment of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Akinobu SaitoDepartment of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Hiroyoshi OsukaDepartment of Clinical Laboratory, Toho University Omori Medical Center, Tokyo, Japan.
Toshisuke MoritaDepartment of Laboratory Medicine, Toho University Faculty of Medicine, Tokyo, Japan.
Yuko HamasakiDepartment of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Ken SakaiDepartment of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Toho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with chronic kidney disease (CKD) complicated by hypothyroidism exhibit a higher prevalence of urine protein than that in the general population. This study was aimed at investigating thyroid hormones and thyroid hormone-binding proteins excreted in urine to elucidate the urine protein-associated underlying mechanisms of hypothyroidism.

methodsBetween November 2016 and August 2018, thyroid function (serum free T3 [sFT3], free T4 [sFT4], and thyroid-stimulating hormone [sTSH]), kidney function (estimated glomerular filtration rate [eGFR]), thyroid antibodies and albumin (Alb) were evaluated in 99 Japanese CKD patients with proteinuria at our outpatient clinic. A urine examination was also performed to assess the following parameters: total T3, total T4, TSH, Alb, preAlb, thyroid-binding globulin, and protein.

resultsThe median patient age at study recruitment was 60 years; 50 patients (50.5%) were male. The median eGFR and Alb level were 20.3 ml/min/1.73 m

conclusionWe found a significant association between hypothyroidism and NS regardless of sex and antibodies. Urinary loss of thyroid hormones must be a factor influencing hypothyroidism independent of autoimmunity.

Indexed as

HypothyroidismNephrotic SyndromeRenal Insufficiency, ChronicFemaleHumansMaleMiddle AgedThyroid HormonesThyrotropinThyroid HormonesThyrotropinCKDhypothyroidismindependent of autoimmunitynephrogenic hypothyroidismproteinuriathyroid hormone-binding proteinsurinary excretion of thyroid hormones

Identifiers

PMID38087476
PMCPMC11001357
OpenAlexW4389683047

What OpenQuestion holds

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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.