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Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis
Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder affecting women of reproductive age. PCOS has been associated with distinct metabolic and cardiovascular diseases and with autoimmune conditions, predominantly autoimmune thyroid disease (AITD). AITD has been reported in 18–40...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Bioscientifica Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215798/ https://www.ncbi.nlm.nih.gov/pubmed/30352422 http://dx.doi.org/10.1530/EC-18-0309 |
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author | Romitti, Mírian Fabris, Vitor C Ziegelmann, Patricia K Maia, Ana Luiza Spritzer, Poli Mara |
author_facet | Romitti, Mírian Fabris, Vitor C Ziegelmann, Patricia K Maia, Ana Luiza Spritzer, Poli Mara |
author_sort | Romitti, Mírian |
collection | PubMed |
description | Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder affecting women of reproductive age. PCOS has been associated with distinct metabolic and cardiovascular diseases and with autoimmune conditions, predominantly autoimmune thyroid disease (AITD). AITD has been reported in 18–40% of PCOS women, depending on PCOS diagnostic criteria and ethnicity. The aim of this systematic review and meta-analysis was to summarize the available evidence regarding the likelihood of women with PCOS also having AITD in comparison to a reference group of non-PCOS women. We systematically searched EMBASE and MEDLINE for non-interventional case control, cross-sectional or cohort studies published until August 2017. The Ottawa–Newcastle Scale was used to assess the methodological quality of studies. Statistical meta-analysis was performed with R. Thirteen studies were selected for the present analysis, including 1210 women diagnosed with PCOS and 987 healthy controls. AITD was observed in 26.03 and 9.72% of PCOS and control groups respectively. A significant association was detected between PCOS and chance of AITD (OR = 3.27, 95% CI 2.32–4.63). Notably, after geographical stratification, the higher risk of AITD in PCOS women persisted for Asians (OR = 4.56, 95% CI 2.47–8.43), Europeans (OR = 3.27, 95% CI 2.07–5.15) and South Americans (OR = 1.86, 95% CI 1.05–3.29). AIDT is a frequent condition in PCOS patients and might affect thyroid function. Thus, screening for thyroid function and thyroid-specific autoantibodies should be considered in patients with PCOS even in the absence of overt symptoms. This systematic review and meta-analysis is registered in PROSPERO under number CRD42017079676. |
format | Online Article Text |
id | pubmed-6215798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Bioscientifica Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-62157982018-11-07 Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis Romitti, Mírian Fabris, Vitor C Ziegelmann, Patricia K Maia, Ana Luiza Spritzer, Poli Mara Endocr Connect Research Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder affecting women of reproductive age. PCOS has been associated with distinct metabolic and cardiovascular diseases and with autoimmune conditions, predominantly autoimmune thyroid disease (AITD). AITD has been reported in 18–40% of PCOS women, depending on PCOS diagnostic criteria and ethnicity. The aim of this systematic review and meta-analysis was to summarize the available evidence regarding the likelihood of women with PCOS also having AITD in comparison to a reference group of non-PCOS women. We systematically searched EMBASE and MEDLINE for non-interventional case control, cross-sectional or cohort studies published until August 2017. The Ottawa–Newcastle Scale was used to assess the methodological quality of studies. Statistical meta-analysis was performed with R. Thirteen studies were selected for the present analysis, including 1210 women diagnosed with PCOS and 987 healthy controls. AITD was observed in 26.03 and 9.72% of PCOS and control groups respectively. A significant association was detected between PCOS and chance of AITD (OR = 3.27, 95% CI 2.32–4.63). Notably, after geographical stratification, the higher risk of AITD in PCOS women persisted for Asians (OR = 4.56, 95% CI 2.47–8.43), Europeans (OR = 3.27, 95% CI 2.07–5.15) and South Americans (OR = 1.86, 95% CI 1.05–3.29). AIDT is a frequent condition in PCOS patients and might affect thyroid function. Thus, screening for thyroid function and thyroid-specific autoantibodies should be considered in patients with PCOS even in the absence of overt symptoms. This systematic review and meta-analysis is registered in PROSPERO under number CRD42017079676. Bioscientifica Ltd 2018-09-10 /pmc/articles/PMC6215798/ /pubmed/30352422 http://dx.doi.org/10.1530/EC-18-0309 Text en © 2018 The authors http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Research Romitti, Mírian Fabris, Vitor C Ziegelmann, Patricia K Maia, Ana Luiza Spritzer, Poli Mara Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title | Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title_full | Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title_fullStr | Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title_full_unstemmed | Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title_short | Association between PCOS and autoimmune thyroid disease: a systematic review and meta-analysis |
title_sort | association between pcos and autoimmune thyroid disease: a systematic review and meta-analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215798/ https://www.ncbi.nlm.nih.gov/pubmed/30352422 http://dx.doi.org/10.1530/EC-18-0309 |
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