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