Evidence map›Paper›PMID 39119004›Full record

Trial reportFrontiers in endocrinology2024

Assessing the impact of short-term Lugol's solution on toxic nodular thyroid disease: a pre-post-intervention study.

Fredric Hedberg, Per Karkov Cramon, Robert Bränström, Henrik Falhammar, Jan Calissendorff

Registry-linked trialAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04856488 (Preoperative Lugol's Solution in Graves' Disease and Toxic Nodular Goiter), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT04856488 phase3recruitingnot on this map

Preoperative Lugol's Solution in Graves' Disease and Toxic Nodular Goiter

TypeinterventionalSponsorJan CalissendorffRan2021 to 2028Enrolled182ConditionsHyperthyroidismArmsIodine-Potassium Iodide 5%-10% Oral and Topical Solution
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

5 authors.

Fredric HedbergDepartment of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
Per Karkov CramonDepartment of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Robert BränströmDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Henrik FalhammarDepartment of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
Jan CalissendorffDepartment of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Preoperative iodine therapy in toxic nodular goiter (TNG) is discouraged as iodine may cause aggravation of hyperthyroidism. We aimed to examine if a short course of iodine treatment is safe to administer in TNG. Methods: Patients with TNG (n=20) and subclinical to mild hyperthyroidism (free (f)T4 <30 pmol/L) without complicating illnesses were included in this pre-post-intervention study at Karolinska University Hospital. All participants received Lugol's solution 5%, three oral drops thrice daily for 10 days. Heart rate, TSH, fT4, fT3 concentrations were collected before (day 0) and after treatment (day 10). Thyroid hormone concentrations were also measured at two time points during treatment to discover aggravations of hyperthyroidism. ThyPRO39se, a quality-of-life questionnaire, was filled out day 0 and day 10. Differences in heart rate, thyroid hormone concentrations, and quality-of-life before and after treatment were compared. Adverse reactions were reported. Results: The median age was 63.5 years. Female to male ratio 19:1. FT4 and fT3 concentrations decreased (both Conclusion: A short course of Lugol's solution improved thyroid hormone concentrations, reduced patient-reported hyperthyroid symptoms and was safe in TNG. Lugol's solution might be an option for preoperative treatment in TNG. Clinical trial registration: https://www.clinicaltrials.gov, identifier NCT04856488.

Indexed as

Goiter, NodularIodidesAgedFemaleHumansHyperthyroidismMaleMiddle AgedQuality of LifeThyroid HormonesIodidesLugol's solutionThyroid HormoneshyperthyroidismiodineLugolthyrotoxicosistoxic adenomatoxic nodular goiter

Identifiers

PMID39119004
PMCPMC11306062

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Registered trials

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.