Association Between Parathyroid Hormone-Related Peptide Levels and Mortality in Patients With Malignancy

Endocr PractPublished Cohort study

Main finding · Mortality (survival) by PTHrP level, adjusted for serum calciumResult — go to the resultHR for mortality 1.68 95% CI 1.03–2.77

Authors' conclusion

This study showed an association between PTHrP and mortality in patients with malignancy after adjusting for serum calcium levels.

Study context

Population
Patients with malignancy, hypercalcemia (>10 mg/dL) and elevated parathyroid hormone-related protein (PTHrP) (>1.1 pmol/L); median age 70 (61–76) years
Participants
183 patients
Exposure
Highest vs lowest PTHrP levels
Outcome
Mortality (overall survival after cancer diagnosis, after PTHrP measurement, and 5-year survival rate)

Main finding

As reported in the abstract

Mortality (survival) by PTHrP level, adjusted for serum calcium

HR for mortality

1.68

95% CI 1.03–2.77

P = 0.038

Highest PTHrPvs Lowest PTHrP
HR for mortality 1.68 (95% CI 1.03–2.77); P = 0.038

Observational data: associations, not effects.

Further findings

Association of PTHrP with serum calcium

PTHrP significantly and linearly associated with serum calcium; correlation coefficient
0.06 (95% CI 0.039-0.081; t: 5.69; P < .001)

Baseline PTHrP and corrected calcium

Median PTHrP, pmol/L
5.5 (3.0-10.6)
Median corrected calcium, mg/dl
12.5 (11.5-13.4)

Original publication

Association Between Parathyroid Hormone-Related Peptide Levels and Mortality in Patients With Malignancy. Endocr Pract. Published 10 September 2024. doi:10.1016/j.eprac.2024.09.003

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