Evidence map›Paper›PMID 41284479›Full record

ArticleEndocrine connections2025

Kidney stone recurrence in hypercalcemic and normocalcemic primary hyperparathyroidism without parathyroidectomy.

Zheyi Zhao, Xi Chu, Yuxin Tang, Yihong Zhou, Yingbo Dai

Abstract read
In one paragraph

Article in Endocrine connections, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zheyi ZhaoDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Xi ChuDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Yuxin TangDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Yihong ZhouDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Yingbo DaiDepartment of Urology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.ORCID https://orcid.org/0000-0002-1054-3338

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to compare the differences in kidney stone recurrence between typical primary hyperparathyroidism (TPHPT) and normocalcemic primary hyperparathyroidism (NPHPT) patients who did not receive parathyroidectomy (PTX) treatment. Materials and methods: We conducted a retrospective analysis of patients hospitalized for surgical management of kidney stones between September 2015 and March 2023. Patients' demographic data, blood test parameters, stone parameters, and surgical interventions were collected. Based on serum calcium and parathyroid hormone (PTH) levels, patients were categorized into TPHPT, NPHPT, and control groups. Postoperative stone recurrence was assessed during follow-up. Results: A total of 288 patients (139 males and 149 females) were analyzed, with 96 patients in each group. PTH and serum calcium levels were significantly higher in the TPHPT group than in both NPHPT and control groups (P < 0.001). The recurrence probability of kidney stones after surgery was higher in patients with both TPHPT and NPHPT than in the control group (42.7 vs 19.8% and 36.5 vs 19.8%, P < 0.05, respectively). However, no significant difference was found between TPHPT and NPHPT groups (P > 0.05). After adjusting for covariates, the Cox regression analysis revealed that NPHPT was a risk factor for kidney stone recurrence (HR: 2.31, 95% CI: 1.26-4.26, P = 0.007). Conclusions: Patients with TPHPT and NPHPT who have not undergone PTX treatment both exhibit a higher recurrence rate of kidney stones, with no significant difference between the two groups. Nevertheless, clinicians should place more emphasis on the recurrence of kidney stones in patients with NPHPT.

Indexed as

kidney stonenormocalcemic primary hyperparathyroidismrecurrencetypical primary hyperparathyroidism

Identifiers

PMID41284479
PMCPMC12680968

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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.