Table 1.
Type | Name of the study | Definition of GHT | Sample size | Treatment | Time of initiation of therapy |
---|---|---|---|---|---|
RCT* | Lazarus et al. (56) CATS-I trial | TSH* > 97.5th percentile Or/and fT4* < 2.5th percentile |
794 | Starting dose of 150ug of levothyroxine per day (adjusted as necessary) | Median gestational age of 13 weeks + 3days |
RCT | Hales et al. (63) CATS-II trial | TSH > 97.5th percentile Or/and fT4 < 2.5th percentile |
449 | Starting dose of 150ug of levothyroxine per day (adjusted as necessary) | Median gestational age of 13 weeks + 3days |
RCT | Hales et al. (62) (CATS-I trial cohort) | TSH > 97.5th percentile Or/and fT4 < 2.5th percentile |
475 | Starting dose of 150ug of levothyroxine per day (adjusted as necessary) | Median gestational age of 13 weeks + 3days |
RCT | Casey et al. (55) | SCH* –> TSH >= 4.0mU/L with normal fT4 | 677 | Starting dose of 100ug of levothyroxine (adjusted as necessary) | Mean gestational age of 16.7 weeks |
IH*–> fT4 < 0.86ng/dL with normal TSH | 526 | Starting dose of 50ug of levothyroxine (adjusted as necessary) | Mean gestational age of 17.8 weeks | ||
Prospective Cohort | Zhou et al. (61) | TSH > 97.5th percentile and TPOAb (+) * | 466 | Levothyroxine treatment targeting TSH values of 0.1-2.5mU/L | Before conception and after conception (mean gestational age 13.5 weeks) |
*RCT, Randomised Controlled Trial; TSH, Thyroid-Stimulating Hormone; fT4, Free Thyroxine; SCH, Subclinical Hypothyroidism; IH, Isolated Hypothyroxinemia; TPOAb (+), Thyroid Peroxidases antibodies.