Thyroid disease

Effect of Antithyroid Drugs Treatment Duration on The Remission Rates of Graves' Disease in Children and Adolescents: A Single‐Arm Meta‐Analysis and Systematic Review

Clin Endocrinol (Oxf)Published Systematic review and single-arm meta-analysis

Authors' conclusion

The overall RR for the treatment of paediatric GD with ATDs is 25.4%, and prolonging the treatment course can indeed lead to an increased RR.

Study context

Population
Children and adolescents with Graves' disease (GD) treated with antithyroid drugs (ATDs) (2600 girls, 759 boys); databases searched to 23 November 2023
Participants
3,359 children19 studies
Comparison
ATD treatment duration
Outcome
RR
Methodological detailsmeta-regression, subgroup comparisons
  • Meta-regression
  • Subgroup comparisons

Pooled result

As reported in the abstract

Overall remission rate with ATDs

Pooled overall remission rate

25.4%

95% CI 20.7%, 30.1%

Further pooled results

Remission rate by ATD treatment duration

Meta-regression: remission rate per additional year of ATD treatment

Increase in remission rate per additional year
3.8% (Coefficient; 95% CI 0.6%, 7.0%; p < 0.01)
Treatment duration and follow-up duration were significant sources of high heterogeneity

Original publication

Effect of Antithyroid Drugs Treatment Duration on The Remission Rates of Graves' Disease in Children and Adolescents: A Single‐Arm Meta‐Analysis and Systematic Review. Clin Endocrinol (Oxf). Published 5 November 2024. doi:10.1111/cen.15159

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