Table 4.
Sensitivity analysis | No. of participants | No. of included studies | OR (95% CI) | |
---|---|---|---|---|
Euthyroid | Shyper | |||
1) Excluding participants with thyroid medication * | 19765 | 470 | 9 | 0.91 (0.65–1.26) |
2) Excluding participants with thyroid-altering medication ** | 14080 | 230 | 5 | 0.83 (0.49–1.40) |
3) Limiting analyses to participants with repeated TFT at FU | 13979 | 567 | 2 | 0.97 (0.36–2.60) |
4) Using additional data to define diabetes † | 44928 | 1584 | 12 | 1.00 (0.81–1.22) |
5) Excluding participants without or with abnormal FT3 measurement | 15397 | 467 | 6 | 0.94 (0.66–1.34) |
6) Limiting analyses to studies with <20% missing data at follow-up | 13387 | 257 | 2 | 1.01 (0.63–1.62) |
7) Limiting analyses to high-quality studies ‡ | 31659 | 1088 | 12 | 1.03 (0.82–1.30) |
Shyper: subclinical hyperthyroidism; OR: odds ratio; CI: confidence interval; TFT: thyroid function test; FU: follow-up
Thyroid medication was defined as levothyroxine or anti-thyroid medication use
Thyroid-altering medication was defined as levothyroxine, anti-thyroid medication, lithium, or amiodarone use
If available, self-reported diabetes and linkage to medical records was used to define diabetes
All studies were classified as good quality according to the Newcastle-Ottawa quality assessment scale for cohort studies