Table 3.
Serum TSH levels before and after hemithyroidectomy for DTC during a 3-year follow-up stratified by levothyroxine treatment in the open dynamic cohort design. Values indicate median and interquartile ranges. Wilcoxon signed-rank test was used to analyze statistical significance (pre- and post-hemithyroidectomy).
| Patient groups | 1-year post HT (n = 143) | 2-year post HT (n = 134)* | 3-year post HT (n = 130)† | |||
|---|---|---|---|---|---|---|
| Complete | Missing | Complete | Missing | Complete | Missing | |
| HT +/− LT4 | ||||||
| TSH pre/post complete, n | 116 | 27 | 106 | 28 | 96 | 34 |
| Pre-HT TSH mIU/L | 1.29 (0.81–1.91) | - | 1.30 (0.82–1.92) | - | 1.3 (0.78–1.93) | - |
| Post-HT TSH mIU/L | 2.23 (1.71–3.16) | 2.4 (1.70–3.16) | 2.22 (1.58–3.06) | 2.29 (1.69–2.81) | 2.1 (1.45–2.87) | 1.91 (1.49–2.71) |
| P-value | <0.0001 | - | <0.0001 | - | <0.0001 | - |
| HT without LT4 | ||||||
| TSH pre/post complete, n | 93 | 22 | 73 | 20 | 63 | 23 |
| Pre-HT TSH mIU/L | 1.16 (0.74–1.64) | - | 1.20 (0.74–1.64) | - | 1.16 (0.79–1.70) | - |
| Post-HT TSH mIU/L | 2.15 (1.71–3.0) | 2.35 (1.69–3.16) | 2.26 (1.70–3.06) | 1.96 (1.22–2.39) | 1.94 (1.38–2.65) | 1.92 (1.50–2.50) |
| P-value | <0.0001 | - | <0.0001 | - | <0.0001 | - |
| TSH 2–4 mIU/L, n (%) | 68 (59) | 46 (43) | 36 (42) | |||
| HT with LT4 | ||||||
| TSH pre/post complete, n | 23 | 5 | 36 | 5 | 39 | 5 |
| Pre-HT TSH mIU/L | 2.45 (1.4–3.21) | - | 1.98 (1.28–2.82) | - | 1.98 (1.28–2.82) | - |
| TSH at LT4 initiation, mIU/L | 6.25 (5.31–9.96) | 5.80 (5.20–8.73) | 5.88 (5.20–6.18) | |||
| Post-HT TSH mIU/L | 3.01 (1.61–4.80) | 2.40 (2.00–2.42) | 2.13 (1.49–3.11) | 2.61 (2.45–4.84) | 2.48 (1.46–3.22) | 1.6 (1.34–1.92) |
| P-value for pre vs post TSH | 0.017 | - | 0.14 | - | 0.13 | - |
HT, hemithyroidectomy; TSH, thyroid-stimulating hormone; LT4; levothyroxine; DTC, differentiated thyroid cancer.
9 patients were excluded between the 1- and 2-year follow-up.
4 patients were excluded between the 2- and 3-year follow-up.
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