Evidence map›Paper›PMID 39650307›Full record

ArticleClinical medicine insights. Endocrinology and diabetes2024

Role of Supplementation with Selenium and Myo-Inositol Versus Selenium Alone in Patients of Autoimmune Thyroiditis: A Systematic Review and Meta-Analysis.

Varisha Zuhair, Areeba Tufail Sheikh, Nimra Shafi, Areesha Babar, Areeb Khan, Arooba Sadiq, Muhammad Afnan Ashraf, Khuld Nihan, Muhammad Hamza, Burhan Khalid and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Clinical medicine insights. Endocrinology and diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Varisha ZuhairJinnah Sindh Medical University, Karachi, Pakistan.ORCID https://orcid.org/0009-0009-8640-6872
Areeba Tufail SheikhZiauddin University, Karachi, Pakistan.
Nimra ShafiBahria University Medical and Dental College, Karachi, Pakistan.
Areesha BabarJinnah Sindh Medical University, Karachi, Pakistan.
Areeb KhanJinnah Sindh Medical University, Karachi, Pakistan.
Arooba SadiqJinnah Sindh Medical University, Karachi, Pakistan.
Muhammad Afnan AshrafSharif Medical and Dental College, Lahore, Pakistan.
Khuld NihanJinnah Sindh Medical University, Karachi, Pakistan.
Muhammad HamzaDow University of Health Sciences, Karachi, Pakistan.
Burhan KhalidGujrawala Medical College, Gujrawala, Pakistan.
Syeda Haya FatimaDow University of Health Sciences, Karachi, Pakistan.
Mirza Ammar ArshadRahbar Medical and Dental College, Lahore, Pakistan.
Eman AliDow University of Health Sciences, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The main objective was to assess the therapeutic efficacy of selenium alone versus a combination of myo-inositol and selenium (MI + Se) in treating patients with autoimmune thyroiditis (AIT). The study aims to determine which treatment option is more effective in restoring euthyroid state, as indicated by changes in thyroid-stimulating hormone (TSH), T3, T4, thyroid peroxidase antibodies (TPOAb), and thyroglobulin antibodies (TgAb). Methods: Google Scholar and PubMed databases were searched for randomized controlled trials (RCTs) and observational studies that reported outcomes of combined treatment (MI + Se) in restoring a euthyroid state, specifically comparing it with selenium-only (Se-only) treatment. Changes in TSH, T3, T4, TPOAb, and TgAb levels from baseline were defined as indicators to compare the effect of combined versus selenium-only treatment in restoring euthyroid levels. The Cochrane risk of bias tool and Newcastle Ottawa Scale were used to assess the quality of the randomized control trials included in the study. Review Manager (version 5.4, Nordic Cochrane Centre, Copenhagen, Denmark) was used for statistical analysis. Result: We pooled three studies, enrolling 151 participants in the MI + Se group and 137 participants in the Se group. Supplementation of Se with MI demonstrated a significant reduction in TSH levels compared to Se alone (SMD = -1.15, 95% CI: -1.60 to -0.69, Conclusion: Supplementation of Se with MI showed a significant reduction in TSH and TgAb levels compared to selenium-only treatment, with a non-significant reduction in TPOAB, T3, and T4 levels. This entails the need for powered clinical trials and observational studies with longer follow-ups to critically assess the role of combined therapy in restoring euthyroid state in patients with AIT.

Indexed as

Autoimmune thyroiditis (AIT)meta-analysismyo-inositolmyo-inositol and seleniumobservational studyrandomized controlled trials (RCTs)selenium

Identifiers

PMID39650307
PMCPMC11624528

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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.