Evidence map›Paper›PMID 30778006›Full record

ArticleThe Indian journal of medical research2018

Frequency & predictors of pancreatitis in symptomatic primary hyperparathyroidism.

Ashutosh Kumar Arya, Sanjay Kumar Bhadada, Soham Mukherjee, Priyanka Singh, Surinder S Rana, Divya Dahiya, Ashwani Sood, Uma Nahar Saikia, Mahesh Prakash, Deepak Kumar Bhasin and 3 more

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Article in The Indian journal of medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 22 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Ashutosh Kumar AryaDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Sanjay Kumar BhadadaDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Soham MukherjeeDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Priyanka SinghDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Surinder S RanaDepartment of Gastroenterology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Divya DahiyaDepartment of General Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Ashwani SoodDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Uma Nahar SaikiaDepartment of Histopathology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Mahesh PrakashDepartment of Radio Diagnosis & Imaging, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Deepak Kumar BhasinDepartment of Gastroenterology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Arunanshu BeheraDepartment of General Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Rama WaliaDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Anil BhansaliDepartment of Endocrinology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesThe frequency and predictors of pancreatitis in primary hyperparathyroidism (PHPT) are not well understood. The objective of the present study was to evaluate the frequency of pancreatitis in patients with PHPT and its association with clinical and biochemical parameters of the disease.

methodsIn this retrospective study all consecutive patients with PHPT registered in the PHPT registry (www.indianphptregistry.com) from the year 2004 to 2013 were included. The clinical, biochemical and radiological parameters related to pancreatitis were evaluated in histologically proven PHPT patients.

resultsA total of 218 patients (63 men; mean age: 40.6±14.4 yr) underwent surgery for PHPT during the study. Pancreatitis occurred in 35 [16%, 18 acute and 17 chronic pancreatitis (CP)] patients and male:female ratio was 1:0.94. Skeletal manifestations were seen less frequently in PHPT with pancreatitis as compared to that of PHPT without pancreatitis. PHPT with pancreatitis had significantly higher serum calcium (12.4±2.0 vs. 11.7±1.5 mg/dl, P <0.05) in comparison to PHPT without pancreatitis. PHPT with acute pancreatitis (AP) had higher serum calcium (P <0.05) and parathyroid hormone (PTH) (P <0.05) levels than PHPT with CP. Curative parathyroidectomy improved the symptoms associated with pancreatitis as there was no recurrence in AP group, whereas recurrence was observed only in about 10 per cent patients of the CP group. INTERPRETATION &

conclusionsPancreatitis was observed in 16 per cent of PHPT patients with male predominance in the study population. No recurrence of AP was observed after curative surgery. It may be proposed that serum amylase with calcium and PTH should be measured in all patients of PHPT with pain abdomen to rule out pancreatitis.

Indexed as

Abdominal PainAcute DiseaseAdolescentAdultAgedBone DiseasesCalciumChildComorbidityFemaleHumansHyperthyroidismIndiaMaleMiddle AgedPancreatitis, ChronicCalciumParathyroid HormoneBonehypercalcaemiapain abdomenpancreatitisprimary hyperparathyroidism

Identifiers

PMID30778006
PMCPMC6396558
OpenAlexW2912881057

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LicenceCC BY-NC-SA
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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.