Osteoporosis, bone & mineral

Health-related quality of life in a cohort of 1070 patients with hypoparathyroidism

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

Thirty-six-Item Short-Form Health Survey version 2 scores in patients with cHypoPT were lower than the normalized values reported previously for the US population. Patients who were subsequently prescribed rhPTH (1-84) had worse baseline HRQoL scores than those in the conventional therapy group.

Study context

Population
Adults aged ≥18 years with chronic hypoparathyroidism on conventional therapy at enrollment, PARADIGHM registry before May 31, 2022; 80.7% female, 86.0% White; surgery the cause in 82.2%
Participants
1,070 adults
Exposure
Patients who subsequently received rhPTH vs conventional therapy
  • rhPTH (1-84)n = 102
  • Conventional therapyn = 968reference
Outcome
HRQoL (SF-36v2, WPAI:SHP, HypoPT-SD) at enrollment
Follow-up
Baseline
Methodological detailsregistry-based, baseline data at enrollment
  • Registry-based
  • Baseline data at enrollment

Main finding

As reported in the abstract

SF-36v2 component scores, whole cohort (normative scores: 50)

SF-36v2 physical component score, mean (SD)

46.3

10.2

SF-36v2 mental component score, mean (SD)

47.6

11.5

Observational data: associations, not effects.

Further findings

Baseline health-related quality of life (HRQoL), rhPTH (1-84) vs conventional therapy

Significantly worse baseline scores with rhPTH (1-84) for all SF-36v2 and Hypoparathyroidism Symptom Diary (HypoPT-SD) parameters and most WPAI parameters

Biochemical parameters · baseline

Mean albumin-adjusted calcium, phosphate and calcium-phosphate product within target ranges
No meaningful differences between the groups

Original publication

Health-related quality of life in a cohort of 1070 patients with hypoparathyroidism. Eur J Endocrinol. Published 7 October 2025. doi:10.1093/ejendo/lvaf169

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