Evidence map›Paper›PMID 33492601›Full record

ArticleJournal of endocrinological investigation2021

Decrease in serum calcitriol (but not free 25-hydroxyvitamin D) concentration in hip fracture healing.

J Vaculik, L Wenchich, M Bobelyak, K Pavelka, J J Stepan

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. A decrease in serum 1,25(OH)Journal of endocrinological investigation · 2022
    Article
  2. Review
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 2 institutions in 1 country.

J VaculikOrthopedic Department, Bulovka Hospital, Prague, Czech Republic.
L WenchichInstitute of Rheumatology, Prague, Czech Republic.
M BobelyakOrthopedic Department, Bulovka Hospital, Prague, Czech Republic.
K PavelkaFaculty of Medicine 1, Charles University, Prague, Czech Republic.
J J StepanFaculty of Medicine 1, Charles University, Prague, Czech Republic. stepan@revma.cz.ORCID http://orcid.org/0000-0003-1541-8306
Charles University · CZInstitute of Rheumatology · CZ

Funding

Ministerstvo zdravotnictví České Republiky (CZ) 00023728
6 · The paper itself

Abstract

objectiveTo assess the decrease in serum calcitriol concentrations after hip fracture.

methodsSerum concentrations of calcitriol, 25(OH)D, parathyroid hormone (PTH), directly measured free 25(OH)D, and indices of bone formation were measured in elderly patients with hip fracture (HF) and patients with elective hip replacement (EHR) at admission and after 7 weeks.

resultsA total of 45 patients with HF and 17 patients with EHR completed this prospective study. Baseline serum calcitriol levels were ≤ 60 pmol/l in 26% of the HF patients. After 7 weeks, they significantly decreased (p < 0.001). In patients with EHR, serum calcitriol was within the reference range in all but one patient and did not change during the 7-week recovery phase. Seven weeks after HF, a significant positive relationship was observed between the change in calcitriol and serum 25(OH)D concentration (r = 0.385, p = 0.009) and free 25(OH)D (r = 0.296, p = 0.048), and a decrease in calcitriol during recovery was associated with a decrease in serum PTH (p = 0.038). Seven weeks after HF, changes in both serum PTH and serum 25(OH)D concentrations contributed to the prediction of changes in serum calcitriol (R

conclusionsUnlike patients with EHR, subjects with HF had low serum 25(OH)D and low free 25(OH)D concentrations at admission, while their serum 1,25D levels were relatively elevated. Decreases in circulating calcitriol levels in the 7 weeks following hip surgery were associated with a resolution of secondary hyperparathyroidism and low availability of free 25(OH)D.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, HipCalcitriolFemaleFracture HealingHip FracturesHumansMaleOsteogenesisParathyroid HormoneProspective StudiesReference ValuesVitamin D25-hydroxyvitamin DCalcitriolParathyroid HormoneVitamin DCalcitriolFracture healingFree 25 hydroxyvitamin DHip fractureTotal 25 hydroxyvitamin D

Identifiers

PMID33492601
OpenAlexW3124928683

What OpenQuestion holds

Textmetadata
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.