Osteoporosis, bone & mineral

Higher risk of incident diabetes among patients with primary hyperparathyroidism

Clin Endocrinol (Oxf)Published Matched population-based longitudinal cohort study

Main finding · Incident diabetesResult — go to the resultHazard ratio 1.15 95% CI 1.04–1.28

Authors' conclusion

Patients with PHPT had a higher risk of incident diabetes compared to non-PHPT individuals. A positive linear association was found between serum calcium concentrations and the risk of incident diabetes in patients with PHPT.

Study context

Population
Patients with primary hyperparathyroidism (PHPT) and matched non-PHPT individuals, 2000–2019matched cohort
Participants
2,749 vs 13,745
Exposure
PHPT vs non-PHPT
  • PHPTn = 2,749
  • non-PHPTn = 13,745reference
Outcome
Incident diabetes
Follow-up
Median 5.17 years (IQR 2.17, 9.58)
Methodological detailsmatched on age, sex and index year
  • Matched on age, sex and index year

Main finding

As reported in the abstract

median follow-up 5.17 years

Hazard ratio

1.15

95% CI 1.04–1.28

Events by group

PHPTvs non-PHPT
HR 1.15 (95% CI 1.04–1.28)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident diabetes in PHPT by serum calcium abovevs below the median (2.63 mmol/L)1.44 (1.08–1.90)

Serum calcium and incident diabetes risk in PHPT (restricted cubic spline)

Positive linear association; p-value for nonlinear
.751

Original publication

Higher risk of incident diabetes among patients with primary hyperparathyroidism. Clin Endocrinol (Oxf). Published 22 July 2024. doi:10.1111/cen.15118

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