Evidence map›Paper›PMID 31900832›Full record

ArticleJournal of endocrinological investigation2020

Alternate-day calcium dosing may be an effective treatment option for chronic hypoparathyroidism.

T Akkan, M Dagdeviren, A O Koca, D T Ertugrul, M Altay

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In one paragraph

Article in Journal of endocrinological investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

T AkkanDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, University of Health Sciences, 06280, Kecioren, Ankara, Turkey. tolgaakkan@outlook.com.ORCID http://orcid.org/0000-0003-1531-0004
M DagdevirenDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, University of Health Sciences, 06280, Kecioren, Ankara, Turkey.
A O KocaDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, University of Health Sciences, 06280, Kecioren, Ankara, Turkey.
D T ErtugrulDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, University of Health Sciences, 06280, Kecioren, Ankara, Turkey.
M AltayDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, University of Health Sciences, 06280, Kecioren, Ankara, Turkey.
S.B. Keçiören Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConventional treatment of chronic hypoparathyroidism consists of oral calcium supplements and active vitamin D analogs; however, some patients are unable to meet treatment goals despite the high dosage of oral calcium supplementation. We aimed to investigate the effectiveness of alternate-day oral calcium intake in patients with uncontrolled chronic hypoparathyroidism.

methodsIn this retrospective cohort study, we evaluated 66 patients with chronic hypoparathyroidism who were admitted to our hospital between January 2017 and January 2019. Fourteen patients receiving ≥ 2000 mg/day oral elemental calcium and who were admitted to emergency department or our outpatient clinic at least once in the last 3 months for hypocalcemia requiring intravenous calcium replacement were switched to the alternate-day dosing regimen in which patients took calcium orally every other day. We collected and analyzed patients' medical history information, serum and urinary parameters over a 3-month period prior to and following the treatment.

resultsBefore alternate-day dosing regimen, median oral calcium intake was 3750 mg/day, oral calcitriol intake was 0.88 mcg/day, serum calcium levels were 7.71 mg/dL, serum phosphate levels were 5.35 mg/dL, and 24-h urine calcium levels were 165 mg/day. Following alternate-day dosing regimen, median oral calcium intake was 1500 mg/day, oral calcitriol intake was 0.88 mcg/day, serum calcium levels were 8.25 mg/dL, serum phosphate levels were 5 mg/dL, and 24-h urine calcium levels were 210.5 mg/day. After alternate-day dosing regimen, oral calcium intake decreased and serum calcium levels increased. The number of emergency visits dropped from 21 to 3 after alternate-day dosing regimen.

conclusionPatients with uncontrolled chronic hypoparathyroidism could be controlled more effectively with alternate-day dosing regimen.

Indexed as

AdultCalciumChronic DiseaseCohort StudiesDrug Administration ScheduleFemaleFollow-Up StudiesHumansHypoparathyroidismMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultCalciumAlternate-day dosingCalciumChronic hypoparathyroidismEmergency visits

Identifiers

PMID31900832
OpenAlexW2996796279

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Registered trials

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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.