 |
|
How Common Is Postpartum Thyroiditis?A Methodologic Overview of the Literature
Hertzel C. Gerstein, MD, MSc, FRCPC
Arch Intern Med. 1990;150(7):1397-1400.
Abstract
• The incidence of postpartum thyroiditis (PPT) in the general population has been reported to range from 1.9% to 16.7%, depending on the study. To determine whether bias may have played a role in the generation of these widely varying estimates, a set of methodologic criteria were applied to the published original research dealing with the epidemiology of PPT. The articles that passed these methodologic filters reported a narrow range of incidences of PPT, varying between 3.7% and 5.9%. Reanalysis of these articles confirmed that thyrotoxicosis occurred more frequently in the first 3 months post partum than did hypothyroidism, and that a positive antimicrosomal antibody titer was strongly associated with postpartum thyroid dysfunction (odds ratio, 86.6; 95% confidence interval, 45.9 to 163.2). This article suggests that PPT is a common condition that occurs in the postpartum period. The best estimate of the incidence of PPT in an unselected cohort of postpartum women is 4.9%.
(Arch Intern Med. 1990;150:1397-1400)
Author Affiliations
From the Division of Endocrinology and Metabolism, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Footnotes
Accepted for publication February 7,1990.
Reprint requests to the McMaster Medical Clinics, 3rd Floor, Henderson General Hospital, 711 Concession St, Hamilton, Ontario, Canada L8V1C3 (Dr Gerstein).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Approach to the Patient with Postpartum Thyroiditis
Stagnaro-Green
J. Clin. Endocrinol. Metab. 2012;97:334-342.
ABSTRACT
| FULL TEXT
Screening pregnant women for autoimmune thyroid disease: a cost-effectiveness analysis.
Dosiou et al.
Eur J Endocrinol 2008;158:841-851.
ABSTRACT
| FULL TEXT
Postpartum Thyroiditis Is Associated with Fluctuations in Transforming Growth Factor-{beta}1 Serum Levels
Olivieri et al.
J. Clin. Endocrinol. Metab. 2003;88:1280-1284.
ABSTRACT
| FULL TEXT
Postpartum Thyroiditis and Autoimmune Thyroiditis in Women of Childbearing Age: Recent Insights and Consequences for Antenatal and Postnatal Care
Muller et al.
Endocr Rev 2001;22:605-630.
ABSTRACT
| FULL TEXT
Thyroid Function during Pregnancy
Fantz et al.
Clin. Chem. 1999;45:2250-2258.
ABSTRACT
| FULL TEXT
Postpartum Thyroiditis in Women with Hypothyroidism Antedating Pregnancy?
Caixas et al.
J. Clin. Endocrinol. Metab. 1999;84:4000-4005.
ABSTRACT
| FULL TEXT
The practical management of thyroid disease in pregnancy
DTB 1995;33:75-77.
ABSTRACT
| FULL TEXT
Immunologic Aspects of Endocrine Diseases
Baker
JAMA 1992;268:2899-2903.
ABSTRACT
|
