Autoimmune hypothyroidism Underactive thyroid gland
Conditions
Interventions
no investigational or non-investigational products (e.g., drugs, devices) will be administered. All procedures, including blood sampling, questionnaires, and neurocognitive tests, are standard diagnos
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Diagnosis autoimmune hypothyroidismMinimal daily dose levothyroxine of 75 micrograms
Exclusion criteria
Exclusion criteria: Non-autoimmune hypothyroidismUse of liothyronine (LT3) therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the ThyPRO Tiredness score, a validated 7-item subscale of the ThyPRO questionnaire specifically designed to assess fatigue in patients with benign thyroid diseases. The score is calculated as the mean of completed items (with missing items imputed if =50% of the subscale is completed). This outcome was selected due to the high prevalence and debilitating nature of fatigue in LT4-treated hypothyroidism. | — |
Secondary
| Measure | Time frame |
|---|---|
| Thyroid-related QoL:ThyPRO-39 composite score (22 items across 8 subscales: Tiredness, Cognition, Anxiety, Depressivity, Emotional Susceptibility, Impaired Social Life, Impaired Daily Life, Overall QoL).Non-tiredness ThyPRO-39 subscales (e.g., Cognition, Anxiety, Depressivity).Generic QoL:EQ-5D-5L (5 dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and EQ-5D Visual Analogue Scale (VAS).Neurocognitive Performance:Norm-referenced scores for:Digit Span, Logical Memory I/II, RAVLT (learning/memory).Digit Symbol, TAP Alertness (psychomotor speed).PASAT, Brixton Test (executive function).Correspondence analysis: Pearson correlation between objective neurocognitive scores and subjective cognitive complaints (ThyPRO-39 Cognition subscale).Healthcare Utilization and Productivity Costs:iMCQ: Medical consumption (e.g., hospital visits, medication use).iPCQ: Productivity loss (e.g., absenteeism, presenteeism).Costs will be calculated using Dutch standard unit prices and reported as medians (with interquartile ranges) due to expected skewness. | — |
Countries
Netherlands
Contacts
Public ContactM. Medici
Erasmus MC, Universitair Medisch Centrum Rotterdam
Outcome results
None listed