Thyroid disease

Age and Gender Adjusted Free T3 (FT3) Levels as Novel Predictors of Survival

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Low FT3 AGAPs predicted poor survival, most strongly among not healthy people.

Study context

Population
Patients with thyroid function tests 2008–2014 crossed with electronic health records, excluding those taking thyroid preparations or anti-thyroid drugs; subgroups not healthy (≥1 of 5 chronic conditions) and healthysets of tests
Participants
258,695 patients
Exposure
Lowest 5 vs highest 50 percentiles of initial FT3 and gender-adjusted percentiles (AGAPs)
Outcome
HR for death
Follow-up
Median 6.8 years
Methodological detailsbig-data, age- and gender-adjusted percentiles (AGAPs)
  • Big-data
  • Age- and gender-adjusted percentiles (AGAPs)

Main finding

As reported in the abstract

Death by initial FT3 AGAPs, lowest 5 vs highest 50 percentiles
Lowest 5 percentiles vs Highest 50 percentilesHR for death (CI)P value
Not healthy
5.71(5.23–6.26)
P < 0.001
Healthy
3.92(3.06–5.02)
P < 0.001
Died, not healthy
5865/151 868 (10.4%)
Died, healthy
2504/106 827 (2.3%)

Observational data: associations, not effects.

Further findings

Deaths · median 6.8 years

  • Deaths: not healthy n = 151 868; healthy n = 106 827

Original publication

Age and Gender Adjusted FT3 Levels as Novel Predictors of Survival. J Clin Endocrinol Metab. Published 7 June 2023. doi:10.1210/clinem/dgad342

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