Evidence map›Paper›PMID 24026893›Full record

Trial reportEuropean journal of endocrinology2013

Primary hyperparathyroidism and metabolic risk factors, impact of parathyroidectomy and vitamin D supplementation, and results of a randomized double-blind study.

Sophie Norenstedt, Ylva Pernow, Kerstin Brismar, Maria Sääf, Ayla Ekip, Fredrik Granath, Jan Zedenius, Inga-Lena Nilsson

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of endocrinology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00982722 nacompletednot on this map

Vitamin D Supplementation After Successful Parathyroid Surgery for Primary Hyperparathyroidism

TypeinterventionalSponsorKarolinska University HospitalRan2008 to 2018Enrolled150ConditionsPrimary HyperparathyroidismArmscholecalciferol and calcium carbonate, calcium carbonate
NCT02711059 nawithdrawnnot on this mapstarted 2015, after this paper: background citation

Insulin Resistance in Primary Hyperparathyroidism, a Non-classical Manifestation

TypeinterventionalSponsorKarolinska University HospitalRan2015 to 2022Enrolled0ConditionsHyperparathyroidism, Diabetes, HypercalcemiaArmsparathyroidectomy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Bone metabolism in primary hyperparathyroidism.Wiener klinische Wochenschrift · 2026
    Review
  3. Parathyroid diseases and metabolic syndrome.Journal of endocrinological investigation · 2023
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Confounded complexity: vitamin d, parathyroid hormone, and metabolic syndrome in peritoneal dialysis.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Sophie NorenstedtDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Ylva Pernow
Kerstin Brismar
Maria Sääf
Ayla Ekip
Fredrik Granath
Jan Zedenius
Inga-Lena Nilsson
Karolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D insufficiency may increase the risk for cardio metabolic disturbances in patients with primary hyperparathyroidism (PHPT).

objectiveTo analyze the vitamin D status and indices of the metabolic syndrome in PHPT patients and the effect of vitamin D supplementation after parathyroid adenomectomy (PTX). DESIGN AND

methodsDouble-blinded, randomized clinical trial (ClinicalTrials.gov identifier: NCT00982722) performed at Karolinska University Hospital, Sweden, April 2008 to November 2011. One hundred and fifty consecutive patients with PHPT (119 women) were randomized after PTX, 75 to oral treatment with calcium carbonate 1000 mg daily and 75 to calcium carbonate 1000 mg and cholecalciferol 1600 IU daily over 12 months. Changes in metabolic profile and ambulatory blood pressure (BP) were analyzed. Main outcome measures were changes in metabolic factors, BP, and body composition.

resultsThe 25-hydroxyvitamin D (25-OH-D)-level was <50 nmol/l in 76% of the patients before PTX. After PTX, glucose, insulin, and IGF1 decreased, while the 25-OH-D and the IGF-binding protein 1 increased and remained unchanged at follow-up after study medication. One year of vitamin D supplementation resulted in lower parathyroid hormone (PTH) (40 (34-52) vs 49 (38-66) ng/l) and higher 25-OH-D (76 (65-93) vs 49 (40-62) nmol/l; P<0.05). Other laboratory parameters were stable compared with after PTX. Systolic BP decreased and total bone mineral content increased in both groups.

conclusionExcept for the lowering of the PTH level, no additive effect of vitamin D supplementation was seen. However, PTX proved effective in reducing insulin resistance.

Indexed as

Blood PressureInsulin ResistanceAdultAgedBlood Pressure Monitoring, AmbulatoryBody CompositionCalcium CarbonateCholecalciferolDouble-Blind MethodDrug Administration ScheduleFemaleHumansHyperparathyroidism, PrimaryMaleMiddle AgedParathyroidectomyCalcium CarbonateCholecalciferolParathyroid Hormone

Identifiers

PMID24026893
PMCPMC3805017
OpenAlexW2102891131

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.