Factors associated with glomerular filtration rate variation in primary hyperparathyroidism after parathyroidectomy

Factors associated with glomerular filtration rate variation in primary hyperparathyroidism after parathyroidectomy

Background/aim: Prolonged hypercalcemia impairs renal function, and a reduced glomerular filtration rate (GFR) is typical in advancedprimary hyperparathyroidism (PHPT). There are scarce data related to predictors of renal impairment in patients with PHPT. Hence,we aimed to evaluate changes in kidney function in PHPT patients after parathyroidectomy (PTX) and identify factors associated withGFR variation in these patients.Materials and methods: One hundred and twenty-five patients with PHPT who underwent surgery between 2012 and 2014 wereenrolled in the study. Patients were divided into two groups according to GFR values: patients whose GFR was lower than 60 mL/min/1.73 m2 and higher than 60 mL/min/1.73 m2. Demographic and laboratory parameters were compared before and 6 months afterparathyroidectomy.Results: Prevalence of antihypertensive drug users and patients with renal cysts and parathormone (PTH) and alkaline phosphataselevels were higher in patients with GFR of ≥60 than in GFR of

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  • 1. Yu N, Donnan PT, Murphy MJ, Leese GP. Epidemiology of primary hyperparathyroidism in Tayside, Scotland, UK. Clin Endocrinol (Oxf) 2009; 71: 485-493.
  • 2. Marcocci C, Cetani F. Clinical practice. Primary hyperparathyroidism. N Engl J Med 2011; 365: 2389-2397.
  • 3. Jones DB, Lucas PA, Henry Jones J, Lucas PA, Wilkins WE et al. Changes in blood pressure and renal function after parathyroidectomy in primary hyperparathyroidism. Postgrad Med J 1983; 59: 350-353.
  • 4. Kristoffersson A, Backman C, Granqvist K, Järhult J et al. Pre‐ and postoperative evaluation of renal function with five different tests in patients with primary hyperparathyroidism. J Intern Med 1990; 227: 317-324.
  • 5. Rejnmark L, Vestergaard P, Mosekilde L. Nephrolithiasis and renal calcifications in primary hyperparathyroidism. J Clin Endocrinol Metab 2011; 96: 2377-2385.
  • 6. Tassone F, Gianotti L, Emmolo I, Ghio M, Borretta G et al. Glomerular filtration rate and parathyroid hormone secretion in primary hyperparathyroidism. J Clin Endocrinol Metab 2009; 94: 4458-4461.
  • 7. Walker MD, Dempster DW, McMahon DJ, Udesky J, Shane E et al. Effect of renal function on skeletal health in primary hyperparathyroidism. J Clin Endocrinol Metab 2012; 97: 1501- 1507.
  • 8. Bilezikian JP, Brandi ML, Eastell R, Silverberg SJ, Udelsman R et al. Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the Fourth International Workshop. J Clin Endocrinol Metab 2014; 99: 3561-3569.
  • 9. Hendrickson CD, Pereira DJC, Comi RJ. Renal impairment as a surgical indication in primary hyperparathyroidism: do the data support this recommendation? J Clin Endocrinol Metab 2014; 99: 2646-2650.
  • 10. Hedbäck G, Odén A, Tisell LE. Parathyroid adenoma weight and the risk of death after treatment for primary hyperparathyroidism. Surgery 1995; 117: 134-139.
  • 11. Posen S, Clifton-Bligh P, Reeve TS, Wagstaffe C, Wilkinson M. Is parathyroidectomy of benefit in primary hyperparathyroidism? QJM 1985; 54: 241-251.
  • 12. Rowlands C, Zyada A, Zouwail S, Joshi H, Stechman MJ et al. Recurrent urolithiasis following parathyroidectomy for primary hyperparathyroidism. Ann R Coll Surg Engl 2013; 95: 523-528.
  • 13. Silverberg SJ, Shane E, Jacobs TP, Siris E, Bilezikian JP. A 10- year prospective study of primary hyperparathyroidism with or without parathyroid surgery. N Engl J Med 1999; 341: 1249- 1255.
  • 14. Rao DS, Phillips ER, Divine GW, Talpos GB. Randomized controlled clinical trial of surgery versus no surgery in patients with mild asymptomatic primary hyperparathyroidism. J Clin Endocrinol Metab 2004; 89: 5415-5422.
  • 15. Bollerslev J, Jansson S, Mollerup CL, Nordenström J, Lundgren E et al. Medical observation, compared with parathyroidectomy, for asymptomatic primary hyperparathyroidism: a prospective, randomized trial. J Clin Endocrinol Metab 2007; 92: 1687-1692.
  • 16. Ambrogini E, Cetani F, Cianferotti L, Vignali E, Banti C et al. Surgery or surveillance for mild asymptomatic primary hyperparathyroidism: a prospective, randomized clinical trial. J Clin Endocrinol Metab 2007; 92: 3114-3121.
  • 17. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA et al. Evaluation, treatment, and prevention of vitamin D deficiency: An endocrine society clinical practice guideline. J Clin Endocrinol Metab 2011; 96: 1911-1930.
  • 18. Isakova T, Nickolas TL, Denburg M, Yarlagadda S, Weiner DE et al. KDOQI US commentary on the 2017 KDIGO clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Am J Kidney Dis 2017; 70: 737-751.
  • 19. Vitti P, Rago T, Mazzeo S, Brogioni S, Lampis M et al. Thyroid blood flow evaluation by color-flow Doppler sonography distinguishes Graves’ disease from Hashimoto’s thyroiditis. J Endocrinol Invest 1995; 18: 857-861.
  • 20. Yu N, Donnan PT, Flynn RW V, Murphy MJ, Smith D et al. Increased mortality and morbidity in mild primary hyperparathyroid patients. The Parathyroid Epidemiology and Audit Research Study (PEARS). Clin Endocrinol (Oxf) 2010; 73: 30-34.
  • 21. Yeh MW, Wiseman JE, Ituarte PHG, Pasternak JD, Hwang RS et al. Surgery for primary hyperparathyroidism: are the consensus guidelines being followed? Ann Surg 2012; 255: 1179-1183.
  • 22. Tassone F, Guarnieri A, Castellano E, Baffoni C, Attanasio R et al. Parathyroidectomy halts the deterioration of renal function in primary hyperparathyroidism. J Clin Endocrinol Metab 2015; 100: 3069-3073.
  • 23. Walker MD, Nickolas T, Kepley A, Lee JA, Zhang C et al. Predictors of renal function in primary hyperparathyroidism. J Clin Endocrinol Metab 2014; 99: 1885-1892.
  • 24. Yamashita H, Noguchi S, Uchino S, Watanabe S, Murakami T et al. Influence of renal function on clinico-pathological features of primary hyperparathyroidism. Eur J Endocrinol 2003; 148: 597-602.
  • 25. Starup-Linde J, Waldhauer E, Rolighed L, Mosekilde L, Vestergaard P. Renal stones and calcifications in patients with primary hyperparathyroidism: associations with biochemical variables. Eur J Endocrinol 2012; 166: 1093-1100.
  • 26. Cassibba S, Pellegrino M, Gianotti L, Baffoni C, Baralis E et al. Silent renal stones in primary hyperparathyroidism: prevalence and clinical features. Endocr Pract 2014; 20: 1137-1142.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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