Evidence map›Paper›PMID 28885621›Full record

ReviewNature reviews. Endocrinology2018

Primary hyperparathyroidism.

Marcella D Walker, Shonni J Silverberg

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03931109 (Circulating microRNA Signatures in Primary Hyperparathyroidism), which is not on this map. Cited by 303 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
303citing papers in PubMed, 4 pooled it
13.2field-weighted citation impact, top 1% 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.

NCT03931109 completednot on this map

Circulating microRNA Signatures in Primary Hyperparathyroidism

Typeobservational_patient_registrySponsorUniversity of PennsylvaniaRan2018 to 2024Enrolled96ConditionsPrimary Hyperparathyroidism, Osteoporosis, Postmenopausal
3 · Its place in the literature

Who cites it

303 citing papers in PubMed, 4 syntheses or guidelines pooled it, 537 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Italian Guidelines for the Management of Sporadic Primary Hyperparathyroidism.Endocrine, metabolic & immune disorders drug targets · 2024
    Guideline
  5. Trial
  6. Article
  7. Article
  8. Evaluating the preoperative diagnostic value ofJournal of applied clinical medical physics · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Clinical outcomes of parathyroidectomy in primary hyperparathyroidism: a 10-year single-center experience with 115 procedures.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  13. Article
  14. Article
  15. Challenges and unmet needs of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

243 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Marcella D WalkerDivision of Endocrinology, Department of Medicine, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA.
Shonni J SilverbergDivision of Endocrinology, Department of Medicine, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA.
Columbia University · US

Funding

Vitamin D Deficiency in Primary HyperparathyroidismR01DK084986 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SILVERBERG, SHONNI J · 2010 to 2014
$3.0M
Non-Classical Manifestations of Primary HyperparathyroidismK24DK074457 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SILVERBERG, SHONNI J · 2006 to 2016
$1.7M
Primary Hyperparathyroidism: Neurocognitive FeaturesR21DK104105 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WALKER, MARCELLA DONOVAN · 2015 to 2016
$440k
NIDDK NIH HHS K24 DK074457NIDDK NIH HHS R01 DK084986NIDDK NIH HHS R21 DK104105
6 · The paper itself

Abstract

In this Review, we describe the pathogenesis, diagnosis and management of primary hyperparathyroidism (PHPT), with a focus on recent advances in the field. PHPT is a common endocrine disorder that is characterized by hypercalcaemia and elevated or inappropriately normal serum levels of parathyroid hormone. Most often, the presentation of PHPT is asymptomatic in regions of the world where serum levels of calcium are routinely measured. In addition to mild hypercalcaemia, PHPT can manifest with osteoporosis and hypercalciuria as well as with vertebral fractures and nephrolithiasis, both of which can be asymptomatic. Other clinical forms of PHPT, such as classical disease and normocalcaemic PHPT, are less common. Parathyroidectomy, the only curative treatment for PHPT, is recommended in patients with symptoms and those with asymptomatic disease who are at risk of progression or have subclinical evidence of end-organ sequelae. Parathyroidectomy results in an increase in BMD and a reduction in nephrolithiasis. Various medical therapies can increase BMD or reduce serum levels of calcium, but no single drug can do both. More data are needed regarding the neuropsychological manifestations of PHPT and the pathogenetic mechanisms leading to sporadic PHPT, as well as on risk factors for complications of the disorder. Future work that advances our knowledge in these areas will improve the management of the disorder.

Indexed as

Disease ManagementHyperparathyroidism, PrimaryDisease ProgressionHumansHypercalcemiaOsteoporosisParathyroidectomyParathyroid HormoneParathyroid Hormone

Identifiers

PMID28885621
PMCPMC6037987
OpenAlexW4211028492

What OpenQuestion holds

Textmetadata
LicenceTDM
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.