Evidence map›Paper›PMID 41415087›Full record

ArticleAmerican journal of translational research2025

Levothyroxine suppression therapy improves maternal and neonatal outcomes in pregnancy after thyroidectomy for differentiated thyroid carcinoma.

Pingfa Gao, Lyuping Hu, Songzhou Lu, Dongxu Feng, Yingying Wang, Zhewei Fei, Wei Wu

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Pingfa GaoDepartment of Thyroid and Breast Surgery, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai 202150, China.
Lyuping HuDepartment of Pharmacy, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai 202150, China.
Songzhou LuDepartment of Pharmacy, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai 202150, China.
Dongxu FengDepartment of Thyroid and Breast Surgery, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai 202150, China.
Yingying WangParty and Government Office, Shanghai Chongming District Maternal and Child Health Center Shanghai 200000, China.
Zhewei FeiDepartment of Breast and Thyroid Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai 200000, China.
Wei WuDepartment of Thyroid and Breast Surgery, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai 202150, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the efficacy of levothyroxine (L-T4) suppression therapy in women with a history of differentiated thyroid carcinoma (DTC), focusing on pregnancy outcome after thyroidectomy.

methodsThis retrospective study included 300 pregnancies in women with previous DTC surgery. Participants were divided into an experimental group (n=187) receiving L-T4 doses adjusted based on thyroid-stimulating hormone (TSH) levels and a control group (n=113) following a fixed low-dose L-T4 regimen. We assessed various outcomes, including biochemical values (TSH dynamics, lipid profile, folic acid [FA] levels), obstetric measures (placental function, pregnancy complications), and neonatal outcomes.

resultsThe experimental group showed consistently lower TSH levels throughout pregnancy and experienced fewer pregnancy and neonatal complications compared to the control group (all P<0.05). Additionally, the experimental group demonstrated significant improvements in lipid profiles, FA levels, and placental function(all P<0.05).

conclusionsTSH-adjusted L-T4 therapy in pregnant women post-DTC thyroidectomy results in better maternal and neonatal outcomes compared to a fixed low-dose L-T4 regimen. This approach optimizes TSH stability, improves lipid and FA profiles, and enhances placental function, leading to improved overall outcomes for both the mother and child.

Indexed as

blood lipidsfolic acidL-T4post-DTC surgerypregnancyThyroid carcinomathyroid-stimulating hormone

Identifiers

PMID41415087
PMCPMC12709345

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