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Table 1 Selected Characteristics of 13 studies included in meta-analysis

From: What is the impact of stress on the onset and anti-thyroid drug therapy in patients with graves’ disease: a systematic review and meta-analysis

Source

Country

Sample size, (cases/noncases)

Age (mean), y

Female, %

Tools for stressful events

Gray et al., 1985 [15]

UK

50/50

43.1

76.0

Semi-structured interview

Winsa et al., 1991 [11]

Sweden

208/372

40.2

82.0

Self-rating questionnaires (LES)

Sonino et al., 1993 [12]

Italy

70/70

39.2

82.9

Semi-structured interview (PIRLE)

Kung et al., 1995 [13]

China

95/95

33.1

84.2

Self-rating questionnaires (LES)

Radosavljević et al., 1996 [14]

Serbia

100/100

40.6

93

Semi-structured interview (PIRLE)

Yoshiuchi et al., 1998 [16]

Japan

228/228

38.4

79.8

Self-rating questionnaires (HRLES)

Matos-Santos et al., 2001 [23]

Portugal

31/31

38.4

71

Self-rating questionnaires (LES)

Pintor et al., 2003 [24]

Philippines

224/224

37.1

86.6

Self-rating questionnaires (LES)

Topcu et al., 2012 [25]

Turkey

45/37

40.9

73.3

Self-rating questionnaires (LES)

Yoshichi et al., 1998 [26]

Japan

155/75a

38.4

79.1

Self-rating questionnaires (HRLES)

Fukao et al., 2003 [27]

Japan

41/28a

41.0

94.2

Self-rating questionnaires (NSI)

Chen et al., 2012 [28]

China

129/148a

37.9

72.9

Self-rating questionnaires (LES)

Vita et al., 2014 [29]

Italy

43/15a

35.4

62.1

Semi-structured interview

Study design

Outcome

Diagnosis

Quality

Case-control

GD

Chemical tests, diagnosis by physician

7

Case-control

GD

Clinical signs, raised thyroid hormone, suppressed TSH, thyroid-related antibodies

9

Case-control

GD

Clinical features, increased thyroxine, suppressed TSH, thyroid-related antibodies

8

Case-control

GD

Clinical features, thyroid scan, increased thyroxine, suppressed TSH

7

Case-control

GD

Clinical signs, increased thyroxine, suppressed TSH, thyroid scintigraphy

8

Case-control

GD

Clinical features, increased thyroxine, decreased TSH, thyroid scintigraphy, thyroid-related antibodies

7

Case-control

GD

Clinical criteria, increased thyroxine, suppressed TSH, thyroid-related antibodies

8

Case-control

GD

Clinical signs, raised thyroxine, decreased TSH, thyroid-related antibodies

6

Case-control

GD

Thyroxine, TSH suppression, thyroid-related antibodies, thyroid USG

7

Prospective cohort study

Drug efficacy

Concentrations of FT4, FT3, TSH, and TBII

7

Prospective cohort study

Drug efficacy

serum-free thyroxine,TSH concentrations

8

Prospective cohort study

Drug efficacy

Thyroxine, TSH concentrations

8

Prospective cohort study

Drug efficacy

suppressed levels of TSH, levels of FT3 and/or FT4.

9

  1. Abbreviations: LES: The Life Experiences Survey; PIRLE: Paykel’s Interview for Recent Life Events; HRLES: the Holmes and Rahe life events scale; NSI: the Natsume’s Stress Inventory; GD: Graves’ disease; TSH: Thyroid stimulating hormone; USG: Ultrasonography; FT: Serum free thyroxine; TBII: thyroid binding inhibitory immunoglobulins; a cured cases/not-cured cased or recurrences cases;