Evidence map›Paper›PMID 41222882›Full record

ArticleJournal of endocrinological investigation2026

Role of MEN1 mutations on postoperative outcomes of patients with multiple endocrine neoplasia type 1-related primary hyperparathyroidism: a single center experience.

Laura Pierotti, Elena Pardi, Chiara Sardella, Simone Della Valentina, Anna Dal Lago, Paolo Piaggi, Gabriele Materazzi, Gianluca Frustaci, Leonardo Rossi, Fausto Bogazzi and 5 more

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Article in Journal of endocrinological investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

15 authors.

Laura PierottiDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Elena PardiDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Chiara SardellaEndocrine Unit, University Hospital of Pisa, Pisa, Italy.
Simone Della ValentinaDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Anna Dal LagoDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Paolo PiaggiNIDDK, National Institutes of Health, Phoenix, Arizona, United States.
Gabriele MaterazziDepartment of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Gianluca FrustaciDepartment of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Leonardo RossiDepartment of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Fausto BogazziDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Liborio TorregrossaDepartment of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Angela MichelucciLaboratory of Molecular Genetics, University Hospital of Pisa, Pisa, Italy.
Maria Adelaide CaligoLaboratory of Molecular Genetics, University Hospital of Pisa, Pisa, Italy.
Claudio MarcocciDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy.
Filomena CetaniDepartment of Clinical and Experimental Medicine, Endocrine Unit, University of Pisa, Pisa, Italy. filomena.cetani@unipi.it.ORCID http://orcid.org/0000-0003-2558-9547

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSubtotal parathyroidectomy (STP) is the preferred surgery for MEN1-related primary hyperparathyroidism (PHPT), balancing recurrence and complication risks. MEN1-negative patients show a milder disease course, supporting the hypothesis that post-operative outcomes may also differ between MEN1-positive and MEN1-negative patients.

methodsWe conducted a retrospective study of 101 MEN1 patients undergoing parathyroidectomy to compare PHPT outcomes by genetic status and surgical approach. MEN1-positive patients mainly received total parathyroidectomy (TP) or STP, while MEN1-negative patients underwent less than subtotal parathyroidectomy (LSTP).

resultsNo significant differences were found between MEN1-positive and MEN1-negative patients in remission (p = 0.423), recurrence (p = 0.509) or persistence (p = 0.814) rates, regardless of surgical approach. Chronic postsurgical hypoparathyroidism occurred only in MEN1-positive patients (12.7%). In a sub-analysis of LSTP cases, MEN1-negative patients showed significantly better outcomes, with higher remission (47.6% vs. 16.6%, p = 0.01), and lower recurrence and persistence. Among MEN1-positive patients, TP or STP led to better outcomes compared to LSTP, with higher remission (60.5% vs. 16.7%, p = 0.00005), and lower recurrence and persistence. Recurrence occurred earlier after LSTP (84.0 vs. 160.0 months, p = 0.032).

conclusionsMEN1 genetic status and surgical strategy both shape PHPT outcomes. MEN1-positive patients benefit from more extensive surgery, performed at high-volume centers, whereas MEN1-negative patients have more favorable outcomes with limited resections, though their remission still trails that of sporadic PHPT. These differences underscore the need for individualized surgical planning.

Indexed as

Hyperparathyroidism, PrimaryMultiple Endocrine Neoplasia Type 1MutationParathyroidectomyPostoperative ComplicationsProto-Oncogene ProteinsAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisRetrospective StudiesMEN1 protein, humanProto-Oncogene ProteinsDisorders of calcium/phosphate metabolismMEN1PHPTSubtotal parathyroidectomyTotal parathyroidectomy

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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.