Thyroid disease

Establishing Serum Thyroglobulin Reference Values and Predictors of Its Variability in an Iodine-Sufficient Population

Endocr PractPublished Cross-sectional study

Authors' conclusion

Population-specific RVs for Tg are essential in clinical decision-making. Known clinical/biochemical variables explained only a small proportion of Tg variability. Our findings underscore the need to identify additional determinants of Tg levels.

Study context

Population
Volunteers in an iodine-sufficient population screened by history, physical examination, thyroid function tests, urine iodine excretion and thyroid USvolunteers screened
Participants
420 volunteers
Exposure
Cohort 1 vs Cohort 2
  • Cohort 1n = 140
  • Cohort 2n = 154
Outcome
Serum Tg reference values (NACB criteria) and determinants of serum Tg levels
Methodological detailsNational Academy of Clinical Biochemistry (NACB) criteria-based reference value determination, Redundancy Analysis and Variation Partition
  • NACB criteria-based reference value determination
  • Redundancy Analysis and Variation Partition

Main finding

As reported in the abstract

Tg reference values (NACB criteria; mean ± 2 SD on log-transformed data)

Thyroglobulin (Tg) reference values per NACB criteria

2.95-56.23 ng/mL

Tg reference values suggested by the assay manufacturer

3.5-77 ng/mL

Observational data: associations, not effects.

Further findings

Subgroup analysis of Tg determinants

TSH had a minor impact only in men; age and gender were not significant contributors

Original publication

Establishing Serum Thyroglobulin Reference Values and Predictors of Its Variability in an Iodine-Sufficient Population. Endocr Pract. Published 25 June 2025. doi:10.1016/j.eprac.2025.06.017

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