Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis

BackgroundCystatin C (CysC) is often used to diagnose and monitor renal diseases. Although some studies have investigated the association between serum CysC levels and thyroid diseases, their reported results were inconsistent. Therefore, the relationship between CysC levels and thyroid diseases rem...

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Autores principales: Caihong Xin, Jing Xie, Huaying Fan, Xin Sun, Bimin Shi
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/7f9ba0aa3fa04dd68584268a751c90be
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spelling oai:doaj.org-article:7f9ba0aa3fa04dd68584268a751c90be2021-11-19T05:24:09ZAssociation Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis1664-239210.3389/fendo.2021.766516https://doaj.org/article/7f9ba0aa3fa04dd68584268a751c90be2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.766516/fullhttps://doaj.org/toc/1664-2392BackgroundCystatin C (CysC) is often used to diagnose and monitor renal diseases. Although some studies have investigated the association between serum CysC levels and thyroid diseases, their reported results were inconsistent. Therefore, the relationship between CysC levels and thyroid diseases remains controversial.AimThis meta-analysis aimed to statistically evaluate serum CysC levels in patients with thyroid diseases.MethodsA literature search was conducted using the PubMed, Web of Science, Embase, EBSCO, and Wiley Online Library databases. The following search terms were used for the title or abstract: “Cystatin C” or “CysC” in combination with the terms “thyroid disease”, “thyroid function”, “hypothyroidism”, or “hyperthyroidism”. The results of the systematic analysis were presented as standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs).ResultsEleven articles (1,265 cases and 894 controls) were included in the meta-analysis. The results of the meta-analysis showed that the serum CysC levels of patients with hyperthyroidism were significantly higher than those of the controls (SMD: 1.79, 95% CI [1.34, 2.25]), and the serum CysC levels of patients with hypothyroidism were significantly lower than those of the controls (SMD −0.59, 95% CI [−0.82, −0.36]). Moreover, the treatment of thyroid diseases significantly affected serum CysC levels.ConclusionsTo the best of our knowledge, this meta-analysis is the first to evaluate serum CysC levels in patients with thyroid diseases. Our findings suggest that thyroid function affects serum CysC levels and that serum CysC may be an effective marker for monitoring thyroid diseases.Systematic Review RegistrationPROSPERO [https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=258022], identifier CRD42021258022].Caihong XinJing XieHuaying FanXin SunBimin ShiFrontiers Media S.A.articlecystatin CCysCthyroid diseasesystematic reviewmeta-analysisDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic cystatin C
CysC
thyroid disease
systematic review
meta-analysis
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle cystatin C
CysC
thyroid disease
systematic review
meta-analysis
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Caihong Xin
Jing Xie
Huaying Fan
Xin Sun
Bimin Shi
Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
description BackgroundCystatin C (CysC) is often used to diagnose and monitor renal diseases. Although some studies have investigated the association between serum CysC levels and thyroid diseases, their reported results were inconsistent. Therefore, the relationship between CysC levels and thyroid diseases remains controversial.AimThis meta-analysis aimed to statistically evaluate serum CysC levels in patients with thyroid diseases.MethodsA literature search was conducted using the PubMed, Web of Science, Embase, EBSCO, and Wiley Online Library databases. The following search terms were used for the title or abstract: “Cystatin C” or “CysC” in combination with the terms “thyroid disease”, “thyroid function”, “hypothyroidism”, or “hyperthyroidism”. The results of the systematic analysis were presented as standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs).ResultsEleven articles (1,265 cases and 894 controls) were included in the meta-analysis. The results of the meta-analysis showed that the serum CysC levels of patients with hyperthyroidism were significantly higher than those of the controls (SMD: 1.79, 95% CI [1.34, 2.25]), and the serum CysC levels of patients with hypothyroidism were significantly lower than those of the controls (SMD −0.59, 95% CI [−0.82, −0.36]). Moreover, the treatment of thyroid diseases significantly affected serum CysC levels.ConclusionsTo the best of our knowledge, this meta-analysis is the first to evaluate serum CysC levels in patients with thyroid diseases. Our findings suggest that thyroid function affects serum CysC levels and that serum CysC may be an effective marker for monitoring thyroid diseases.Systematic Review RegistrationPROSPERO [https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=258022], identifier CRD42021258022].
format article
author Caihong Xin
Jing Xie
Huaying Fan
Xin Sun
Bimin Shi
author_facet Caihong Xin
Jing Xie
Huaying Fan
Xin Sun
Bimin Shi
author_sort Caihong Xin
title Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
title_short Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
title_full Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
title_fullStr Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
title_full_unstemmed Association Between Serum Cystatin C and Thyroid Diseases: A Systematic Review and Meta-Analysis
title_sort association between serum cystatin c and thyroid diseases: a systematic review and meta-analysis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/7f9ba0aa3fa04dd68584268a751c90be
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