Review Article

Relationship between Subclinical Thyroid Dysfunction and the Risk of Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

Table 3

Stratified and sensitivity analysis of the subclinical hyperthyroidism.

Subclinical hyperthyroidism and CHDSummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.20 (1.02–1.42)9
Fixed effects1.20 (1.02–1.41)9
Stratified by mean age, y
<651.32 (0.98–1.77)4
≥651.14 (0.87–1.50)5
<601.32 (0.98–1.77)4
60–79.91.14 (0.85–1.51)4
≥801.19 (0.49–2.94)1
Stratified by TSH, mIU/L
0.1–0.440.62 (0.21–1.86)1
<0.10.96 (0.33–2.80)1
Adjustments
Adjusted analyses or matching1.20 (1.02–1.42)9
Adjusted for cardiovascular risk factors1.18 (0.94–1.49)6
Excluding studies
Exclusion of studies with antithyroid drug recipients1.18 (0.98–1.41)7
Exclusion of studies with particular population [42]1.21 (1.02–1.45)8

Subclinical hyperthyroidism and total mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.27 (1.07–1.51)10
Fixed effects1.36 (1.22–1.51)10
Stratified by mean age, y
<651.62 (1.37–1.90)2
≥651.17 (0.98–1.40)8
<601.62 (1.37–1.90)2
60–79.91.18 (0.96–1.44)7
≥801.08 (0.60–1.93)1
Stratified by TSH, mIU/L
0.1–0.440.45 (0.12–1.76)1
<0.11.74 (0.78–3.87)1
Adjustments
Adjusted analyses or matching1.27 (1.07–1.51)10
Adjusted for cardiovascular risk factors1.23 (0.94–1.63)5
Excluding studies
Exclusion of studies with antithyroid drug recipients1.26 (1.04–1.53)8
Exclusion of studies with particular population [42]1.29 (1.07–1.54)9

Subclinical hyperthyroidism and cardiovascular mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.12 (0.84–1.50)7
Fixed effects1.10 (0.82–1.47)7
Stratified by mean age, y
<650.84 (0.28–2.50)1
≥651.15 (0.85–1.55)6
<600.84 (0.28–2.50)1
60–79.91.15 (0.84–1.58)5
≥801.11 (0.39–3.17)1
Stratified by TSH, mIU/L
0.1–0.440.47 (0.07–3.27)1
<0.12.16 (0.74–6.34)1
Adjustments
Adjusted analyses or matching1.12 (0.84–1.50)7
Adjusted for cardiovascular risk factors0.98 (0.65–1.47)4
Excluding studies
Exclusion of studies with antithyroid drug recipients1.13 (0.81–1.58)5
Exclusion of studies with particular population [42]1.12 (0.83–1.52)6

CHD: coronary heart disease; TSH: thyroid-stimulating hormone. +Relative risk from meta-analysis using random-effects model.