Osteoporosis, bone & mineral

Predicting Tumor Volume in Primary Hyperparathyroidism From Preoperative Clinical Data

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Preoperative serum intact PTH value is associated with tumor volume of the lesion responsible for PHPT. A rough estimation of the tumor size would provide responsible physicians with opportunities to add further imaging tests or plan appropriate surgical strategies.

Study context

Population
Patients with surgically treated primary hyperparathyroidism (PHPT) who underwent initial surgery in one department, January 2000–December 2021
Outcome
Volume of parathyroid gland removed; associations with preoperative clinical data by multivariable analysis
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Predictors of tumor volume (ln-volume)
Correlation of tumor volume with preoperative intact parathyroid hormone (PTH) (Spearman's r)
0.503
Correlation of tumor volume with preoperative calcium (Spearman's r)
0.338
Male sex: standardized regression coefficient
0.213 (0.103-0.323) (95% CI)
ln-PTH: standardized regression coefficient
0.5018 (0.4442-0559) (95% CI)
Calcium: standardized regression coefficient
0.322 (0.0339-0.149) (95% CI)
Adjusted R2 of model
0.320

Observational data: associations, not effects.

Original publication

Predicting Tumor Volume in Primary Hyperparathyroidism From Preoperative Clinical Data. J Clin Endocrinol Metab. Published 25 March 2024. doi:10.1210/clinem/dgae185

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