Evidence map›Paper›PMID 41987889›Full record

Observational studyFrontiers in endocrinology2026

Subjective health status, life performance and complications in chronic hypoparathyroidism - a German multicenter survey.

Carmina T Fuss, Sarah Engbers, Nicole Reisch, Anke Hannemann, Henry Völzke, Hans J Grabe, Matthias Nauck, Michael Droste, Holger S Willenberg, Nada Rayes and 3 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03437174 (Burden of Illness and Disease Associated Emergencies in Chronic Hypoparathyroidism), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03437174 completednot on this map

Burden of Illness and Disease Associated Emergencies in Chronic Hypoparathyroidism

TypeobservationalSponsorUniversity of WuerzburgRan2015 to 2018Enrolled205ConditionsHypoparathyroidism
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Carmina T Fuss *Department of Internal Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Wuerzburg, Wuerzburg, Germany.
Sarah Engbers *Department of Internal Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Wuerzburg, Wuerzburg, Germany.
Nicole ReischMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, Munich, Germany.
Anke HannemannInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.
Henry VölzkeDZHK (German Center for Cardiovascular Research), partner siteGreifswald, Greifswald, Germany.
Hans J GrabeDepartment of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
Matthias NauckInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.
Michael DrostePractice for Endocrinology and Diabetes, Oldenburg, Germany.
Holger S WillenbergDivision of Endocrinology and Metabolism, Rostock University Medical Center, Rostock, Germany.
Nada RayesDepartment of General, Visceral, and Transplant Surgery, University Hospital Leipzig, Leipzig, Germany.
Martin FassnachtDepartment of Internal Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Wuerzburg, Wuerzburg, Germany.
Marcus QuinklerEndokrinologie in Charlottenburg, Endokrinologie Praxis am Stuttgarter Platz, Berlin, Germany.
Stefanie HahnerDepartment of Internal Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Wuerzburg, Wuerzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is mounting evidence that conventional replacement strategies with calcium and vitamin D are insufficient to fully prevent complications of chronic hypoparathyroidism (HypoPT) in all patients. Methods: To investigate the disease burden of chronic HypoPT, we performed a survey in 205 HypoPT patients (159 females; median age 55 years; median disease duration 16 years). Patients received a disease-specific questionnaire asking for subjective health status, comorbidities, disease-related emergencies and interference of HypoPT with daily and work life. Patients were further assessed by the SF-36 questionnaire. Data was compared to sex- and age-matched subjects from the Study of Health in Pomerania SHIP-START, the German Health Interview and Examination Survey for Adults (DEGS1) and to 214 patients with adrenal insufficiency. Results: Clinical symptoms associated with HypoPT during the past 12 months were reported by 92% of patients, requiring medical intervention in 32%. Since primary diagnosis of HypoPT, 36% of patients had presented at least once at an emergency department due to severe hypocalcemia (14.7 events per 100 patient years). Trigger factors for hypocalcemic symptoms were reported by 76% of patients (e.g. physical activity, infections, hot weather). In comparison to population-based controls, patients with HypoPT showed a higher prevalence of renal insufficiency (11% vs. 2%, p<0.001) and more frequently received antihypertensive (44% vs. 34%; p=0.003) and antiepileptic drugs (5% vs. 2%, p=0.01). Lifetime prevalence of both depression (22% vs. 15%, p=0.003) and anxiety (21% vs. 6%, p<0.001) were increased in HypoPT. SF-36 values indicated significantly reduced subjective health status in HypoPT patients compared to controls as well as patients with adrenal insufficiency. Conclusion: Despite established treatment, chronic HypoPT is associated with a variety of symptoms with a significant impact on daily life and work life. Trial registration: https://ClinicalTrials.gov/NCT03437174.

Indexed as

Health StatusHypoparathyroidismQuality of LifeAdultAgedChronic DiseaseFemaleGermanyHumansMaleMiddle AgedSurveys and Questionnairesburden of illnesscomorbiditieshypoparathyroidismquality of lifeShort Form-36

Identifiers

PMID41987889
PMCPMC13076148

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.