Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

31 questions · 31 findings · 2 reviews

No studies found 15 · 48.4%GRADE not reported 1 · 3.2%Very low 0 · 0%Low 13 · 41.9%Moderate 2 · 6.5%High 0 · 0%

Thyroxine vs placebo or no treatment

Adverse events including maternal pregnancy complications, foetal complications and adverse effects of thyroxine · subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

Thyroxine led to lower adverse events including maternal pregnancy complications, foetal… compared with placebo or no treatment; GRADE not reported.

1 finding from 1 review

Thyroxine vs placebo or no treatment

Live birth rate – euthyroid women with anti‐TPO antibodies · subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

Thyroxine showed no clear difference in live birth rate – euthyroid women with anti‐TPO antibodies compared with placebo or no treatment (low certainty).

1 finding from 1 review

Thyroxine vs placebo or no treatment

Miscarriage – anti‐TPO antibodies · subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

Thyroxine showed no clear difference in miscarriage – anti‐TPO antibodies compared with placebo or no treatment (low certainty).

1 finding from 1 review