Evidence map›Paper›PMID 35268464›Full record

ArticleJournal of clinical medicine2022

Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism.

Samuel Frey, Raphaël Bourgade, Cédric Le May, Mikaël Croyal, Edith Bigot-Corbel, Nelly Renaud-Moreau, Matthieu Wargny, Cécile Caillard, Eric Mirallié, Bertrand Cariou and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. 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

11 authors at 3 institutions in 1 country.

Samuel FreyChirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, CHU de Nantes, 44000 Nantes, France.
Raphaël BourgadeUniversité de Nantes, Quai de Tourville, 44000 Nantes, France.
Cédric Le MayL'Institut du Thorax, UNIV NANTES, CNRS, INSERM, CHU de Nantes, 44007 Nantes, France.ORCID 0000-0002-7554-792X
Mikaël CroyalL'Institut du Thorax, UNIV NANTES, CNRS, INSERM, CHU de Nantes, 44007 Nantes, France.
Edith Bigot-CorbelLaboratoire de Biochimie, Centre Hospitalier Universitaire de Nantes, Hôpital Guillaume et René Laënnec, 44093 Nantes, France.
Nelly Renaud-MoreauChirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, CHU de Nantes, 44000 Nantes, France.
Matthieu WargnyL'Institut du Thorax, UNIV NANTES, CNRS, INSERM, CHU de Nantes, 44007 Nantes, France.
Cécile CaillardChirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, CHU de Nantes, 44000 Nantes, France.
Eric MiralliéChirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, CHU de Nantes, 44000 Nantes, France.
Bertrand CariouL'Institut du Thorax, UNIV NANTES, CNRS, INSERM, CHU de Nantes, 44007 Nantes, France.ORCID 0000-0002-1580-8040
Claire BlanchardChirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, CHU de Nantes, 44000 Nantes, France.
Centre National de la Recherche Scientifique · FRCentre Hospitalier Universitaire de Nantes · FRInserm · FR

Funding

Appel d'Offre Interne (AOI) of the CHU Nantes. AOI-CHUN-2015-CO
6 · The paper itself

Abstract

Background: The benefits of parathyroidectomy on cardiovascular risk in primary hyperparathyroidism (PHPT) are controversial. This monocentric, observational, prospective study aimed to assess the effects of parathyroidectomy on glucose and lipid metabolism in classic or mild PHPT. Methods: Patients who underwent parathyroidectomy for classic (calcemia >2.85 mmol/L) or mild PHPT (calcemia ≤2.85 mmol/L) between 2016 and 2019 were included. A metabolic assessment was performed before and 1 year after parathyroidectomy. Patients with a history of diabetes were excluded. Results: Nineteen patients had classic and 120 had mild PHPT. Ninety-five percent were normocalcemic 6 months after surgery. Fasting plasma glucose and insulin levels decreased after parathyroidectomy in patients with mild PHPT (p < 0.001). HOMA-IR decreased after surgery in the overall population (p < 0.001), while plasma adiponectin concentrations increased in patients with both classic (p = 0.005) and mild PHPT (p < 0.001). Plasma triglyceride levels decreased significantly only in patients with classic PHPT (p = 0.021). Plasma PCSK9 levels decreased in patients with mild PHPT (p < 0.001). Conclusions: Parathyroidectomy for PHPT improves insulin resistance and decreases plasma triglyceride levels in classic PHPT and plasma PCSK9 levels in mild PHPT. Further studies are needed to better characterize the consequences of such metabolic risk factors’ improvements on cardiovascular events.

Indexed as

cardiovascular risk factorsdiabetesdyslipidemiainsulin resistanceparathyroidectomyPCSK9primary hyperparathyroidism

Identifiers

PMID35268464
PMCPMC8911089
OpenAlexW4214949353

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.