Evidence map›Paper›PMID 39934509›Full record

ArticleEndocrine2025

Phosphate metabolism in primary hyperparathyroidism: a real-life long-term study.

Carla Columbu, Domenico Rendina, Luigi Gennari, Flavia Pugliese, Vincenzo Carnevale, Antonio Stefano Salcuni, Iacopo Chiodini, Claudia Battista, Patrizia Tabacco, Vito Guarnieri and 10 more

Abstract read
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In one paragraph

Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Clinical outcomes of parathyroidectomy in primary hyperparathyroidism: a 10-year single-center experience with 115 procedures.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Review
  5. Bone metabolism in primary hyperparathyroidism.Wiener klinische Wochenschrift · 2026
    Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. 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

20 authors.

Carla ColumbuUnit of Endocrinology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Domenico RendinaDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy.
Luigi GennariDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Flavia PuglieseUnit of Endocrinology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Vincenzo CarnevaleUnit of Internal Medicine, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Antonio Stefano SalcuniEndocrinology and Metabolism Unit, University-Hospital S. Maria della Misericordia, 33100, Udine, Italy.
Iacopo ChiodiniDept of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy.
Claudia BattistaUnit of Endocrinology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Patrizia TabaccoUnit of Nuclear Medicine, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Vito GuarnieriDivision of Medical Genetics, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Giuseppe GuglielmiRadiology, Department of Clinical and Experimental Medicine, Foggia University and Unit of Radiology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Cristina Eller-VainicherUnit of Endocrinology, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.
Cristiana CiprianiDepartment of Internal Medicine and Medical Disciplines, Sapienza University of Rome, Rome, Italy.
Antonello CuttittaUnit of General Surgery 2nd and Thoracic Surgery, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
Gianpaolo De FilippoAssistence Publique-Hôpitaux de Paris, Hôpital Robert-Debré, Service d'Endocrinologie, Paris, France.
Fernanda VelluzziDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Alberto FalchettiDept of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy.
Salvatore MinisolaDepartment of Internal Medicine and Medical Disciplines, Sapienza University of Rome, Rome, Italy.
Afredo ScillitaniUnit of Endocrinology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy. alfredo.scillitani@gmail.com.ORCID 0000-0001-9954-4187
Fabio VesciniEndocrinology and Metabolism Unit, University-Hospital S. Maria della Misericordia, 33100, Udine, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeParathyroid hormone controls calcium and phosphate metabolism. The latter is also regulated by both FGF23 and 1-25(OH)

methodsWe have retrospectively compared a large sample of sporadic PHPT patients (339) with historical comparison cohort (HCC 503: Olivetti Study Group and Siena Osteoporosis Study). Moreover, in 51 PHPT patients, phosphate metabolism indexes were also revaluated at least 2 years after surgical cure. The variant c.716 C > T of the FGF23 gene was genotyped in patients and in a small sample of the control group.

resultsIn PHPT patients we found higher levels of serum calcium, PTH, alkaline phosphatase, beta-C-terminal telopeptide (CTx), urinary calcium, while serum phosphate, 25OH-VitaminD, maximal tubular renal phosphate reabsorption adjusted for glomerular filtration rate (TmPO4/GFR) were lower than what was found in HCC. In PHPT patients fibroblast growth factor 23 (FGF23) levels were higher than in controls. Patients with kidney stones carried the 716 T allele more frequently than patients without it (χ

conclusionOur study shows that the regulators of phosphate metabolism in PHPT patients are higher than controls and they significantly reduce after surgical cure. PHPT patients with low serum phosphate have a worse biochemical and clinical phenotype.

Indexed as

Hyperparathyroidism, PrimaryPhosphatesAdultAgedCalciumFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsHumansLongitudinal StudiesMaleMiddle AgedParathyroid HormoneRetrospective StudiesCalciumFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsParathyroid HormonePhosphates1-25 (OH)2 VitaminDFGF23Phosphate metabolismPrimary hyperparathyroidismPTH

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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.