Evidence map›Paper›PMID 40177730›Full record

ReviewEndocrine reviews2025

Bone in Parathyroid Diseases Revisited: Evidence From Epidemiological, Surgical and New Drug Outcomes.

Afroditi Roumpou, Andrea Palermo, Symeon Tournis, Valeria Hasenmajer, Janice L Pasieka, Gregory Kaltsas, Andrea Isidori, Eva Kassi

Abstract readReview
In one paragraph

Review in Endocrine reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Ultrasound-Guided nanocarbon injection for precise intraoperative localization of parathyroid glands.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
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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

8 authors.

Afroditi RoumpouEndocrine and Bone Metabolic Disorders Unit, Second Propaedeutic Department of Internal Medicine, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens 12462, Greece.ORCID 0000-0002-9803-7789
Andrea PalermoUnit of Metabolic Bone and Thyroid Diseases, Fondazione Policlinico Universitario Campus Bio-Medico, Rome 00128, Italy.ORCID 0000-0002-1143-4926
Symeon TournisLaboratory for Research of the Musculoskeletal System "Th. Garofalidis", Medical School, National and Kapodistrian University of Athens, KAT General Hospital, Kifissia 14561, Athens, Greece.ORCID 0000-0002-8301-324X
Valeria HasenmajerDepartment of Experimental Medicine Sapienza, Endocrine and Andrological Regional, University of Rome, Rome 00185, Italy.ORCID 0000-0003-4301-6662
Janice L PasiekaDepartments of Surgery and Oncology, University of Calgary, Calgary, Canada AB T2N 2T9.ORCID 0000-0003-2753-4988
Gregory KaltsasDivision of Diabetes, Endocrinology and Metabolic Diseases, First Department of Propaedeutic and Internal Medicine, General Hospital of Athens LAIKO, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece.ORCID 0000-0002-5876-7883
Andrea IsidoriDepartment of Experimental Medicine Sapienza, Endocrine and Andrological Regional, University of Rome, Rome 00185, Italy.ORCID 0000-0002-9037-5417
Eva KassiDivision of Diabetes, Endocrinology and Metabolic Diseases, First Department of Propaedeutic and Internal Medicine, General Hospital of Athens LAIKO, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece.ORCID 0000-0001-7491-2297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PTH-related disorders have a major impact on bone metabolism and skeletal properties because of the pivotal role of PTH in calcium and phosphate homeostasis and bone remodeling. Hyperparathyroidism is characterized by continuous exposure to excessive endogenous PTH, causing increased bone turnover in favor of bone resorption. Depending on the background of PTH overproduction, hyperparathyroidism is divided into primary, secondary, and tertiary hyperparathyroidism. The clinical presentation varies from deterioration of bone microarchitecture and decreased bone mineral density to profound bone involvement, such as osteitis fibrosa cystica and fragility fractures. Although successful parathyroidectomy represents the definitive treatment and may promote regression of most of the skeletal defects, the medical approach of calcimimetics and antiresorptive agents is a promising alternative in cases where parathyroidectomy is not feasible or unsuccessful. Hypoparathyroidism is the pathophysiological counterpart of hyperparathyroidism and also leads to disorders of bone metabolism and structure. Chronic PTH deprivation is associated with low bone remodeling and increased bone mineral density. The defective microarchitecture might affect bone strength and raise the risk for adverse skeletal events. Recombinant human PTH acts as a replacement therapy and is safe and efficient in restoring calcium/phosphate homeostasis and bone turnover. However, it is approved only for refractory cases, as conventional management with calcium and active vitamin D remains the first-line treatment. This article reviews the skeletal involvement in the most frequent parathyroid disorders, hyperparathyroidism and hypoparathyroidism, and rare familial disorders of PTH metabolism, as assessed by clinical, laboratory, and imaging parameters, and the effect of the available treatment strategies.

Indexed as

Bone and BonesBone DiseasesParathyroid DiseasesBone DensityBone RemodelingHumansHyperparathyroidismHypoparathyroidismParathyroidectomyParathyroid HormoneParathyroid Hormonebonefracturehyperparathyroidismhypoparathyroidismparathyroid disorderspseudohypoparathyroidism

Identifiers

PMID40177730
PMCPMC12259238

What OpenQuestion holds

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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.