{"page":"https://casescribe.ai/explorer/conditions/thyroid-enlargement-toxic-graves-disease-or-thyrotoxicosis","generated_at":"2026-10-03T18:34:26.540Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Thyroid enlargement toxic (graves' disease or thyrotoxicosis)","all_conditions_granted_pct":19.4,"decisions":1219,"years":"2017-2026","granted_pct":12.9,"denied_pct":25.5,"remanded_pct":60,"granted_on_merits_pct":33.5,"by_year":[{"year":2017,"issues":79,"granted_pct":11.4,"denied_pct":36.7,"remanded_pct":46.8},{"year":2018,"issues":114,"granted_pct":7,"denied_pct":30.7,"remanded_pct":57.9},{"year":2019,"issues":125,"granted_pct":6.4,"denied_pct":29.6,"remanded_pct":61.6},{"year":2020,"issues":123,"granted_pct":5.7,"denied_pct":26,"remanded_pct":65},{"year":2021,"issues":144,"granted_pct":16.7,"denied_pct":22.9,"remanded_pct":58.3},{"year":2022,"issues":127,"granted_pct":17.3,"denied_pct":18.9,"remanded_pct":63},{"year":2023,"issues":161,"granted_pct":10.6,"denied_pct":28,"remanded_pct":60.2},{"year":2024,"issues":161,"granted_pct":13.7,"denied_pct":16.8,"remanded_pct":67.1},{"year":2025,"issues":163,"granted_pct":19,"denied_pct":27.6,"remanded_pct":53.4},{"year":2026,"issues":44,"granted_pct":22.7,"denied_pct":18.2,"remanded_pct":59.1}],"benefit_of_doubt_in_grants_pct":69.4,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":110,"granted_pct_with":71.1,"granted_pct_without":26.3},{"evidence":"va_exam_unfavorable","decisions_with":747,"granted_pct_with":32.6,"granted_pct_without":35.7},{"evidence":"nexus_positive","decisions_with":180,"granted_pct_with":75.7,"granted_pct_without":21.1},{"evidence":"nexus_negative","decisions_with":566,"granted_pct_with":31.2,"granted_pct_without":36.3},{"evidence":"private_opinion","decisions_with":359,"granted_pct_with":50.3,"granted_pct_without":25.2},{"evidence":"treating_physician","decisions_with":70,"granted_pct_with":66.7,"granted_pct_without":30.8},{"evidence":"lay_statement","decisions_with":870,"granted_pct_with":29.3,"granted_pct_without":45.5},{"evidence":"combat_service","decisions_with":57,"granted_pct_with":36.4,"granted_pct_without":33.4}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":27},{"reason":"criteria for service connection met","decisions":3},{"reason":"service connection established","decisions":3},{"reason":"presumed herbicide exposure due to vietnam service","decisions":2},{"reason":"continuous medication required for control","decisions":2},{"reason":"onset in service established","decisions":2}],"denied":[{"reason":"no in-service complaints, treatment or diagnosis","decisions":41},{"reason":"preponderance of the evidence against the claim","decisions":34},{"reason":"va examiner: less likely than not related to service","decisions":30},{"reason":"service records negative or silent","decisions":29},{"reason":"no current diagnosis","decisions":23},{"reason":"criteria for service connection not met","decisions":7}]},"recent_examples":{"granted":[{"case_id":"26005121","year":2026,"judge":"M. TENNER","rationale":"Related to in-service environmental toxin exposure; Southwest Asia theater of operations service"},{"case_id":"A26033306","year":2026,"judge":"DELYVONNE M. WHITEHEAD","rationale":"Conceded herbicide exposure during service; VA examiner linked hypothyroidism to herbicide exposure; Later negative opinion relied on inadequate TERA memorandum"},{"case_id":"A26029367","year":2026,"judge":"D. MARTZ AMES","rationale":"Hyperthyroidism diagnosed in 2003; Bilateral dry eye syndrome noted by VA examiner; Rated by analogy to DC 6025 for bilateral lacrimal apparatus disorders; Resolving doubt in Veteran's favor"}],"denied":[{"case_id":"A26038159","year":2026,"judge":"MARCUS N. FULTON","rationale":"No competent evidence of in-service event, injury, or disease; No indication of association between disability and service; Earliest documentation of thyroid disability was years after service; Veteran lacks medical training to assert link to later diagnosis"},{"case_id":"A26035680","year":2026,"judge":"MARCUS N. FULTON","rationale":"Criteria for entitlement not met; Evidence persuasively weighs against service connection; No nexus to in-service immunizations"},{"case_id":"A26024834","year":2026,"judge":"B.T. KNOPE","rationale":"No current diagnosis of hyperthyroidism shown; No evidence of symptoms during or after service; No continuity of symptoms established"}]},"how_va_rates":null,"rules":[]}}