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Published on: July 14, 2023
Trends in Clinical Features of Primary Hyperparathyroidism During 2013-2024
Yuansi Chen1, Junhe Wang1, Shuo Li1
1Department of Endocrinology and Metabolism, Tianjin Medical University General Hospital, Tianjin, China, tjmugh.com.cn.
Clinical features of primary hyperparathyroidism (PHPT) are changing in China, with more asymptomatic cases and milder symptoms observed over time. This trend suggests a shift towards earlier detection and management of PHPT in the Chinese population.
Area of Science:
- Endocrinology
- Oncology
- Public Health
Background:
- Primary hyperparathyroidism (PHPT) presents differently across regions, with limited large-scale data from China.
- Understanding evolving clinical patterns of PHPT in China is crucial for public health.
- Recent changes in PHPT presentation necessitate updated clinical insights.
Purpose of the Study:
- To describe the changing clinical features of primary hyperparathyroidism (PHPT) in Chinese patients.
- To analyze trends in PHPT presentation and pathology over a recent decade.
Main Methods:
- Retrospective analysis of 685 PHPT patients diagnosed between 2013 and 2024.
- Patients were subgrouped by time period, symptoms, and pathological findings.
- Clinical characteristics, biochemical markers, and bone mineral density were compared across subgroups.
Main Results:
- A significant increase in asymptomatic PHPT cases was observed from 2013-2018 to 2019-2024.
- Asymptomatic patients exhibited milder clinical manifestations and fewer complications.
- Malignant parathyroid tumors showed significantly elevated PTH, calcium, and alkaline phosphatase levels compared to benign tumors.
Conclusions:
- Clinical features of PHPT in China have evolved, characterized by a rise in asymptomatic cases with milder symptoms.
- These findings highlight a potential shift towards earlier diagnosis and management of PHPT.
- Further research into the factors driving these changes is warranted.
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