Evidence map›Paper›PMID 42094862›Full record

ArticleJournal of the Endocrine Society2026

Association between thyroidea function and opioid agonist therapy: a prospective cohort study from Norway.

Anne Taraldsen Heldal, Jorn Henrik Vold, Kristin Viste, Fatemeh Chalabianloo, Gunnar Mellgren, Kjell Arne Johansson, Lars Thore Fadnes

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Anne Taraldsen HeldalBergen Addiction Research and Norwegian Research Center for Agonist Treatment of Substance Use Disorder, Addiction and Substance Use Clinic, Haukeland University Hospital, 5009 Bergen, Norway.ORCID https://orcid.org/0009-0007-0149-1330
Jorn Henrik VoldBergen Addiction Research and Norwegian Research Center for Agonist Treatment of Substance Use Disorder, Addiction and Substance Use Clinic, Haukeland University Hospital, 5009 Bergen, Norway.ORCID https://orcid.org/0000-0001-8701-7638
Kristin VisteHormone Laboratory, Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, 5009 Bergen, Norway.
Fatemeh ChalabianlooBergen Addiction Research and Norwegian Research Center for Agonist Treatment of Substance Use Disorder, Addiction and Substance Use Clinic, Haukeland University Hospital, 5009 Bergen, Norway.ORCID https://orcid.org/0000-0003-1242-1972
Gunnar MellgrenHormone Laboratory, Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, 5009 Bergen, Norway.ORCID https://orcid.org/0000-0001-6282-4986
Kjell Arne JohanssonBergen Addiction Research and Norwegian Research Center for Agonist Treatment of Substance Use Disorder, Addiction and Substance Use Clinic, Haukeland University Hospital, 5009 Bergen, Norway.ORCID https://orcid.org/0000-0001-8912-8710
Lars Thore FadnesBergen Addiction Research and Norwegian Research Center for Agonist Treatment of Substance Use Disorder, Addiction and Substance Use Clinic, Haukeland University Hospital, 5009 Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Opioid agonist therapy (OAT) is an essential treatment for opioid dependency. However, OAT may lead to endocrinopathy, which may impair the tolerability of treatment. Although the risk of disturbed regulation of the adrenal and gonadal axes has been extensively studied, less is known about how long-term opioid use and corresponding risk factors influence the thyroid axis. The objective of this study was to investigate associations between biomarkers of thyroid function and OAT medication as well as sociodemographic and clinical factors and concurrent use of illicit substances among patients receiving OAT. Methods: We used prospective data from 320 people receiving OAT in Bergen, Norway, from 2016 through 2023. All had 2 health assessments, including serum measurements of TSH. Descriptive statistics and a linear mixed model with coefficient and 95% CIs were performed to investigate the association between serum TSH (measured in mIU/L) and OAT medication as well as age, sex, substance use patterns, injecting use, housing status, and educational attainment at first assessment and over time. Results: Median serum TSH at first assessment in the study population was 1.8 mIU/L (interquartile range: 1.2). No association between OAT medications, sociodemographic, or clinical factors and serum TSH was found at first assessment and over time. Conclusion: The median serum TSH was within the recommended range among people receiving OAT. No association between OAT treatment and thyroid insufficiency was found. This indicates that screening for thyroid function beyond symptomatic assessment is probably not needed among patients receiving OAT.

Indexed as

injecting substance useopioid substitution treatmentsubstance-related disordersthyroid function

Identifiers

PMID42094862
PMCPMC13142799

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Registered trials

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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.