Evidence map›Paper›PMID 33869997›Full record

ArticleJBMR plus2021

The Risk of Fractures in Primary Hyperparathyroidism: A Meta-Analysis.

Niya Narayanan, Rajan Palui, Chandhana Merugu, Sitanshu Sekhar Kar, Sadishkumar Kamalanathan, Jayaprakash Sahoo, Sandhiya Selvarajan, Dukhabandhu Naik

Open access · goldAbstract read
In one paragraph

Article in JBMR plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Italian Guidelines for the Management of Sporadic Primary Hyperparathyroidism.Endocrine, metabolic & immune disorders drug targets · 2024
    Guideline
  2. Bone metabolism in primary hyperparathyroidism.Wiener klinische Wochenschrift · 2026
    Review
  3. Article
  4. Bone Disease in Primary Hyperparathyroidism.Journal of musculoskeletal & neuronal interactions · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Secondary Osteoporosis and Metabolic Bone Diseases.Journal of clinical medicine · 2022
    Review
  17. 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

8 authors at 1 institution in 1 country.

Niya NarayananDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Rajan PaluiDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.ORCID https://orcid.org/0000-0002-2429-3595
Chandhana MeruguDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Sitanshu Sekhar KarDepartment of Preventive and Social Medicine Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Sadishkumar KamalanathanDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Jayaprakash SahooDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.ORCID https://orcid.org/0000-0002-8805-143X
Sandhiya SelvarajanDepartment of Clinical Pharmacology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Dukhabandhu NaikDepartment of Endocrinology Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry India.
Jawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary hyperparathyroidism (PHPT) is a common metabolic bone disease affecting 1% of the adult population. Patients with PHPT have reduced BMD, especially at the cortical bone. However, studies evaluating its impact on fracture risk have shown contradictory results. In an effort to further inform fracture risk for this patient population, a meta-analysis of studies of fracture in patients with PHPT compared with a control population was undertaken. Articles were searched in PubMed/MEDLINE, Excerpta Medica, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences Literature, and Web of Science bibliographic databases. The meta-analysis included 17 studies involving 3807 PHPT cases and 11,908 controls. The primary outcome was to determine the risk of vertebral fracture (VF), nonvertebral fracture, hip fracture, distal radius fracture, and total fracture (TF) among patients with PHPT in comparison with a control population. BMD (lumbar spine, femoral neck, total hip, and distal radius) and serum 25-hydroxy vitamin D level, as well as possible predictors of VF as secondary outcomes were assessed. From this meta-analysis, it was found that there was a significantly increased risk of VF (risk ratio [RR], 2.57; 95% CI, 1.3-5.09;

Indexed as

BONE MINERAL DENSITYNONVERTEBRAL FRACTURERADIUS FRACTURETOTAL FRACTUREVERTEBRAL FRACTURE

Identifiers

PMID33869997
PMCPMC8046118
OpenAlexW3130085719

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.