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@article{1809417,
author = {Tuzil, Jan and Bartakova, Jana and Watt, Torquil and Doležal, Tomáš},
article_location = {ABINGDON},
article_number = {6},
doi = {http://dx.doi.org/10.1080/14737167.2021.1941882},
keywords = {Thyroid disease; pregnancy; postpartum; quality of life; depression; anxiety; utility; thyroid autoimmunity; thyroid disorder},
language = {eng},
issn = {1473-7167},
journal = {EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH},
title = {Health-related quality of life in women with autoimmune thyroid disease during pregnancy and postpartum: systematic review including 321,850 pregnancies},
url = {https://www.tandfonline.com/doi/full/10.1080/14737167.2021.1941882},
volume = {21},
year = {2021}
}
TY - JOUR
ID - 1809417
AU - Tuzil, Jan - Bartakova, Jana - Watt, Torquil - Doležal, Tomáš
PY - 2021
TI - Health-related quality of life in women with autoimmune thyroid disease during pregnancy and postpartum: systematic review including 321,850 pregnancies
JF - EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
VL - 21
IS - 6
SP - 1179-1193
EP - 1179-1193
PB - TAYLOR & FRANCIS LTD
SN - 14737167
KW - Thyroid disease
KW - pregnancy
KW - postpartum
KW - quality of life
KW - depression
KW - anxiety
KW - utility
KW - thyroid autoimmunity
KW - thyroid disorder
UR - https://www.tandfonline.com/doi/full/10.1080/14737167.2021.1941882
N2 - Background Utilities of the general population or expert estimates have been used for all published cost-effectiveness analyses of screening for thyroid disorders in pregnancy. Methods A systematic review CRD42019120897 of studies with patient-reported outcomes (PRO) and laboratory evidence of thyroid function/autoimmunity was conducted using PubMed, Cochrane Central, EconLit, SocIndex, DARE, NHS EEDS, Annual Reviews, and CINAHL. Quality was assessed using Joanna Briggs Institute appraisal tool. Results Of 664 abstracts screened, we analyzed 97 full texts. All studies describing the impact of thyroid disease on the generic QoL excluded pregnant and postpartum women. 21 reports of acceptable quality (321,850 pregnancies) determined depression and anxiety with validated tools and/or reported subjective symptoms. During pregnancy, contradictory conclusions were published on the impact of thyroid disease on PRO. Postpartum, antithyroid antibodies coincide with alexithymia and depression, postpartum thyroiditis negatively impacts mood. No conclusion could be drawn on the impact of thyroid hormonal levels. Conclusions The generic QoL in autoimmune thyroid disease during pregnancy has never been described, which represents an obstacle for the construction of economic models. We found contradictory information on the impact of thyroid disease on depression, anxiety, and specific symptoms.
ER -
TUZIL, Jan, Jana BARTAKOVA, Torquil WATT and Tomáš DOLEŽAL. Health-related quality of life in women with autoimmune thyroid disease during pregnancy and postpartum: systematic review including 321,850 pregnancies. \textit{EXPERT REVIEW OF PHARMACOECONOMICS \&{} OUTCOMES RESEARCH}. ABINGDON: TAYLOR \&{} FRANCIS LTD, 2021, vol.~21, No~6, p.~1179-1193. ISSN~1473-7167. Available from: https://dx.doi.org/10.1080/14737167.2021.1941882.
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