Meta AnalysisID 719

左甲状腺素对妊娠期亚临床甲状腺功能减退症女性的临床益处:一项系统评价与Meta分析

CRD42022321937

(1) Population: pregnant women diagnosed with SCH, based on the 2017 ATA criteria: TSH levels above the upper limit of the pregnancy-specific reference range or (if unavailable) above 4.0mIU/L and less than 10.0mIU/L; (2

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Record Fields

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Meta Analysis Id
719
Evidence Id
9277
Core Evidence Id
9277
Source Meta Analysis Id
696
Herb2 Meta Analysis Id
HBMA000696
Crd Id
CRD42022321937
Title
Clinical benefits of levothyroxine in women with subclinical hypothyroidism during pregnancy : a systematic review and meta-analysis
Review Question
(1) Population: pregnant women diagnosed with SCH, based on the 2017 ATA criteria: TSH levels above the upper limit of the pregnancy-specific reference range or (if unavailable) above 4.0mIU/L and less than 10.0mIU/L; (2) Intervention: thyroxine (including levothyroxine, thyroxine supplementation); (3) Comparison: placebo or no treatment; (4) Outcomes: pregnancy, neonatal, and childhood outcomes; (5) Study design: randomized controlled trial and cohort study.
Study Type Included
Study design: randomized controlled trial and cohort study
Condition Being Studied
Subclinical hypothyroidism is a common thyroid disorder during pregnancy, which is defined as the thyroid stimulating hormone value greater than the upper limit of the reference range with a normal free thyroxine. The prevalence of subclinical hypothyroidism during pregnancy is range from 2% to 5% depending on diagnostic criteria, TPOAb status, ethnicity and iodine intake. There have been systematic reviews on the clinical benefits of LT4 therapy in pregnant women with SCH, but the results have been inconsistent, which may be related to the different upper cutoff values of TSH used for the diagnosis of SCH.
Participant
Population: pregnant women diagnosed with SCH, based on the 2017 ATA criteria: TSH levels above the upper limit of the pregnancy-specific reference range or (if unavailable) above 4.0mIU/L and less than 10.0mIU/L
Animal
Human Disease Modelled
Intervention
Intervention: thyroxine (including levothyroxine, thyroxine supplementation)
Comparator Control
Comparison: placebo or no treatment
Main Outcome
childhood IQ, physical and neurodevelopment, preterm delivery, miscarriage, gestational hypertension, gestational diabetes
Outcome Measure
Additional Outcome
placental abruption, fetal growth restriction, fetal distress, pregnant women anemia, postpartum hemorrhage, premature rupture of membranes, preeclampsia, small for gestational age, low birth weight, neonatal admission, neonatal death, respiratory distress syndrome
Study Method
Systematic review
Keyword
Female; Humans; Hypothyroidism; Pregnancy; Pregnancy Outcome; Thyroxine
Contact
Miao Zhang [email protected]
Organisational Affiliation
Department of Pharmacy, West China Second University Hospital, Sichuan University
Funding Source
National Natural Science Foundation; Science and Technology Plan Project of Sichuan Province
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2022-03-30
Registration Date
2022-04-30
Anticipated Start Date
2022-02-01
Anticipated Completion Date
2022-07-01
Title Cn
左甲状腺素对妊娠期亚临床甲状腺功能减退症女性的临床益处:一项系统评价与Meta分析
Title En
Clinical benefits of levothyroxine in women with subclinical hypothyroidism during pregnancy : a systematic review and meta-analysis
Bilingual Status
complete