Thyroid disease

Variation in the reference range limits of thyroid function tests and association with the prevalence of levothyroxine treatment

Eur J EndocrinolPublished Ecological study

Authors' conclusion

We conclude that minor changes in the reference range limits for serum TSH and FT4 are associated with levothyroxine treatment.

Study context

Population
UK National Health Service (NHS) laboratories and corresponding health areas, 2014
Comparison
TSH and free thyroxine (FT4) reference interval limits reported by UK NHS laboratories vs prevalence of LT4 treatment
Outcome
Prevalence of LT4 treatment
Follow-up
2014

Main finding

As reported in the abstract

Prevalent LT4 treatment by reference interval limits

Upper limit of serum TSH: significantly, linearly, independently and negatively associated with prevalent LT4 treatment

−0.54%

95% CI −0.68% to −0.40%

Original publication

Variation in the reference range limits of thyroid function tests and association with the prevalence of levothyroxine treatment. Eur J Endocrinol. Published 8 February 2023. doi:10.1093/ejendo/lvad016

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