Evidence map›Paper›PMID 38755025›Full record

ArticleAmerican journal of surgery2024

Results of a novel intervention to increase rates of diagnosis and treatment of primary hyperparathyroidism.

Nicole Lunardi, Jennie Meier, Audrey Stevens, Joseph Milburn, Yin Oo, Sumitha Hathiramani, Kyaw Soe, Courtney Balentine

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nicole LunardiDepartment of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
Jennie MeierDepartment of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
Audrey StevensDepartment of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
Joseph MilburnDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
Yin OoDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
Sumitha HathiramaniDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
Kyaw SoeDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
Courtney BalentineUniversity of Wisconsin-Madison, Department of Surgery, USA; Wisconsin Surgical Outcomes Research Program, Madison, WI, USA; William S. Middleton VA, Madison, WI, USA. Electronic address: cbalentine@wisc.edu.

Funding

A Pilot Study of Local Anesthesia for Inguinal Hernia Surgery in Older AdultsK76AG068515 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI BALENTINE, COURTNEY J · 2021 to 2024
$939k
NIA NIH HHS K76 AG068515
6 · The paper itself

Abstract

backgroundVeterans with primary hyperparathyroidism are under diagnosed and undertreated. We report the results of a pilot study to address this problem.

methodsWe implemented a stakeholder-driven, multi-component intervention to increase rates of diagnosis and treatment for primary hyperparathyroidism at a single VA hospital. Intervention effects were evaluated using an interrupted time series analysis.

resultsThe mean age of Veterans affected by the intervention was 67 years (SD 12.1) and 84 ​% were men. Compared to the pre-intervention period, the intervention doubled the proportion of Veterans who were appropriately evaluated for hyperparathyroidism (absolute difference 25 ​%, 95 ​% CI 11 ​%-38 ​%, p ​< ​0.001) and increased referrals for treatment by 27 ​% (95 ​% CI 7 ​%-47 ​%, p ​< ​0.012).

conclusionOur pilot study suggests it is feasible to address the underdiagnosis and undertreatment of primary hyperparathyroidism among Veterans.

Indexed as

Hyperparathyroidism, PrimaryAgedFemaleHospitals, VeteransHumansInterrupted Time Series AnalysisMaleMiddle AgedParathyroidectomyPilot ProjectsReferral and ConsultationUnited StatesVeteransDiagnosisHypercalcemiaPrimary hyperparathyroidismReferralVeteran

Identifiers

PMID38755025
PMCPMC12143233

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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.