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Research ArticleResearch Briefs

Thyroid Stimulating Hormone Stability in Patients Prescribed Synthetic or Desiccated Thyroid Products: A Retrospective Study

Rolake Kuye, Catherine Riggs, Jordan King, Rachel Heilmann, Deanna Kurz and Jessica Milchak
The Annals of Family Medicine September 2020, 18 (5) 452-454; DOI: https://doi.org/10.1370/afm.2545
Rolake Kuye
Kaiser Permanente, Denver, Colorado
PharmD
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Catherine Riggs
Kaiser Permanente, Denver, Colorado
PharmD
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  • For correspondence: catherine.s.riggs@kp.org
Jordan King
Kaiser Permanente, Denver, Colorado
PharmD, MS
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Rachel Heilmann
Kaiser Permanente, Denver, Colorado
PharmD
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Deanna Kurz
Kaiser Permanente, Denver, Colorado
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Jessica Milchak
Kaiser Permanente, Denver, Colorado
PharmD
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    Table 1

    Baseline Characteristics at Index Date and Results

    Desiccated Thyroid (n = 435)Synthetic Levothyroxine (n = 435)P Value
    Age, y (mean, 95% CI)63.4 (12.68)63.4 (12.68)Matched
    Female No. (%)392 (90.1)392 (90.1)Matched
    Race, No. (%)Matched
     Non-Hispanic White363 (83.4)363 (83.4)Matched
     Non-Hispanic Black5 (1.1)5 (1.1)
     Hispanic22 (5.1)22 (5.1)
     Other45 (10.3)45 (10.3)
    TSH (mean, 95% CI)2.4 (0.18)3.4 (0.27)0.001
    BMI (kg/m2) (mean, 95% CI)27.55 (5.94)28.62 (6.64)0.032
    Systolic BP (mmHg) (mean, 95% CI)127.31 (16.28)126.98 (16.09)0.772
    Diastolic BP (mmHg) (mean, 95% CI)74.61 (8.59)75.14 (8.07)0.366
    HgbA1c (mean, 95% CI)6.67 (0.94)7.18 (1.30)0.041
    Random glucose (mg/dL) (mean, 95% CI)97.36 (20.52)97.51 (25.56)0.961
    Comorbidities, No. (%)
     Hypertension135 (31.0)150 (34.5)0.312
     Myocardial infarction< 6< 60.722
     Diabetes mellitus37 (8.5)46 (10.6)0.356
     Heart failure8 (1.8)10 (2.3)0.812
     Atrial fibrillation12 (2.8)11 (2.5)1
    Cholesterol (mg/dL) (mean, 95% CI)
     High density lipoprotein60.62 (17.55)59.97 (16.81)0.715
     Low density lipoprotein114.14 (31.91)115.77 (34.92)0.64
     Triglycerides141.42 (82.22)147.05 (74.20)0.489
     Total cholesterol201.98 (35.41)204.74 (39.44)0.479
    Results
    Percent of TSH values in range, (mean, 95% CI)79.3 (76.6-82.1)79.1 (76.4-81.7)0.905
    Visit-to-visit TSH, (SD of TSH)1.44 (1.33-1.54)1.25 (1.15-1.36)0.015
    Percent of patients with 100% of TSH values in range, (mean, 95% CI)60.0 (55.8-64.1)59.8 (55.7-63.9)0.951
    Number of TSH laboratories obtained per patient over the 3-year study period (mean, IQR)3 (3-5)4 (3-5)0.578
    • BMI = body mass index; BP = blood pressure; HgbA1c = glycosylated hemoglobin; IQR = interquartile range; TSH = thyroid stimulating hormone.

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The Annals of Family Medicine: 18 (5)
The Annals of Family Medicine: 18 (5)
Vol. 18, Issue 5
September/October 2020
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Thyroid Stimulating Hormone Stability in Patients Prescribed Synthetic or Desiccated Thyroid Products: A Retrospective Study
Rolake Kuye, Catherine Riggs, Jordan King, Rachel Heilmann, Deanna Kurz, Jessica Milchak
The Annals of Family Medicine Sep 2020, 18 (5) 452-454; DOI: 10.1370/afm.2545

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Thyroid Stimulating Hormone Stability in Patients Prescribed Synthetic or Desiccated Thyroid Products: A Retrospective Study
Rolake Kuye, Catherine Riggs, Jordan King, Rachel Heilmann, Deanna Kurz, Jessica Milchak
The Annals of Family Medicine Sep 2020, 18 (5) 452-454; DOI: 10.1370/afm.2545
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Subjects

  • Methods:
    • Quantitative methods

Keywords

  • thyroid stimulating hormone (TSH)
  • levothyroxine
  • desiccated thyroid
  • stability
  • hypothyroidism
  • thyrotropin, thyroxine, thyroid (USP)

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