Table 2.
Univariate analysis of predictor factors for response to glucocorticoid therapy in patients with active moderate-to-severe thyroid eye disease.
| Non-responsive n = 7 | Responsive n = 23 | P-value | |
|---|---|---|---|
| Age (median (IQR)) | 55 years old (37–62) (95% CI 37–62) | 58 years old (54–58) (95% CI 55–58) | 0.34 |
| Sex | 0.32 | ||
| Male (%) | 2 (29) | 10 (44) | |
| Female (%) | 5 (71) | 13 (56) | |
| Body mass index (median (IQR)) | 25 (24–28) (95% CI 22–29) | 25 (23–30) (95% CI 23–28) | 0.80 |
| Smoking habits | 0.12 | ||
| Yes (%) | 5 (71) | 11 (48) | |
| No (%) | 2 (29) | 12 (52) | |
| Thyroid surgery | 0.0018 | ||
| No (%) | 5 (71) | 5 (22) | |
| Before thyroid eye disease onset (%) | 0 | 5 (22) | |
| After thyroid eye disease onset (%) | 2 (29) | 13 (56) | |
| Duration of thyroid eye disease (median (IQR)) | 2 months (1–9) (95% CI 1–10) | 2 months (1–7) (95% CI 1–3) | 0.91 |
| Orbital radiotherapy | 0.54 | ||
| Yes (%) | 3 (43) | 12 (52) | |
| No (%) | 4 (57) | 11 (48) | |
| Clinical activity score before treatment (median (IQR)) | 3 (3–4) (95% CI 2–4) | 5 (3–5) (95% CI 4–5) | 0.0059 |
| Diplopia before treatment* | 0.57 | ||
| Absent (%) | 1 (13) | 3 (13) | |
| Intermittent (%) | 2 (29) | 3 (13) | |
| Inconstant (%) | 2 (29) | 8 (35) | |
| Constant (%) | 2 (29) | 9 (39) | |
| Proptosis (median (IQR)) | 18 mm (17–19) (95% CI 17–19) | 20 mm (18–23) (95% CI 19–21) | 0.018 |
| TRAb level (median (IQR)) | 15.9 IU/L (4.8–31.7) (95% CI 4.8–31.7) | 8.1 IU/L (6.8–14.2) (95% CI 7.1–9.9) | 0.17 |
| GO-QoL visual function (median (IQR)) | 56 (50–75) (95% CI 50–75) | 57 (43–78) (95% CI 56–63) | 0.8 |
| GO-QoL appearance (median (IQR)) | 50 (25–69) (95% CI 25–69) | 69 (56–81) (95% CI 63–75) | 0.09 |
| miR-146a expression levels (median (IQR)) | 0.18 (0.15–0.25) (95% CI 0.15–0.25) | 1.22 (0.17–22.82) (95% CI 0.29–7.2) | 0.01 |
| miR-21 expression levels (median (IQR)) | 0.27 (0.08–0.42) (95% CI 0.08–0.43) | 0.46 (0.12–1.53) (95% CI 0.32–0.69) | 0.07 |
*According to Gorman Score: 0 = absent; 1 = intermittent; 2 = inconstant; 3 = constant.
GO-QoL, Graves’ ophthalmopathy quality-of-life questionnaire; TRAb, TSH receptor antibodies. Bold indicates statistical significance.
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