Osteoporosis, bone & mineral

Characterization of primary hyperparathyroidism based on target organ involvement: An analysis from the Indian PHPT registry

Clin Endocrinol (Oxf)Published Retrospective registry analysis

Authors' conclusion

We observed distinct skeletal and renal phenotypic subgroups among PHPT patients with characteristic biochemical and hormonal patterns with higher parathyroid disease burden in patients with skeletal complications compared to those with isolated renal manifestation.

Study context

Population
PHPT patients in the Indian PHPT registryeligible
Participants
229 patients
Exposure
PHPT phenotypes by target organ involvement: asymptomatic vs renal vs skeletal vs skeletal and renal
  • Asymptomaticn = 45
  • Renaln = 62
  • Skeletaln = 55
  • Skeletal and renaln = 67
Outcome
Serum calcium
Methodological detailsIndian PHPT registry
  • Indian PHPT registry

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

Serum alkaline phosphatase (AP), plasma parathyroid hormone (PTH) and parathyroid tumour weight

Significantly higher in Skeletal and in Skeletal and renal vs the other two groups

Preoperative PTH and AP predicting skeletal involvement

PTH 300 pg/mL: sensitivity, specificity
71%, 70%
AP 152 U/L: sensitivity, specificity
69%, 67%

Original publication

Characterization of primary hyperparathyroidism based on target organ involvement: An analysis from the Indian PHPT registry. Clin Endocrinol (Oxf). Published 11 April 2023. doi:10.1111/cen.14915

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