Table 2.

Baseline characteristics of participants of the cardiovascular outcome study

Characteristic, N (%)Group 1, treatment (n = 19 952)Group 1, control (n = 33 947)Group 1a, treatment (n = 3486)Group 1a, control (n = 14 983)Group 1b, treatment (n = 16 466)Group 1b, control (n = 18 964)
Sex
 Female15 588 (78.1)21 350 (62.9)2823 (81.0)9502 (63.4)12 765 (77.5)11 848 (62.5)
 Male4364 (21.9)12 597 (37.1)663 (19.0)5481 (36.6)3701 (22.5)7116 (37.5)
Age, y
 51-605141 (25.8)10 991 (32.4)495 (14.2)3141 (21.0)4646 (28.2)7850 (41.4)
 61-706687 (33.5)10 309 (30.4)895 (25.7)4200 (28.0)5792 (35.2)6109 (32.2)
 71-805185 (26.0)8250 (24.3)1125 (32.3)4654 (31.1)4060 (24.7)3596 (19.0)
 81-902533 (12.7)3895 (11.5)813 (23.3)2631 (17.6)1720 (10.4)1264 (6.7)
 91+406 (2.0)502 (1.5)158 (4.5)357 (2.4)248 (1.5)145 (0.8)
 Median (lower quartile-upper quartile)67 (60-76)66 (59-75)73 (65-81)71 (62-79)66 (60-75)63 (57-71)
Ethnicity
 Asian311 (1.6)498 (1.5)28 (0.8)175 (1.2)283 (1.7)323 (1.7)
 Black52 (0.3)127 (0.4)8 (0.2)49 (0.3)44 (0.3)78 (0.4)
 Mixed2937 (14.7)5042 (14.9)425 (12.2)2138 (14.3)2512 (15.3)2904 (15.3)
 Other89 (0.4)178 (0.5)20 (0.6)81 (0.5)69 (0.4)97 (0.5)
 White6197 (31.1)10 840 (31.9)1059 (30.4)4674 (31.2)5138 (31.2)6166 (32.5)
 No information10 366 (52.0)17 262 (50.8)1946 (55.8)7866 (52.5)8420 (51.1)9396 (49.5)
Location
 London1219 (6.1)2154 (6.3)182 (5.2)830 (5.5)1037 (6.3)1324 (7.0)
 Midlands and East2972 (14.9)4285 (12.6)482 (13.8)1653 (11.0)2490 (15.1)2632 (13.9)
 North2889 (14.5)4573 (13.5)463 (13.3)2068 (13.8)2426 (14.7)2505 (13.2)
 Northern Ireland1380 (6.9)1963 (5.8)242 (6.9)984 (6.6)1138 (6.9)979 (5.2)
 Scotland2069 (10.4)4523 (13.3)385 (11.0)2139 (14.3)1684 (10.2)2384 (12.6)
 South4626 (23.2)8900 (26.2)816 (23.4)3700 (24.7)3810 (23.1)5200 (27.4)
 Wales3212 (16.1)5226 (15.4)647 (18.6)2630 (17.6)2565 (15.6)2596 (13.7)
 No information1585 (7.9)2323 (6.8)269 (7.7)979 (6.5)1316 (8.0)1344 (7.1)
Smoker status
 Smoker1510 (7.6)2548 (7.5)206 (5.9)985 (6.6)1304 (7.9)1563 (8.2)
 Past smoker6236 (31.3)10 680 (31.5)1063 (30.5)4802 (32.0)5173 (31.4)5878 (31.0)
 Non-smoker12 174 (61.0)20 525 (60.5)2206 (63.3)9101 (60.7)9968 (60.5)11 424 (60.2)
 No information32 (0.2)194 (0.6)11 (0.3)95 (0.6)21 (0.1)99 (0.5)
Comorbidities
 Asthma1936 (9.7)1938 (5.7)311 (8.9)879 (5.9)1625 (9.9)1059 (5.6)
 Chronic kidney disease1895 (9.5)73 (0.2)266 (7.6)39 (0.3)1629 (9.9)34 (0.2)
 Chronic obstructive pulmonary disease752 (3.8)689 (2.0)116 (3.3)347 (2.3)636 (3.9)342 (1.8)
 Dementia108 (0.5)36 (0.1)31 (0.9)19 (0.1)77 (0.5)17 (0.1)
 Depression2827 (14.2)2238 (6.6)409 (11.7)963 (6.4)2418 (14.7)1275 (6.7)
 Diabetes1940 (9.7)1305 (3.8)343 (9.8)695 (4.6)1597 (9.7)610 (3.2)
 Dyslipidemia2287 (11.5)1782 (5.2)410 (11.8)905 (6.0)1877 (11.4)877 (4.6)
 Heart disease10 029 (50.3)10 261 (30.2)1783 (51.1)5009 (33.4)8246 (50.1)5252 (27.7)
 Hypertension10 481 (52.5)11 463 (33.8)1986 (57.0)5845 (39.0)8495 (51.6)5618 (29.6)
 Rheumatoid arthritis314 (1.6)270 (0.8)61 (1.7)115 (0.8)253 (1.5)155 (0.8)
Hormone levels
 Low-normal fT4 levels9761 (48.9)17 122 (50.4)1245 (35.7)7014 (46.8)8516 (51.7)10 108 (53.3)
 High-normal fT4 levels10 191 (51.1)16 825 (49.6)2241 (64.3)7969 (53.2)7950 (48.3)8856 (46.7)
 TSH, median (lower quartile-upper quartile)3.9 (2.3-5.0)4.8 (4.3-5.5)3.6 (2.7-4.4)4.3 (4.1-4.5)4.0 (3.0-5.1)5.4 (4.9-6.2)
Characteristic, N (%)Group 1, treatment (n = 19 952)Group 1, control (n = 33 947)Group 1a, treatment (n = 3486)Group 1a, control (n = 14 983)Group 1b, treatment (n = 16 466)Group 1b, control (n = 18 964)
Sex
 Female15 588 (78.1)21 350 (62.9)2823 (81.0)9502 (63.4)12 765 (77.5)11 848 (62.5)
 Male4364 (21.9)12 597 (37.1)663 (19.0)5481 (36.6)3701 (22.5)7116 (37.5)
Age, y
 51-605141 (25.8)10 991 (32.4)495 (14.2)3141 (21.0)4646 (28.2)7850 (41.4)
 61-706687 (33.5)10 309 (30.4)895 (25.7)4200 (28.0)5792 (35.2)6109 (32.2)
 71-805185 (26.0)8250 (24.3)1125 (32.3)4654 (31.1)4060 (24.7)3596 (19.0)
 81-902533 (12.7)3895 (11.5)813 (23.3)2631 (17.6)1720 (10.4)1264 (6.7)
 91+406 (2.0)502 (1.5)158 (4.5)357 (2.4)248 (1.5)145 (0.8)
 Median (lower quartile-upper quartile)67 (60-76)66 (59-75)73 (65-81)71 (62-79)66 (60-75)63 (57-71)
Ethnicity
 Asian311 (1.6)498 (1.5)28 (0.8)175 (1.2)283 (1.7)323 (1.7)
 Black52 (0.3)127 (0.4)8 (0.2)49 (0.3)44 (0.3)78 (0.4)
 Mixed2937 (14.7)5042 (14.9)425 (12.2)2138 (14.3)2512 (15.3)2904 (15.3)
 Other89 (0.4)178 (0.5)20 (0.6)81 (0.5)69 (0.4)97 (0.5)
 White6197 (31.1)10 840 (31.9)1059 (30.4)4674 (31.2)5138 (31.2)6166 (32.5)
 No information10 366 (52.0)17 262 (50.8)1946 (55.8)7866 (52.5)8420 (51.1)9396 (49.5)
Location
 London1219 (6.1)2154 (6.3)182 (5.2)830 (5.5)1037 (6.3)1324 (7.0)
 Midlands and East2972 (14.9)4285 (12.6)482 (13.8)1653 (11.0)2490 (15.1)2632 (13.9)
 North2889 (14.5)4573 (13.5)463 (13.3)2068 (13.8)2426 (14.7)2505 (13.2)
 Northern Ireland1380 (6.9)1963 (5.8)242 (6.9)984 (6.6)1138 (6.9)979 (5.2)
 Scotland2069 (10.4)4523 (13.3)385 (11.0)2139 (14.3)1684 (10.2)2384 (12.6)
 South4626 (23.2)8900 (26.2)816 (23.4)3700 (24.7)3810 (23.1)5200 (27.4)
 Wales3212 (16.1)5226 (15.4)647 (18.6)2630 (17.6)2565 (15.6)2596 (13.7)
 No information1585 (7.9)2323 (6.8)269 (7.7)979 (6.5)1316 (8.0)1344 (7.1)
Smoker status
 Smoker1510 (7.6)2548 (7.5)206 (5.9)985 (6.6)1304 (7.9)1563 (8.2)
 Past smoker6236 (31.3)10 680 (31.5)1063 (30.5)4802 (32.0)5173 (31.4)5878 (31.0)
 Non-smoker12 174 (61.0)20 525 (60.5)2206 (63.3)9101 (60.7)9968 (60.5)11 424 (60.2)
 No information32 (0.2)194 (0.6)11 (0.3)95 (0.6)21 (0.1)99 (0.5)
Comorbidities
 Asthma1936 (9.7)1938 (5.7)311 (8.9)879 (5.9)1625 (9.9)1059 (5.6)
 Chronic kidney disease1895 (9.5)73 (0.2)266 (7.6)39 (0.3)1629 (9.9)34 (0.2)
 Chronic obstructive pulmonary disease752 (3.8)689 (2.0)116 (3.3)347 (2.3)636 (3.9)342 (1.8)
 Dementia108 (0.5)36 (0.1)31 (0.9)19 (0.1)77 (0.5)17 (0.1)
 Depression2827 (14.2)2238 (6.6)409 (11.7)963 (6.4)2418 (14.7)1275 (6.7)
 Diabetes1940 (9.7)1305 (3.8)343 (9.8)695 (4.6)1597 (9.7)610 (3.2)
 Dyslipidemia2287 (11.5)1782 (5.2)410 (11.8)905 (6.0)1877 (11.4)877 (4.6)
 Heart disease10 029 (50.3)10 261 (30.2)1783 (51.1)5009 (33.4)8246 (50.1)5252 (27.7)
 Hypertension10 481 (52.5)11 463 (33.8)1986 (57.0)5845 (39.0)8495 (51.6)5618 (29.6)
 Rheumatoid arthritis314 (1.6)270 (0.8)61 (1.7)115 (0.8)253 (1.5)155 (0.8)
Hormone levels
 Low-normal fT4 levels9761 (48.9)17 122 (50.4)1245 (35.7)7014 (46.8)8516 (51.7)10 108 (53.3)
 High-normal fT4 levels10 191 (51.1)16 825 (49.6)2241 (64.3)7969 (53.2)7950 (48.3)8856 (46.7)
 TSH, median (lower quartile-upper quartile)3.9 (2.3-5.0)4.8 (4.3-5.5)3.6 (2.7-4.4)4.3 (4.1-4.5)4.0 (3.0-5.1)5.4 (4.9-6.2)

Group 1: Patients older than 50 years with a TSH level between 4.0 mU/L and 10.0 mU/L and a normal fT4 level.

Group 1a: Patients older than 50 years with a TSH level between 4.0 mU/L and the age-specific upper limit and a normal fT4 level.

Group 1b: Patients older than 50 years with a TSH level between the age-specific upper limit and 10.0 mU/L and a normal fT4 level.

Low-normal and high-normal fT4 levels are defined as above or below the median fT4 level.

Abbreviations: fT4, free thyroxine; TSH, thyrotropin.

Table 2.

Baseline characteristics of participants of the cardiovascular outcome study

Characteristic, N (%)Group 1, treatment (n = 19 952)Group 1, control (n = 33 947)Group 1a, treatment (n = 3486)Group 1a, control (n = 14 983)Group 1b, treatment (n = 16 466)Group 1b, control (n = 18 964)
Sex
 Female15 588 (78.1)21 350 (62.9)2823 (81.0)9502 (63.4)12 765 (77.5)11 848 (62.5)
 Male4364 (21.9)12 597 (37.1)663 (19.0)5481 (36.6)3701 (22.5)7116 (37.5)
Age, y
 51-605141 (25.8)10 991 (32.4)495 (14.2)3141 (21.0)4646 (28.2)7850 (41.4)
 61-706687 (33.5)10 309 (30.4)895 (25.7)4200 (28.0)5792 (35.2)6109 (32.2)
 71-805185 (26.0)8250 (24.3)1125 (32.3)4654 (31.1)4060 (24.7)3596 (19.0)
 81-902533 (12.7)3895 (11.5)813 (23.3)2631 (17.6)1720 (10.4)1264 (6.7)
 91+406 (2.0)502 (1.5)158 (4.5)357 (2.4)248 (1.5)145 (0.8)
 Median (lower quartile-upper quartile)67 (60-76)66 (59-75)73 (65-81)71 (62-79)66 (60-75)63 (57-71)
Ethnicity
 Asian311 (1.6)498 (1.5)28 (0.8)175 (1.2)283 (1.7)323 (1.7)
 Black52 (0.3)127 (0.4)8 (0.2)49 (0.3)44 (0.3)78 (0.4)
 Mixed2937 (14.7)5042 (14.9)425 (12.2)2138 (14.3)2512 (15.3)2904 (15.3)
 Other89 (0.4)178 (0.5)20 (0.6)81 (0.5)69 (0.4)97 (0.5)
 White6197 (31.1)10 840 (31.9)1059 (30.4)4674 (31.2)5138 (31.2)6166 (32.5)
 No information10 366 (52.0)17 262 (50.8)1946 (55.8)7866 (52.5)8420 (51.1)9396 (49.5)
Location
 London1219 (6.1)2154 (6.3)182 (5.2)830 (5.5)1037 (6.3)1324 (7.0)
 Midlands and East2972 (14.9)4285 (12.6)482 (13.8)1653 (11.0)2490 (15.1)2632 (13.9)
 North2889 (14.5)4573 (13.5)463 (13.3)2068 (13.8)2426 (14.7)2505 (13.2)
 Northern Ireland1380 (6.9)1963 (5.8)242 (6.9)984 (6.6)1138 (6.9)979 (5.2)
 Scotland2069 (10.4)4523 (13.3)385 (11.0)2139 (14.3)1684 (10.2)2384 (12.6)
 South4626 (23.2)8900 (26.2)816 (23.4)3700 (24.7)3810 (23.1)5200 (27.4)
 Wales3212 (16.1)5226 (15.4)647 (18.6)2630 (17.6)2565 (15.6)2596 (13.7)
 No information1585 (7.9)2323 (6.8)269 (7.7)979 (6.5)1316 (8.0)1344 (7.1)
Smoker status
 Smoker1510 (7.6)2548 (7.5)206 (5.9)985 (6.6)1304 (7.9)1563 (8.2)
 Past smoker6236 (31.3)10 680 (31.5)1063 (30.5)4802 (32.0)5173 (31.4)5878 (31.0)
 Non-smoker12 174 (61.0)20 525 (60.5)2206 (63.3)9101 (60.7)9968 (60.5)11 424 (60.2)
 No information32 (0.2)194 (0.6)11 (0.3)95 (0.6)21 (0.1)99 (0.5)
Comorbidities
 Asthma1936 (9.7)1938 (5.7)311 (8.9)879 (5.9)1625 (9.9)1059 (5.6)
 Chronic kidney disease1895 (9.5)73 (0.2)266 (7.6)39 (0.3)1629 (9.9)34 (0.2)
 Chronic obstructive pulmonary disease752 (3.8)689 (2.0)116 (3.3)347 (2.3)636 (3.9)342 (1.8)
 Dementia108 (0.5)36 (0.1)31 (0.9)19 (0.1)77 (0.5)17 (0.1)
 Depression2827 (14.2)2238 (6.6)409 (11.7)963 (6.4)2418 (14.7)1275 (6.7)
 Diabetes1940 (9.7)1305 (3.8)343 (9.8)695 (4.6)1597 (9.7)610 (3.2)
 Dyslipidemia2287 (11.5)1782 (5.2)410 (11.8)905 (6.0)1877 (11.4)877 (4.6)
 Heart disease10 029 (50.3)10 261 (30.2)1783 (51.1)5009 (33.4)8246 (50.1)5252 (27.7)
 Hypertension10 481 (52.5)11 463 (33.8)1986 (57.0)5845 (39.0)8495 (51.6)5618 (29.6)
 Rheumatoid arthritis314 (1.6)270 (0.8)61 (1.7)115 (0.8)253 (1.5)155 (0.8)
Hormone levels
 Low-normal fT4 levels9761 (48.9)17 122 (50.4)1245 (35.7)7014 (46.8)8516 (51.7)10 108 (53.3)
 High-normal fT4 levels10 191 (51.1)16 825 (49.6)2241 (64.3)7969 (53.2)7950 (48.3)8856 (46.7)
 TSH, median (lower quartile-upper quartile)3.9 (2.3-5.0)4.8 (4.3-5.5)3.6 (2.7-4.4)4.3 (4.1-4.5)4.0 (3.0-5.1)5.4 (4.9-6.2)
Characteristic, N (%)Group 1, treatment (n = 19 952)Group 1, control (n = 33 947)Group 1a, treatment (n = 3486)Group 1a, control (n = 14 983)Group 1b, treatment (n = 16 466)Group 1b, control (n = 18 964)
Sex
 Female15 588 (78.1)21 350 (62.9)2823 (81.0)9502 (63.4)12 765 (77.5)11 848 (62.5)
 Male4364 (21.9)12 597 (37.1)663 (19.0)5481 (36.6)3701 (22.5)7116 (37.5)
Age, y
 51-605141 (25.8)10 991 (32.4)495 (14.2)3141 (21.0)4646 (28.2)7850 (41.4)
 61-706687 (33.5)10 309 (30.4)895 (25.7)4200 (28.0)5792 (35.2)6109 (32.2)
 71-805185 (26.0)8250 (24.3)1125 (32.3)4654 (31.1)4060 (24.7)3596 (19.0)
 81-902533 (12.7)3895 (11.5)813 (23.3)2631 (17.6)1720 (10.4)1264 (6.7)
 91+406 (2.0)502 (1.5)158 (4.5)357 (2.4)248 (1.5)145 (0.8)
 Median (lower quartile-upper quartile)67 (60-76)66 (59-75)73 (65-81)71 (62-79)66 (60-75)63 (57-71)
Ethnicity
 Asian311 (1.6)498 (1.5)28 (0.8)175 (1.2)283 (1.7)323 (1.7)
 Black52 (0.3)127 (0.4)8 (0.2)49 (0.3)44 (0.3)78 (0.4)
 Mixed2937 (14.7)5042 (14.9)425 (12.2)2138 (14.3)2512 (15.3)2904 (15.3)
 Other89 (0.4)178 (0.5)20 (0.6)81 (0.5)69 (0.4)97 (0.5)
 White6197 (31.1)10 840 (31.9)1059 (30.4)4674 (31.2)5138 (31.2)6166 (32.5)
 No information10 366 (52.0)17 262 (50.8)1946 (55.8)7866 (52.5)8420 (51.1)9396 (49.5)
Location
 London1219 (6.1)2154 (6.3)182 (5.2)830 (5.5)1037 (6.3)1324 (7.0)
 Midlands and East2972 (14.9)4285 (12.6)482 (13.8)1653 (11.0)2490 (15.1)2632 (13.9)
 North2889 (14.5)4573 (13.5)463 (13.3)2068 (13.8)2426 (14.7)2505 (13.2)
 Northern Ireland1380 (6.9)1963 (5.8)242 (6.9)984 (6.6)1138 (6.9)979 (5.2)
 Scotland2069 (10.4)4523 (13.3)385 (11.0)2139 (14.3)1684 (10.2)2384 (12.6)
 South4626 (23.2)8900 (26.2)816 (23.4)3700 (24.7)3810 (23.1)5200 (27.4)
 Wales3212 (16.1)5226 (15.4)647 (18.6)2630 (17.6)2565 (15.6)2596 (13.7)
 No information1585 (7.9)2323 (6.8)269 (7.7)979 (6.5)1316 (8.0)1344 (7.1)
Smoker status
 Smoker1510 (7.6)2548 (7.5)206 (5.9)985 (6.6)1304 (7.9)1563 (8.2)
 Past smoker6236 (31.3)10 680 (31.5)1063 (30.5)4802 (32.0)5173 (31.4)5878 (31.0)
 Non-smoker12 174 (61.0)20 525 (60.5)2206 (63.3)9101 (60.7)9968 (60.5)11 424 (60.2)
 No information32 (0.2)194 (0.6)11 (0.3)95 (0.6)21 (0.1)99 (0.5)
Comorbidities
 Asthma1936 (9.7)1938 (5.7)311 (8.9)879 (5.9)1625 (9.9)1059 (5.6)
 Chronic kidney disease1895 (9.5)73 (0.2)266 (7.6)39 (0.3)1629 (9.9)34 (0.2)
 Chronic obstructive pulmonary disease752 (3.8)689 (2.0)116 (3.3)347 (2.3)636 (3.9)342 (1.8)
 Dementia108 (0.5)36 (0.1)31 (0.9)19 (0.1)77 (0.5)17 (0.1)
 Depression2827 (14.2)2238 (6.6)409 (11.7)963 (6.4)2418 (14.7)1275 (6.7)
 Diabetes1940 (9.7)1305 (3.8)343 (9.8)695 (4.6)1597 (9.7)610 (3.2)
 Dyslipidemia2287 (11.5)1782 (5.2)410 (11.8)905 (6.0)1877 (11.4)877 (4.6)
 Heart disease10 029 (50.3)10 261 (30.2)1783 (51.1)5009 (33.4)8246 (50.1)5252 (27.7)
 Hypertension10 481 (52.5)11 463 (33.8)1986 (57.0)5845 (39.0)8495 (51.6)5618 (29.6)
 Rheumatoid arthritis314 (1.6)270 (0.8)61 (1.7)115 (0.8)253 (1.5)155 (0.8)
Hormone levels
 Low-normal fT4 levels9761 (48.9)17 122 (50.4)1245 (35.7)7014 (46.8)8516 (51.7)10 108 (53.3)
 High-normal fT4 levels10 191 (51.1)16 825 (49.6)2241 (64.3)7969 (53.2)7950 (48.3)8856 (46.7)
 TSH, median (lower quartile-upper quartile)3.9 (2.3-5.0)4.8 (4.3-5.5)3.6 (2.7-4.4)4.3 (4.1-4.5)4.0 (3.0-5.1)5.4 (4.9-6.2)

Group 1: Patients older than 50 years with a TSH level between 4.0 mU/L and 10.0 mU/L and a normal fT4 level.

Group 1a: Patients older than 50 years with a TSH level between 4.0 mU/L and the age-specific upper limit and a normal fT4 level.

Group 1b: Patients older than 50 years with a TSH level between the age-specific upper limit and 10.0 mU/L and a normal fT4 level.

Low-normal and high-normal fT4 levels are defined as above or below the median fT4 level.

Abbreviations: fT4, free thyroxine; TSH, thyrotropin.

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