Skip to main content

Table 3 Mortality studies in hyperthyroidism: treatment groups vs disease-free/population controls

From: Should radioiodine now be first line treatment for Graves’ disease?

Author (ref)

Year

Country

Setting

No of patients

Total/CV mortality RR (95%CI)

Cancer mortality RR (95%CI)

Radioactive Iodine vs disease-free/population controls

 Goldman [12] (a)

1988

USA

Hospital

1762

Increased; SMR 1.3 (1.2, 1.4)

No difference; SMR 0.9 (0.7, 1.1)

 Goldman [12] (b)

1988

USA

Hospital

607

Increased; SMR 1.2 (1.1, 1.4)

No difference; SMR 1.0 (0.7, 1.3)

 Hall [13, 14]

1992, 1993

Sweden

Hospital

10,552

Increased; SMR 1.5 (1.4, 1.5)

Increased; SMR 1.1 (1.0, 1.2)

 Franklyn [15, 16]

1998, 1999

UK

Register

7209, 7417 (c)

Increased; SMR 1.1 (1.1, 1.2)

Decreased; SMR 0.9 (0.8, 0.9)

 Ron [17]

1998

USA/UK

CTTFUS

35,593

NA

No difference; SMR 1.0 (0.9, 1.0)

 Metso [18]

2007

Finland

Hospital

2793

Increased; SMR 1.1 (1.0, 1.2)

Increased; RR 1.3 (1.1, 1.6)

 Kitahara [11]

2019

USA/UK

CTTFUS

18,805

NA

Increased; RR 1.1 (1.0, 1.1)

Antithyroid Drugs vs disease-free/population controls

 Ron [17]

1998

USA/UK

CTTFUS

35,593

NA

Increased; SMR 1.3 (1.1, 1.6)

 Boelaert [7]

2013

UK

Hospital

1036 (d)

Increased; SMR 1.3 (1.1, 1.6) (d)

No difference; SMR 1.0 (0.7, 1.6)

 Okosieme [8]

2019

UK

Registry

3587

Increased; RR 1.2 (1.0, 1.5)

NA

Thyroidectomy vs disease-free/population controls

 Ryodi [19]

2013

Finland

Registry

4334

No difference; RR 0.91, (0.8, 1.1) (e)

NA

  1. RR relative risks, CI confidence interval, CV cardiovascular, CTTFUS Cooperative Thyrotoxicosis Therapy Follow-up study cohort, SMR Standardised Mortality Ratio, NA Not assessed
  2. (a), 80% of cohort treated with RAI, (b), Radioiodine treated cohort only, (c) Numbers are for the 1998 and 1999 cohorts respectively, (d) For reference [7] HR are based on person years accumulated during thionamide therapy in 1036 patients of which 272 received antithyroid drugs alone and 764 received radioiodine with or without antithyroid drugs, (e) RR for CV mortality