Osteoporosis, bone & mineral

Assessing Changes in Nonspecific Symptoms After Parathyroidectomy for Primary Hyperparathyroidism Using a Smartwatch

Endocr PractPublished Prospective cohort study

Authors' conclusion

Patients with PHPT seem to have worse sleeping patterns at baseline. Significant improvement after PTX can be seen using QOL questionnaires that are associated with sleep smartwatch data.

Study context

Population
Consecutive patients undergoing PTX for primary hyperparathyroidism (PHPT), August 2022 to July 2023; euthyroid thyroidectomy patients as controls
Participants
45 patients
Exposure
PTX for PHPT vs thyroidectomy in euthyroid patients
  • PTXn = 36
  • Thyroidectomyn = 9reference
Outcome
Physical activity and sleep tracked by smartwatch
Follow-up
1 month before to 6 months postoperatively
Methodological detailsconsecutive patients, thyroidectomy controls
  • Consecutive patients
  • Thyroidectomy controls

Main finding

As reported in the abstract

Smartwatch physical activity and sleep after PTX · 6 months postoperatively
  • No significant changes in overall smartwatch physical activity or sleep patterns after PTX

Observational data: associations, not effects.

Further findings

Proportion of light sleep before surgery

P = 0.006

Proportion of deep sleep before surgery

P < 0.001

Disease-specific quality of life (QOL) questionnaire after PTX · baseline to 6 months

Improvement in QOL questionnaire score in PTX (P < .001)
−16.0

QOL mood and sleep subcategory vs smartwatch sleep

Improvements in mood and sleep QOL subcategory associated with more deep sleep and fewer nighttime awakenings

Original publication

Assessing Changes in Nonspecific Symptoms After Parathyroidectomy for Primary Hyperparathyroidism Using a Smartwatch. Endocr Pract. Published 9 December 2024. doi:10.1016/j.eprac.2024.12.002

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