Evidence map›Paper›PMID 37460914›Full record

ArticleJournal of endocrinological investigation2024

Calcitonin levels in autoimmune atrophic gastritis-related hypergastrinemia.

S Censi, S Carducci, G Zoppini, A Toffalini, V Tonelli, J Manso, C Sabbadin, F Galuppini, G Pennelli, I Piva and 9 more

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

19 authors at 3 institutions in 1 country.

S Censi *Department of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
S Carducci *Department of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
G ZoppiniEndocrinologia, Diabetologia E Malattie del Metabolismo, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
A ToffaliniEndocrinologia, Diabetologia E Malattie del Metabolismo, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
V TonelliEndocrinologia, Diabetologia E Malattie del Metabolismo, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
J MansoDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
C SabbadinDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
F GaluppiniDepartment of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padua, Padua, Italy.
G PennelliDepartment of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padua, Padua, Italy.
I PivaDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
S BarolloDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
L BertazzaDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
V PilottoGastroenterology Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.
D BassoLaboratory Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy.
B FabrisDipartimento Di Scienze Mediche, Chirurgiche E Della Salute, Università Degli Studi Di Trieste, Trieste, Italy.
S BernardiDipartimento Di Scienze Mediche, Chirurgiche E Della Salute, Università Degli Studi Di Trieste, Trieste, Italy.
F FarinatiGastroenterology Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.
C ScaroniDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy.
C MianDepartment of Medicine (DIMED), Endocrinology Unit, University of Padua, Padua, Italy. caterina.mian@unipd.it.ORCID http://orcid.org/0000-0003-2615-8001
University of Padua · ITAzienda Ospedaliera Universitaria Integrata Verona · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCalcitonin (Ct) is currently the most sensitive biochemical marker of C-cell disease (medullary thyroid cancer [MTC] and C-cell hyperplasia), but its specificity is relatively low. Our aim was to examine whether autoimmune atrophic gastritis (AAG) and chronic hypergastrinemia, with or without chronic autoimmune thyroiditis (AT), are conditions associated with increased Ct levels.

methodsThree groups of patients were consecutively enrolled in this  multicentric study: group A consisted of patients with histologically-proven AAG (n = 13; 2 males, 11 females); group B fulfilled the criteria for group A but also had AT (n = 92; 15 males, 77 females); and group C included patients with AT and without AAG (n = 37; 6 males, 31 females).

resultsMedian Ct levels did not differ between the three groups. Ct levels were undetectable in: 8/13 cases (61.5%) in group A, 70/92 (76.1%) in group B, and 27/37 (73.0%) in group C. They were detectable but ≤ 10 ng/L in 4/13 (30.8%), 20/92 (21.7%) and 7/37 (18.9%) cases, respectively; and they were > 10 ng/L in 1/13 (7.7%), 2/92 (2.2%) and 3/37 (8.1%) cases, respectively (P = 0.5). Only three patients had high Ct levels (> 10 ng/L) and high gastrin levels and had an MTC. There was no correlation between Ct and gastrin levels (P = 0.353, r = 0.0785).

conclusionsHigh gastrin levels in patients with AAG do not explain any hypercalcitoninemia, regardless of whether patients have AT or not. This makes it mandatory to complete the diagnostic process to rule out MTC in patients with high Ct levels and AAG.

Indexed as

Carcinoma, NeuroendocrineGastritisGastritis, AtrophicHashimoto DiseaseThyroid NeoplasmsCalcitoninFemaleGastrinsHumansMaleThyroid HormonesCalcitoninGastrinsThyroid HormonesAutoimmune atrophic gastritisCalcitoninGastrinHypergastrinemia

Identifiers

PMID37460914
OpenAlexW4384498994

What OpenQuestion holds

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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.