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Table 3 Multiple regression model of the predictors of reasons for persistent hypothyroid symptoms despite normal serum TSH

From: Use of thyroid hormones in hypothyroid and euthyroid patients: a 2020 THESIS questionnaire survey of members of the Czech Society of Endocrinology

 

Independent variables

Sex

1-Female

0-Male

Age group

Years in medical practice

Thyroid hormones may be indicated in biochemically euthyroid patients with…*

Dependent variables

Inability of levothyroxine to restore normal physiology

NS

NS

NS

NS

Psychosocial factors

NS

β-coeff. = -0.278

Std. Error = 0.128

P = 0.031

NS

NS

Comorbidities

β-coeff. = 0.312

Std. Error = 0.129

P = 0.017

NS

NS

NS

Chronic fatigue syndrome

β-coeff. = 0.353

Std. Error = 0.165

P = 0.033

NS

NS

NS

Patient unrealistic expectation

β-coeff. = 0.319

Std. Error = 0.160

P = 0.048

β-coeff. = -0.355

Std. Error = 0.138

P = 0.011

β-coeff. = 0.383

Std. Error = 0.138

P = 0.006

NS

Presence of underlying inflammation due to autoimmunity

NS

NS

NS

NS

The burden of chronic disease

NS

NS

NS

NS

  1. * …depression resistant to anti-depressant medications; female infertility with high level of thyroid antibodies; simple goitre growing over time; unexplained fatigue; obesity resistant to life-style interventions; severe hypercholesterolemia, as a complementary treatment (sum of all “Yes” answers in each respondent)
  2. TSH Thyroid stimulating hormone, NS Not significant, P Level of significance