Cochrane · systematic review · CD011009

Thyroxine replacement for subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

Akhtar, MA, Agrawal, R, Brown, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
3
current version
GRADE rated
2
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 33.3%Very low 0 · 0%Low 2 · 66.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Thyroxine compared to placebo or no treatment for subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism

Population: subfertile women with euthyroid autoimmune thyroid disease or subclinical hypothyroidism
3 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate – euthyroid women with anti‐TPO antibodies
Thyroxine vs placebo or no treatment
RR 1.04 [0.83, 1.29]2 studies · 686 participantsLow
Downgraded: imprecision
Adverse events including maternal pregnancy complications, foetal complications and adverse effects of thyroxine
Thyroxine vs placebo or no treatment
no estimate extracted0 studies · 1 participantsUngraded
Miscarriage – anti‐TPO antibodies
Thyroxine vs placebo or no treatment
RR 0.83 [0.47, 1.46]2 studies · 686 participantsLow
Downgraded: imprecision