Thyroid disease

Increased Risk of Venous Thromboembolism in Patients With Thyroid Eye Disease Compared to Graves’ Disease Without Orbitopathy

Endocr PractPublished Retrospective cohort study

Main finding · Incident VTEResult — go to the resultHazard ratio 1.20 95% CI 1.05–1.37

Authors' conclusion

TED is associated with increased systemic thrombotic risk independent of traditional VTE risk factors. These findings highlight the systemic implications of TED and suggest that thrombotic risk should be considered in the clinical evaluation and management of affected patients.

Study context

Population
Adults with thyroid eye disease (TED) or GD without TED, TriNetX Global Collaborative Network; matched on demographics, comorbidities, medications and BMImatched cohort
Participants
19,320 vs 19,320
Exposure
TED vs GD without TED
  • TEDn = 19,320
  • Graves' disease without TEDn = 19,320reference
Outcome
Incident venous thromboembolism (VTE) (PE or DVT) after the index date
Follow-up
Mean 4.7 years
Methodological detailspropensity score-matched, 1:1 matching
  • Propensity score-matched
  • 1:1 matching

Main finding

Incident VTE

Hazard ratio

1.20

95% CI 1.05–1.37

P = 0.007

By group

TEDvs GD without TED
HR 1.20 (95% CI 1.05–1.37); P = 0.007

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeTEDHR (95% CI)P value
PETEDvs GD without TED1.4%1.22 (1.02–1.47)P = 0.03
  • PE: GD without TED 1.1%

DVT and retinal vein occlusion

Associations with DVT and retinal vein occlusion not statistically significant

Original publication

Increased Risk of Venous Thromboembolism in Patients With Thyroid Eye Disease Compared to Graves’ Disease Without Orbitopathy. Endocr Pract. Published 3 June 2026. doi:10.1016/j.eprac.2026.05.032

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