Timing of Parathyroidectomy Does Not Influence Renal Function After Kidney Transplantation Article Swipe
Willemijn Y. van der Plas
,
Mostafa El Moumni
,
Philipp J. von Forstner
,
Ezra Y. Koh
,
R. R. Dulfer
,
Tessa M. van Ginhoven
,
Jan Rotmans
,
Natasha M. Appelman‐Dijkstra
,
Abbey Schepers
,
Ewout J. Hoorn
,
John Th. M. Plukker
,
Liffert Vogt
,
Anton F. Engelsman
,
Els J.�M. Nieveen van Dijkum
,
Schelto Kruijff
,
Robert A. Pol
,
Martin H. de Borst
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1007/s00268-019-04952-w
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1007/s00268-019-04952-w
Background Parathyroidectomy (PTx) is the treatment of choice for end‐stage renal disease (ESRD) patients with therapy‐resistant hyperparathyroidism (HPT). The optimal timing of PTx for ESRD‐related HPT—before or after kidney transplantation (KTx)—is subject of debate. Methods Patients with ESRD‐related HPT who underwent both PTx and KTx between 1994 and 2015 were included in a multicenter retrospective study in four university hospitals. Two groups were formed according to treatment sequence: PTx before KTx (PTxKTx) and PTx after KTx (KTxPTx). Primary endpoint was renal function (eGFR, CKD‐EPI) between both groups at several time points post‐transplantation. Correlation between the timing of PTx and KTx and the course of eGFR was assessed using generalized estimating equations (GEE). Results The PTxKTx group consisted of 102 (55.1%) and the KTxPTx group of 83 (44.9%) patients. Recipient age, donor type, PTx type, and pre‐KTx PTH levels were significantly different between groups. At 5 years after transplantation, eGFR was similar in the PTxKTx group (eGFR 44.5 ± 4.0 ml/min/1.73 m 2 ) and KTxPTx group (40.0 ± 6.4 ml/min/1.73 m 2 , p = 0.43). The unadjusted GEE model showed that timing of PTx was not correlated with graft function over time (mean difference −1.0 ml/min/1.73 m 2 , 95% confidence interval −8.4 to 6.4, p = 0.79). Adjustment for potential confounders including recipient age and sex, various donor characteristics, PTx type, and PTH levels did not materially influence the results. Conclusions In this multicenter cohort study, timing of PTx before or after KTx does not independently impact graft function over time.
Related Topics
Concepts
Medicine
Parathyroidectomy
Kidney transplantation
Transplantation
Internal medicine
Urology
Renal function
Kidney disease
Secondary hyperparathyroidism
Nephrology
Clinical endpoint
Confidence interval
Gastroenterology
Surgery
Parathyroid hormone
Randomized controlled trial
Calcium
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00268-019-04952-w
- https://link.springer.com/content/pdf/10.1007/s00268-019-04952-w.pdf
- OA Status
- hybrid
- Cited By
- 17
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2915904682
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2915904682Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00268-019-04952-wDigital Object Identifier
- Title
-
Timing of Parathyroidectomy Does Not Influence Renal Function After Kidney TransplantationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-02-23Full publication date if available
- Authors
-
Willemijn Y. van der Plas, Mostafa El Moumni, Philipp J. von Forstner, Ezra Y. Koh, R. R. Dulfer, Tessa M. van Ginhoven, Jan Rotmans, Natasha M. Appelman‐Dijkstra, Abbey Schepers, Ewout J. Hoorn, John Th. M. Plukker, Liffert Vogt, Anton F. Engelsman, Els J.�M. Nieveen van Dijkum, Schelto Kruijff, Robert A. Pol, Martin H. de BorstList of authors in order
- Landing page
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https://doi.org/10.1007/s00268-019-04952-wPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s00268-019-04952-w.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s00268-019-04952-w.pdfDirect OA link when available
- Concepts
-
Medicine, Parathyroidectomy, Kidney transplantation, Transplantation, Internal medicine, Urology, Renal function, Kidney disease, Secondary hyperparathyroidism, Nephrology, Clinical endpoint, Confidence interval, Gastroenterology, Surgery, Parathyroid hormone, Randomized controlled trial, CalciumTop concepts (fields/topics) attached by OpenAlex
- Cited by
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17Total citation count in OpenAlex
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2025: 2, 2024: 2, 2023: 4, 2022: 4, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(mean | 194 |
| abstract_inverted_index.after | 28, 75, 147, 244 |
| abstract_inverted_index.donor | 131, 220 |
| abstract_inverted_index.graft | 190, 250 |
| abstract_inverted_index.group | 116, 124, 155, 166 |
| abstract_inverted_index.model | 180 |
| abstract_inverted_index.renal | 11, 81 |
| abstract_inverted_index.study | 56 |
| abstract_inverted_index.time. | 253 |
| abstract_inverted_index.type, | 132, 134, 223 |
| abstract_inverted_index.using | 108 |
| abstract_inverted_index.years | 146 |
| abstract_inverted_index.(ESRD) | 13 |
| abstract_inverted_index.(GEE). | 112 |
| abstract_inverted_index.(HPT). | 18 |
| abstract_inverted_index.(eGFR, | 83 |
| abstract_inverted_index.0.43). | 176 |
| abstract_inverted_index.0.79). | 209 |
| abstract_inverted_index.KTxPTx | 123, 165 |
| abstract_inverted_index.PTxKTx | 115, 154 |
| abstract_inverted_index.before | 70, 242 |
| abstract_inverted_index.choice | 8 |
| abstract_inverted_index.cohort | 237 |
| abstract_inverted_index.course | 103 |
| abstract_inverted_index.formed | 64 |
| abstract_inverted_index.groups | 62, 87 |
| abstract_inverted_index.impact | 249 |
| abstract_inverted_index.kidney | 29 |
| abstract_inverted_index.levels | 138, 226 |
| abstract_inverted_index.points | 91 |
| abstract_inverted_index.showed | 181 |
| abstract_inverted_index.study, | 238 |
| abstract_inverted_index.timing | 21, 96, 183, 239 |
| abstract_inverted_index.−1.0 | 196 |
| abstract_inverted_index.−8.4 | 204 |
| abstract_inverted_index.(44.9%) | 127 |
| abstract_inverted_index.(55.1%) | 120 |
| abstract_inverted_index.Methods | 35 |
| abstract_inverted_index.Primary | 78 |
| abstract_inverted_index.Results | 113 |
| abstract_inverted_index.between | 46, 85, 94, 142 |
| abstract_inverted_index.debate. | 34 |
| abstract_inverted_index.disease | 12 |
| abstract_inverted_index.groups. | 143 |
| abstract_inverted_index.optimal | 20 |
| abstract_inverted_index.several | 89 |
| abstract_inverted_index.similar | 151 |
| abstract_inverted_index.subject | 32 |
| abstract_inverted_index.various | 219 |
| abstract_inverted_index.(PTxKTx) | 72 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Patients | 36 |
| abstract_inverted_index.assessed | 107 |
| abstract_inverted_index.endpoint | 79 |
| abstract_inverted_index.function | 82, 191, 251 |
| abstract_inverted_index.included | 51 |
| abstract_inverted_index.interval | 203 |
| abstract_inverted_index.patients | 14 |
| abstract_inverted_index.results. | 232 |
| abstract_inverted_index.(KTxPTx). | 77 |
| abstract_inverted_index.Recipient | 129 |
| abstract_inverted_index.according | 65 |
| abstract_inverted_index.consisted | 117 |
| abstract_inverted_index.different | 141 |
| abstract_inverted_index.equations | 111 |
| abstract_inverted_index.including | 214 |
| abstract_inverted_index.influence | 230 |
| abstract_inverted_index.patients. | 128 |
| abstract_inverted_index.potential | 212 |
| abstract_inverted_index.pre‐KTx | 136 |
| abstract_inverted_index.recipient | 215 |
| abstract_inverted_index.sequence: | 68 |
| abstract_inverted_index.treatment | 6, 67 |
| abstract_inverted_index.underwent | 41 |
| abstract_inverted_index.(KTx)—is | 31 |
| abstract_inverted_index.Adjustment | 210 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.CKD‐EPI) | 84 |
| abstract_inverted_index.confidence | 202 |
| abstract_inverted_index.correlated | 188 |
| abstract_inverted_index.difference | 195 |
| abstract_inverted_index.estimating | 110 |
| abstract_inverted_index.hospitals. | 60 |
| abstract_inverted_index.materially | 229 |
| abstract_inverted_index.unadjusted | 178 |
| abstract_inverted_index.university | 59 |
| abstract_inverted_index.Conclusions | 233 |
| abstract_inverted_index.Correlation | 93 |
| abstract_inverted_index.confounders | 213 |
| abstract_inverted_index.end‐stage | 10 |
| abstract_inverted_index.generalized | 109 |
| abstract_inverted_index.ml/min/1.73 | 160, 170, 197 |
| abstract_inverted_index.multicenter | 54, 236 |
| abstract_inverted_index.HPT—before | 26 |
| abstract_inverted_index.independently | 248 |
| abstract_inverted_index.retrospective | 55 |
| abstract_inverted_index.significantly | 140 |
| abstract_inverted_index.ESRD‐related | 25, 38 |
| abstract_inverted_index.transplantation | 30 |
| abstract_inverted_index.characteristics, | 221 |
| abstract_inverted_index.transplantation, | 148 |
| abstract_inverted_index.Parathyroidectomy | 2 |
| abstract_inverted_index.hyperparathyroidism | 17 |
| abstract_inverted_index.therapy‐resistant | 16 |
| abstract_inverted_index.post‐transplantation. | 92 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5077283308 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 17 |
| corresponding_institution_ids | https://openalex.org/I1334415907, https://openalex.org/I169381384 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.78570452 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |