Evidence map›Paper›PMID 28657067›Full record

ArticleNDT plus2010

A haemodialysis patient with back pain: brown tumour as a cause of spinal cord compression under cinacalcet therapy.

Linda M Kampschreur, Ellen K Hoogeveen, Jeroen W Op den Akker, Jaap J Beutler, Tjemme Beems, Lucille D A Dorresteijn, Ruud G L de Sévaux

Open access · hybridAbstract read
In one paragraph

Article in NDT plus, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 44% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Brown tumor complicating end-stage kidney disease.Clinical nephrology. Case studies · 2020
    Article
  3. Acute neurological syndrome complicating secondary hyperparathyroidism.Proceedings (Baylor University. Medical Center) · 2018
    Article
  4. 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

7 authors at 3 institutions in 1 country.

Linda M KampschreurDepartment of Nephrology, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
Ellen K HoogeveenDepartment of Nephrology, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
Jeroen W Op den AkkerDepartment of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Jaap J BeutlerDepartment of Nephrology, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
Tjemme BeemsDepartment of Neurosurgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Lucille D A DorresteijnDepartment of Neurology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Ruud G L de SévauxDepartment of Nephrology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Jeroen Bosch Ziekenhuis · NLRadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 43-year-old haemodialysis patient was admitted to hospital because of paroxysmal pain in the upper abdominal region radiating to the back. Laboratory tests showed severe hyperparathyroidism [intact parathyroid hormone (iPTH) 69 pmol/L; reference range: 1.3-6.8 pmol/L], hypercalcaemia (2.79 mmol/L), hyperphosphataemia (1.6 mmol/L) and elevated serum total alkaline phosphatase (200 U/L). After developing a disturbed sensation and paraesthesia in both feet, epidural compression of the spinal cord was suspected. Magnetic resonance imaging showed a tumour that severely compressed the myelum of the thoracic spine. Histological investigation revealed a brown tumour or osteoclastoma, an erosive bony lesion caused by increased osteoclastic activity and peritrabecular fibrosis. A brown tumour is a benign tumour that is a rare complication of severe renal hyperparathyroidism. The brown tumour developed despite a 1-year treatment of the patient with cinacalcet, which, however, did not result in a major decrease in serum iPTH concentration (from 110 to 69 pmol/L: 37% reduction). Urgent decompressive neurosurgery and subtotal parathyroidectomy resulted in a complete recovery.

Indexed as

brown tumourhyperparathyroidismosteoclastomaspine

Identifiers

PMID28657067
PMCPMC5477967
OpenAlexW2110093193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.