Evidence map›Paper›PMID 39749069›Full record

ReviewCureus2024

The Impact of Maternal Graves' Disease on Neonatal Thyroid Function: A Systematic Review.

Maria Tzoraki, Grigorios Karampas, Antigoni Sarantaki, Aikaterini Lykeridou, Christina Kanaka-Gantenbein, Dimitra Metallinou

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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. Neonatal Surveillance Gaps in Maternal Graves' Disease: Findings From a Queensland Maternity Hospital.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  2. 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

6 authors.

Maria TzorakiMedical Service Department, Hygeia Hospital, Athens, GRC.
Grigorios KarampasSecond Department of Obstetrics and Gynaecology, Aretaieio University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GRC.
Antigoni SarantakiDepartment of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC.
Aikaterini LykeridouDepartment of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC.
Christina Kanaka-GantenbeinDivision of Endocrinology, Diabetes and Metabolism, 1st Department of Pediatrics, "Aghia Sophia" Children's Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GRC.
Dimitra MetallinouDepartment of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal Graves' disease (GD) poses a significant risk to neonatal thyroid function due to the transplacental transfer of thyrotropin receptor antibodies (TRAbs). This systematic review aims to assess the impact of maternal GD on neonatal thyroid outcomes and identify key maternal factors influencing these outcomes. A comprehensive literature search was conducted across PubMed, Scopus, and Cochrane, resulting in the inclusion of 18 studies published from 2014 to 2024. The review focused on neonates born to mothers with active or previous GD and investigated the effects of various maternal treatments, including antithyroid drugs (ATDs), radioactive iodine (RAI) therapy, and thyroidectomy on their offspring. The findings indicate that elevated maternal TRAb levels are a strong predictor of neonatal thyroid dysfunction, with neonates exhibiting conditions such as hyperthyroidism, transient thyrotoxicosis, or hypothyroidism. The incidence of neonatal thyroid dysfunction ranged from 0.1% to 5% in pregnancies complicated by GD, with higher rates observed in cases requiring long-term ATD therapy. Neonatal outcomes varied, with some cases resolving after appropriate treatment, while others necessitated prolonged monitoring due to risks of developmental delays and complications. The review highlights the importance of early third-trimester TRAb screening and regular neonatal thyroid function testing within the first week of life. Although neonatal outcomes were generally favorable with prompt diagnosis and treatment, the review emphasizes the need for standardized protocols to optimize monitoring and management strategies in pregnancies complicated by GD. Further research should explore long-term neurodevelopmental outcomes and evaluate the impact of different maternal treatment strategies on neonatal thyroid health.

Indexed as

maternal graves’ diseasematernal hyperthyroidismneonatal hyperthyroidismneonatal hypothyroidismthyroid function

Identifiers

PMID39749069
PMCPMC11695029

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.