Evidence map›Paper›PMID 34637114›Full record

ArticleJournal of endocrinological investigation2022

Renal complications and quality of life in postsurgical hypoparathyroidism: a case-control study.

L Mazoni, A Matrone, M Apicella, F Saponaro, S Borsari, E Pardi, B Cosci, I Biagioni, P Rossi, F Pacciardi and 4 more

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In one paragraph

Article in Journal of endocrinological investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 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

14 authors at 2 institutions in 1 country.

L Mazoni *Department of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
A Matrone *Department of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
M ApicellaDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
F SaponaroDepartment of Pathology, University of Pisa, Pisa, Italy.
S BorsariDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
E PardiDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
B CosciDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
I BiagioniDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
P RossiDiagnostic and Interventional Radiology Unit, University Hospital of Pisa, Pisa, Italy.
F PacciardiDiagnostic and Interventional Radiology Unit, University Hospital of Pisa, Pisa, Italy.
A SciontiDiagnostic and Interventional Radiology Unit, University Hospital of Pisa, Pisa, Italy.
R EliseiDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
C MarcocciDepartment of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
F CetaniEndocrine Unit 2, University Hospital of Pisa, Via Paradisa 2, 56124, Pisa, Italy. cetani@endoc.med.unipi.it.ORCID http://orcid.org/0000-0003-2558-9547
Azienda Ospedaliera Universitaria Pisana · ITUniversity of Pisa · IT

Funding

takeda pharmaceutical company Investigator-initiated research ID IIR-ITA-001335the italian ministry of university and research PRIN 2017-HBHA98
6 · The paper itself

Abstract

purposeConventional therapy (calcium and activated vitamin D) does not restore calcium homeostasis in patients with chronic hypoparathyroidism (HypoPT) and is associated with renal complications and reduced quality of life (QoL). The aim of this study was to evaluate in a case-control, cross-sectional study, the rate of renal complications and QoL in two sex- and age-matched cohort of patients with differentiated thyroid cancer with (n = 89) and without (n = 89) chronic post-operative HypoPT (PoHypoPT) and their relationship with the biochemical control of the disease.

methodsSerum and urinary parameters, renal ultrasound and QoL were assessed by SF-36 and WHO-5 questionnaires.

resultsForty-three (48.3%) PoHypoPT patients reported symptoms of hypocalcemia. Twenty-six (29.2%) patients were at target for all 6 parameters, 46 (51.6%) for 5. The most frequently unmet targets were gender-specific 24-h urinary calcium (44.9%) and serum calcium (37.1%). Serum phosphate, magnesium and 25(OH)D were in the normal range in > 90% of patients. Renal calcifications were found in 26 (29.2%) patients, with no correlation with 24-h urinary calcium. eGFR did not differ between patients and controls. Conversely, patients had a significant higher rate of renal calcifications and a lower SF-36, but not WHO-5, scores. SF-36 scores did not differ between PoHypoPT patients who were, or not, hypocalcemic.

conclusionsOur study shows that the rate of renal calcifications was higher in patients with PoHypoPT than in those without. This finding, together with the reduced QoL and the presence of hypocalcemic symptoms in about half patients, underscores that the treatment of chronic HypoPT with conventional therapy is suboptimal.

Indexed as

CalciumHypoparathyroidismNephrolithiasisPostoperative ComplicationsQuality of LifeThyroidectomyCalcium-Regulating Hormones and AgentsFemaleHumansHypocalcemiaMaleMiddle AgedOutcome Assessment, Health CareSurveys and QuestionnairesThyroid NeoplasmsVitamin DCalciumCalcium-Regulating Hormones and AgentsVitamin DCalcitriolCalcium carbonateNephrolithiasisQoLRenal ultrasoundsSF-36

Identifiers

PMID34637114
OpenAlexW3206990130

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.