Evidence map›Paper›PMID 40535335›Full record

ArticleFrontiers in endocrinology2025

Percutaneous ethanol and calcitriol injection therapy for hyperparathyroidism - a single-centre experience.

Eugene Kwong Fei Leong, Ray Meng See, Zhimin Lin, Meredeth Choon Siang Chin, Joshua Wei Yang Chew, Kee Yuan Ngiam, James Wai Kit Lee

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

7 authors.

Eugene Kwong Fei LeongDivision of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Ray Meng SeeYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zhimin LinDivision of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Meredeth Choon Siang ChinYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Joshua Wei Yang ChewDivision of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Kee Yuan NgiamDivision of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
James Wai Kit LeeDivision of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this study is to evaluate the use of percutaneous ethanol and calcitriol injection therapy for hyperparathyroidism (HPT), while taking into account the efficacy, safety and feasibility as an ambulatory procedure alternative to surgical parathyroidectomy. Methods: We included nine patients who underwent percutaneous injection therapy for HPT from January 2018 to December 2021 in our institution. They were followed up from date of first percutaneous injection until death or October 2022 (mean duration of 9.0 months). Results: Four patients underwent percutaneous ethanol injection therapy (PEIT) (mean age 61.0 [31-89] years old), while the remaining five underwent percutaneous calcitriol therapy (PCIT) (mean age 62.6 [35-91] years old). The analyzed parameters are age, BMI, serum turn over markers as iPTH, Ca, alkaline phosphatase and vitamin D. Two out of the four patients undergoing PEIT had a successful outcome, although one needed to continue cinacalcet due to persistent serum calcium levels. Three out of five PCIT patients in our series had successful procedure, although one subsequently developed refractory disease. Conclusion: PEIT and PCIT are feasible and safe therapeutic alternatives to surgical parathyroidectomy in HPT refractory to medical treatment, with postulated benefits of decreased costs and being an outpatient procedure. However, further studies are necessary to evaluate the efficacy and cost-effectiveness with these techniques prior to widespread adoption.

Indexed as

CalcitriolEthanolHyperparathyroidismAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedParathyroid HormoneRetrospective StudiesTreatment OutcomeCalcitriolEthanolParathyroid Hormonecalciumcase serieshyperparathyroidismparathyroid adenomapercutaneous injection

Identifiers

PMID40535335
PMCPMC12173880

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Registered trials

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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.