Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism
- Autores
- Zanchetta, María Belén; Robbiani, Damián; Oliveri, María Beatriz; Giacoia, Evangelina; Frigeri, Adriana; Kallsbrum, Silvia; Salerni, Helena; Lucas, Sabrina; Diaz, Adriana; Perez, Betiana; Pieroni, Luisina; Arce Lange, María Auxiliadora; Tormo, Silvina; Kitaigrodsky, Ariela; Galich, Ana María
- Año de publicación
- 2020
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Context:Hypoparathyroidism is a rare disease and as such, its natural history, long term complications and correct clinical management remain unclear.ObjectiveTo describe the natural history and clinical characteristics of the disease.Design and settingTopresent a retrospective observational analysis from seven specialized centers in Buenos Aires, Argentina.Patientschronic hypoparathyroid patients followed up between 1985 and December 2018.Main Outcome Measuresdata on demographics, etiology, clinical complications, biochemical parameters, DXA values and treatment doses were collected.Results322 subjects with chronic hypoparathyroidism were included, 85.7 % were female. Mean age was 55.2 ± 16.8 years and mean age at diagnosis was 43.8 ± 16.8. Prevalence of surgical hypoparathyroidism was 90.7 %, most common causes being thyroid carcinoma and benign thyroid disease. A history of hypocalcemia requiring hospitalization was present in 25.7 % and 4.3 % had a history of seizures. Overall, 40.9 % had reported at least one neuromuscular symptom. Renal insufficiency was present in 22.4 % and was significantly associated with age (p<0.0001). Hyperphosphatemia was present in 42 %. A history of severe hypocalcemia, paresthesias, tetany, ganglia calcifications, seizures and cataracts was significantly higher in nonsurgical patients.ConclusionAlthough these patients were followed up by experienced physicians, clinical management was heterogeneous and probably insufficient to assess all the potential complications of this chronic disease. Almost 70 % of this group of patients met the experts´ indications for considering the use of rhPTH 1-84. Being aware of this fact is the first step to improve our medical management of this disease in the future.
Fil: Zanchetta, María Belén. Universidad del Salvador; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; Argentina
Fil: Robbiani, Damián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; Argentina. Universidad del Salvador; Argentina
Fil: Oliveri, María Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Inmunología, Genética y Metabolismo. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Inmunología, Genética y Metabolismo; Argentina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
Fil: Giacoia, Evangelina. Hospital Nacional Profesor Alejandro Posadas; Argentina
Fil: Frigeri, Adriana. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina
Fil: Kallsbrum, Silvia. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina
Fil: Salerni, Helena. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina
Fil: Lucas, Sabrina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; Argentina
Fil: Diaz, Adriana. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; Argentina
Fil: Perez, Betiana. Hospital Italiano; Argentina
Fil: Pieroni, Luisina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina
Fil: Arce Lange, María Auxiliadora. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina
Fil: Tormo, Silvina. Hospital Nacional Profesor Alejandro Posadas.; Argentina
Fil: Kitaigrodsky, Ariela. Hospital Italiano; Argentina
Fil: Galich, Ana María. Hospital Italiano; Argentina - Materia
-
HYPOPARATHYROIDISM,
PTH
HYPOCALCEMIA,
HYPERPHOSPHATEMIA - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/123045
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Hipopara-Red, Real Life Experience in 322 Patients with HypoparathyroidismZanchetta, María BelénRobbiani, DamiánOliveri, María BeatrizGiacoia, EvangelinaFrigeri, AdrianaKallsbrum, SilviaSalerni, HelenaLucas, SabrinaDiaz, AdrianaPerez, BetianaPieroni, LuisinaArce Lange, María AuxiliadoraTormo, SilvinaKitaigrodsky, ArielaGalich, Ana MaríaHYPOPARATHYROIDISM,PTHHYPOCALCEMIA,HYPERPHOSPHATEMIAhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Context:Hypoparathyroidism is a rare disease and as such, its natural history, long term complications and correct clinical management remain unclear.ObjectiveTo describe the natural history and clinical characteristics of the disease.Design and settingTopresent a retrospective observational analysis from seven specialized centers in Buenos Aires, Argentina.Patientschronic hypoparathyroid patients followed up between 1985 and December 2018.Main Outcome Measuresdata on demographics, etiology, clinical complications, biochemical parameters, DXA values and treatment doses were collected.Results322 subjects with chronic hypoparathyroidism were included, 85.7 % were female. Mean age was 55.2 ± 16.8 years and mean age at diagnosis was 43.8 ± 16.8. Prevalence of surgical hypoparathyroidism was 90.7 %, most common causes being thyroid carcinoma and benign thyroid disease. A history of hypocalcemia requiring hospitalization was present in 25.7 % and 4.3 % had a history of seizures. Overall, 40.9 % had reported at least one neuromuscular symptom. Renal insufficiency was present in 22.4 % and was significantly associated with age (p<0.0001). Hyperphosphatemia was present in 42 %. A history of severe hypocalcemia, paresthesias, tetany, ganglia calcifications, seizures and cataracts was significantly higher in nonsurgical patients.ConclusionAlthough these patients were followed up by experienced physicians, clinical management was heterogeneous and probably insufficient to assess all the potential complications of this chronic disease. Almost 70 % of this group of patients met the experts´ indications for considering the use of rhPTH 1-84. Being aware of this fact is the first step to improve our medical management of this disease in the future.Fil: Zanchetta, María Belén. Universidad del Salvador; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; ArgentinaFil: Robbiani, Damián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; Argentina. Universidad del Salvador; ArgentinaFil: Oliveri, María Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Inmunología, Genética y Metabolismo. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Inmunología, Genética y Metabolismo; Argentina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; ArgentinaFil: Giacoia, Evangelina. Hospital Nacional Profesor Alejandro Posadas; ArgentinaFil: Frigeri, Adriana. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; ArgentinaFil: Kallsbrum, Silvia. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; ArgentinaFil: Salerni, Helena. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; ArgentinaFil: Lucas, Sabrina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; ArgentinaFil: Diaz, Adriana. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; ArgentinaFil: Perez, Betiana. Hospital Italiano; ArgentinaFil: Pieroni, Luisina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; ArgentinaFil: Arce Lange, María Auxiliadora. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; ArgentinaFil: Tormo, Silvina. Hospital Nacional Profesor Alejandro Posadas.; ArgentinaFil: Kitaigrodsky, Ariela. Hospital Italiano; ArgentinaFil: Galich, Ana María. Hospital Italiano; ArgentinaOxford University Press2020-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/123045Zanchetta, María Belén; Robbiani, Damián; Oliveri, María Beatriz; Giacoia, Evangelina; Frigeri, Adriana; et al.; Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism; Oxford University Press; Journal of the Endocrine Society; 5; 2; 11-2020; 1-92472-1972CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/jes/advance-article/doi/10.1210/jendso/bvaa181/6007788info:eu-repo/semantics/altIdentifier/doi/10.1210/jendso/bvaa181info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:41:19Zoai:ri.conicet.gov.ar:11336/123045instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:41:20.253CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
title |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
spellingShingle |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism Zanchetta, María Belén HYPOPARATHYROIDISM, PTH HYPOCALCEMIA, HYPERPHOSPHATEMIA |
title_short |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
title_full |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
title_fullStr |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
title_full_unstemmed |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
title_sort |
Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism |
dc.creator.none.fl_str_mv |
Zanchetta, María Belén Robbiani, Damián Oliveri, María Beatriz Giacoia, Evangelina Frigeri, Adriana Kallsbrum, Silvia Salerni, Helena Lucas, Sabrina Diaz, Adriana Perez, Betiana Pieroni, Luisina Arce Lange, María Auxiliadora Tormo, Silvina Kitaigrodsky, Ariela Galich, Ana María |
author |
Zanchetta, María Belén |
author_facet |
Zanchetta, María Belén Robbiani, Damián Oliveri, María Beatriz Giacoia, Evangelina Frigeri, Adriana Kallsbrum, Silvia Salerni, Helena Lucas, Sabrina Diaz, Adriana Perez, Betiana Pieroni, Luisina Arce Lange, María Auxiliadora Tormo, Silvina Kitaigrodsky, Ariela Galich, Ana María |
author_role |
author |
author2 |
Robbiani, Damián Oliveri, María Beatriz Giacoia, Evangelina Frigeri, Adriana Kallsbrum, Silvia Salerni, Helena Lucas, Sabrina Diaz, Adriana Perez, Betiana Pieroni, Luisina Arce Lange, María Auxiliadora Tormo, Silvina Kitaigrodsky, Ariela Galich, Ana María |
author2_role |
author author author author author author author author author author author author author author |
dc.subject.none.fl_str_mv |
HYPOPARATHYROIDISM, PTH HYPOCALCEMIA, HYPERPHOSPHATEMIA |
topic |
HYPOPARATHYROIDISM, PTH HYPOCALCEMIA, HYPERPHOSPHATEMIA |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Context:Hypoparathyroidism is a rare disease and as such, its natural history, long term complications and correct clinical management remain unclear.ObjectiveTo describe the natural history and clinical characteristics of the disease.Design and settingTopresent a retrospective observational analysis from seven specialized centers in Buenos Aires, Argentina.Patientschronic hypoparathyroid patients followed up between 1985 and December 2018.Main Outcome Measuresdata on demographics, etiology, clinical complications, biochemical parameters, DXA values and treatment doses were collected.Results322 subjects with chronic hypoparathyroidism were included, 85.7 % were female. Mean age was 55.2 ± 16.8 years and mean age at diagnosis was 43.8 ± 16.8. Prevalence of surgical hypoparathyroidism was 90.7 %, most common causes being thyroid carcinoma and benign thyroid disease. A history of hypocalcemia requiring hospitalization was present in 25.7 % and 4.3 % had a history of seizures. Overall, 40.9 % had reported at least one neuromuscular symptom. Renal insufficiency was present in 22.4 % and was significantly associated with age (p<0.0001). Hyperphosphatemia was present in 42 %. A history of severe hypocalcemia, paresthesias, tetany, ganglia calcifications, seizures and cataracts was significantly higher in nonsurgical patients.ConclusionAlthough these patients were followed up by experienced physicians, clinical management was heterogeneous and probably insufficient to assess all the potential complications of this chronic disease. Almost 70 % of this group of patients met the experts´ indications for considering the use of rhPTH 1-84. Being aware of this fact is the first step to improve our medical management of this disease in the future. Fil: Zanchetta, María Belén. Universidad del Salvador; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; Argentina Fil: Robbiani, Damián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; Argentina. Universidad del Salvador; Argentina Fil: Oliveri, María Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Inmunología, Genética y Metabolismo. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Inmunología, Genética y Metabolismo; Argentina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina Fil: Giacoia, Evangelina. Hospital Nacional Profesor Alejandro Posadas; Argentina Fil: Frigeri, Adriana. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina Fil: Kallsbrum, Silvia. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina Fil: Salerni, Helena. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina Fil: Lucas, Sabrina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; Argentina Fil: Diaz, Adriana. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín. División Osteopatías; Argentina Fil: Perez, Betiana. Hospital Italiano; Argentina Fil: Pieroni, Luisina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina Fil: Arce Lange, María Auxiliadora. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Dr. Teodoro Álvarez"; Argentina Fil: Tormo, Silvina. Hospital Nacional Profesor Alejandro Posadas.; Argentina Fil: Kitaigrodsky, Ariela. Hospital Italiano; Argentina Fil: Galich, Ana María. Hospital Italiano; Argentina |
description |
Context:Hypoparathyroidism is a rare disease and as such, its natural history, long term complications and correct clinical management remain unclear.ObjectiveTo describe the natural history and clinical characteristics of the disease.Design and settingTopresent a retrospective observational analysis from seven specialized centers in Buenos Aires, Argentina.Patientschronic hypoparathyroid patients followed up between 1985 and December 2018.Main Outcome Measuresdata on demographics, etiology, clinical complications, biochemical parameters, DXA values and treatment doses were collected.Results322 subjects with chronic hypoparathyroidism were included, 85.7 % were female. Mean age was 55.2 ± 16.8 years and mean age at diagnosis was 43.8 ± 16.8. Prevalence of surgical hypoparathyroidism was 90.7 %, most common causes being thyroid carcinoma and benign thyroid disease. A history of hypocalcemia requiring hospitalization was present in 25.7 % and 4.3 % had a history of seizures. Overall, 40.9 % had reported at least one neuromuscular symptom. Renal insufficiency was present in 22.4 % and was significantly associated with age (p<0.0001). Hyperphosphatemia was present in 42 %. A history of severe hypocalcemia, paresthesias, tetany, ganglia calcifications, seizures and cataracts was significantly higher in nonsurgical patients.ConclusionAlthough these patients were followed up by experienced physicians, clinical management was heterogeneous and probably insufficient to assess all the potential complications of this chronic disease. Almost 70 % of this group of patients met the experts´ indications for considering the use of rhPTH 1-84. Being aware of this fact is the first step to improve our medical management of this disease in the future. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/123045 Zanchetta, María Belén; Robbiani, Damián; Oliveri, María Beatriz; Giacoia, Evangelina; Frigeri, Adriana; et al.; Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism; Oxford University Press; Journal of the Endocrine Society; 5; 2; 11-2020; 1-9 2472-1972 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/123045 |
identifier_str_mv |
Zanchetta, María Belén; Robbiani, Damián; Oliveri, María Beatriz; Giacoia, Evangelina; Frigeri, Adriana; et al.; Hipopara-Red, Real Life Experience in 322 Patients with Hypoparathyroidism; Oxford University Press; Journal of the Endocrine Society; 5; 2; 11-2020; 1-9 2472-1972 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/jes/advance-article/doi/10.1210/jendso/bvaa181/6007788 info:eu-repo/semantics/altIdentifier/doi/10.1210/jendso/bvaa181 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-nd/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Oxford University Press |
publisher.none.fl_str_mv |
Oxford University Press |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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1844613305807667200 |
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13.070432 |