Subclinical Hypothyroidism in Advanced Chronic Kidney Disease Patients: Prevalence and Associated Factors
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Subclinical Hypothyroidism in Advanced Chronic Kidney Disease Patients: Prevalence and Associated FactorsAutoría
Fecha de publicación
2022-05-17Editor
HindawiISSN
2090-8067; 2042-0072Cita bibliográfica
Reque Santivañez J, Garcia Peris B, Panizo Gonzalez N, Perez Alba A, D'Marco L, Collado Boira E. Subclinical Hypothyroidism in Advanced Chronic Kidney Disease Patients: Prevalence and Associated Factors. J Thyroid Res. 2022 May 17;2022:1077553. doi: 10.1155/2022/1077553. PMID: 35620417; PMCID: PMC9130009.Tipo de documento
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info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Introduction. Renal function and thyroid metabolism are tightly related. However, evidence about subclinical hypothyroidism
prevalence in patients with chronic kidney disease and its related factors is scarce. ... [+]
Introduction. Renal function and thyroid metabolism are tightly related. However, evidence about subclinical hypothyroidism
prevalence in patients with chronic kidney disease and its related factors is scarce. Objectives. Our aim is to analyze subclinical
hypothyroidism prevalence and its related factors in patients with advanced chronic kidney disease. Materials and methods.
Nondialysis-dependent patients with chronic kidney disease at stages 3 to 5 were included. Other inclusion criteria were age above
18 years and clinical stability. Patients with diagnosed thyroid illnesses were excluded. Subclinical hypothyroidism was defined as
thyroid stimulating hormone (TSH) > 5.3 mU/L, with free thyroxine 4 (FT4) between 0.54 and 1.24 ng/dl. Filiation data,
comorbidities, and routine blood and urine test results were registered. Results. A total of 299 patients were included. Of them, 184
(61.5%) were men. +e mean age was 71 ± 13 years old. +e mean glomerular filtration rate (CKD-EPI) was 22 ± 9 ml/min/
1.73 m2
. According to chronic kidney disease stages, global distribution of patients was as follows: Stage 3, 67 patients (22.4%); Stage
4, 155 patients (51.8%); and Stage 5, 77 patients (25.8%). We found subclinical hypothyroidism in 54 (18.1%) patients. According to
chronic kidney disease stages, distribution of affected patients was as follows: Stage 3, 9 patients (13%); Stage 4, 25 patients (16.1%);
and Stage 5, 20 patients (26%). Differences among stages were statistically significant. By univariate analysis, factors related with
subclinical hypothyroidism were as follows: age RR 1.048 (95% CI 1.019–1.078; p � 0.001), hypertension RR 2.705 (95% CI
1.026–7.130; p � 0.04), glomerular filtration rate RR 0.962 (95% CI 0.929–0.996; p � 0.03), and proteinuria higher than 1 gram/day
RR 2.387 (95% CI 1.303–4.374; p � 0.005). By multivariate analysis adjusted by age, hypertension, glomerular filtration rate,
proteinuria, diabetes, and cardiovascular disease history, only age RR 1.016 (95% CI 1.009–1.028; p � 0.04) and glomerular filtration
rate RR 0.963 (95% CI 0.930–0.997; p � 0.03) preserved their independent association with subclinical hypothyroidism. Conclusions.
Subclinical hypothyroidism prevalence in patients with chronic kidney disease is high and increases with renal disease severity.
Factors independently related to subclinical hypothyroidism are age and glomerular filtration rate. [-]
Publicado en
Journal of yroid Research Volume 2022, Article ID 1077553, 4 pages https://doi.org/10.1155/2022/1077553Datos relacionados
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9130009/#Derechos de acceso
info:eu-repo/semantics/openAccess
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Excepto si se señala otra cosa, la licencia del ítem se describe como: Copyright © 2022 Javier Reque Santivañez et al.+is is an open access article distributed under the Creative Commons Attribution
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properly cited.