Evidence map›Paper›PMID 42422484›Full record

ArticleJournal of the Endocrine Society2026

Clinical outcomes of thyroid function in patients with thyrotropin receptor blocking antibody-positive hypothyroidism.

Rei Hirose, Jaeduk Yoshimura Noh, Natsuko Watanabe, Tatsuya Iida, Toshino Suzuki, Masahiro Ichikawa, Masakazu Koshibu, Nami Suzuki, Masako Matsumoto, Miho Fukushita and 3 more

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 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. 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

13 authors.

Rei HiroseDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0009-0006-2998-7656
Jaeduk Yoshimura NohDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0001-7340-8603
Natsuko WatanabeDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-2297-5004
Tatsuya IidaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.
Toshino SuzukiDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.
Masahiro IchikawaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.
Masakazu KoshibuDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0009-0007-0170-2804
Nami SuzukiDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-2877-6647
Masako MatsumotoDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0009-0000-7265-6787
Miho FukushitaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0001-6815-5891
Ai YoshiharaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-1323-4722
Kiminori SuginoDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0002-9692-9871
Koichi ItoDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0002-2341-3620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Thyrotropin receptor blocking antibodies (TBAbs) are uncommon but not a rare cause of hypothyroidism. However, clinical outcomes of thyroid function in patients with TBAb-positive hypothyroidism remain unclear. Objective: The aim of this study was to explore the clinical outcomes of thyroid function in patients with TBAb-positive hypothyroidism and investigate factors associated with hypothyroidism outcomes. Methods: A single-center retrospective observational study was conducted from 2024 to 2025. Overall, 137 patients with TBAb-positive hypothyroidism without Graves' disease (Non-GD group) and 181 with TBAb-positive hypothyroidism during or after antithyroid drug therapy for Graves' disease (Prior GD group), almost all Japanese, were included. Thyroid functional outcomes were assessed in all patients; serial TBAb measurements were available for 31% and 36% of the patients, respectively. The main outcome was thyroid function at the final visit after a median follow-up period of 6.8 years. Clinical factors associated with hypothyroidism outcomes were analyzed using logistic regression analysis. Results: Hypothyroidism persisted in 84% and 43% of the patients in the Non-GD and Prior GD groups, respectively. In both groups, persistent TBAb positivity was associated with hypothyroid outcomes (Non-GD: univariate analysis, odds ratio [OR], 3.51; 95% CI, 1.14-40.6; Conclusion: Most patients with TBAb-positive hypothyroidism remain hypothyroid over the long term, whereas outcomes are more heterogeneous in patients with prior Graves' disease who develop TBAb-positive hypothyroidism. Persistent TBAb positivity is associated with the hypothyroidism outcomes.

Indexed as

Graves’ diseasehypothyroidismthyroid volumethyrotropin receptor blocking antibody

Identifiers

PMID42422484
PMCPMC13343486

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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.