Evidence map›Paper›PMID 32894354›Full record

ArticleJournal of bone and mineral metabolism2021

Progressive rise in the prevalence of asymptomatic primary hyperparathyroidism in India: Data from PHPT registry.

Ashutosh Kumar Arya, Poonam Kumari, Sanjay Kumar Bhadada, Kanhaiya Agrawal, Priyanka Singh, Soham Mukherjee, Ashwani Sood, Sudhaker D Rao

Abstract read
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In one paragraph

Article in Journal of bone and mineral metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Clinico-Pathological Study of Symptomatic Hyperparathyroidism: Is it a Different Phenotype Expression of Hyperparathyroidism?Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  2. Review
  3. Article
  4. Article
  5. Outcomes of Surgical Management for Parathyroid Adenomas.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  6. Silent intrathyroid parathyroid carcinoma.Endocrinology, diabetes & metabolism case reports · 2023
    Article
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
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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

8 authors at 2 institutions in 2 countries.

Ashutosh Kumar AryaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Poonam KumariDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Sanjay Kumar BhadadaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. bhadadask@rediffmail.com.ORCID http://orcid.org/0000-0002-0410-8778
Kanhaiya AgrawalDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Priyanka SinghDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Soham MukherjeeDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Ashwani SoodDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Sudhaker D RaoBone and Mineral Research Laboratory, Henry Ford Hospital, Detroit, USA.
Post Graduate Institute of Medical Education and Research · INHenry Ford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary hyperparathyroidism (PHPT), a third common endocrine disorder, varies from asymptomatic disease, mostly seen in the West where routine biochemical screening is practiced, to the classical symptomatic disease mostly seen in the Eastern countries. We aimed to compare the demographic, clinical, biochemical measurements in patients with asymptomatic and symptomatic PHPT from the Indian PHPT registry. MATERIAL AND

methodsData of PHPT patients from the last 25 years (1995-2019) were analyzed for demographic, clinical presentation and biochemical measurements, and compared these characteristics between asymptomatic and symptomatic PHPT patients.

resultsOf the 554 patients, 54 (10%) patients had asymptomatic PHPT. There was a sharp rise in the proportion of asymptomatic PHPT patients of 3% in the first decade to 13% in the second decade of the century (p = 0.003). Patients with asymptomatic PHPT were significantly older (50 vs. 42 years; p < 0.0001) and had higher mean body mass index (27.8 vs. 23.5 kg/m

conclusionAlthough symptomatic PHPT is still most prevalent (> 90%) in India with higher indices of the disease and tumor weights, there is a progressive rise in the prevalence of asymptomatic PHPT patients in the last decade. Improvements in calcium and vitamin D nutrition might account for this change as in the Western series.

Indexed as

RegistriesAdultCalciumFemaleHumansHyperparathyroidism, PrimaryIndiaMaleMiddle AgedParathyroid NeoplasmsPrevalenceRetrospective StudiesVitamin D25-hydroxyvitamin DCalciumVitamin D

Identifiers

PMID32894354
OpenAlexW3084177267

What OpenQuestion holds

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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.