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studien skjuts på framtiden
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The aims of this study is to analyse if insulin resistance in primary hyperparathyroidism (pHPT) is normalised after parathyroid adenomectomy and if glucose tolerance test may be useful as a diagnostic tool by predicting potential improvement of insulin sensitivity after biochemical cure of pHPT.
To be conducted at the Karolinska University Hospital, Stockholm. Patients with fb-glucos >6.1 and HbA1c without medical treatment will be included after informed consent and randomised to parathyroidectomy (PTX) within three months or not. The groups will be examined 4 ±4 weeks before and 12±2 weeks after PTX, similar for the control group. The number of participants will be estimated by power calculations based on a pilot study including 20 patients.
The test protocol includes glucose load with control of glucose and insulin, (0, 30, 60 and 120 min) together with measurement of markers of oxidative stress and inflammation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| parathyroidectomy | Active Comparator | change in insulin resistance |
|
| control | No Intervention | the study participant will be examined parallel with the active comparator |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| parathyroidectomy | Procedure | surgical treatment of hyperparathyroidism |
|
| Measure | Description | Time Frame |
|---|---|---|
| glucose tolerance test with estimation of insulin resistance | Homa IR | 3 months |
| quality of life - self estimation protocol | EORTC QLQ-C30 | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| psychological wellbeing | POMS | 3 months |
| anxiety, depression | HAD | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Inga-Lena Nilsson, MD, PhD | Karolinska University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital | Stockholm | SE-17176 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24026893 | Background | Norenstedt S, Pernow Y, Brismar K, Saaf M, Ekip A, Granath F, Zedenius J, Nilsson IL. Primary hyperparathyroidism and metabolic risk factors, impact of parathyroidectomy and vitamin D supplementation, and results of a randomized double-blind study. Eur J Endocrinol. 2013 Oct 21;169(6):795-804. doi: 10.1530/EJE-13-0547. Print 2013 Dec. |
| Label | URL |
|---|---|
| Regional program | View source |
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| ID | Term |
|---|---|
| D006961 | Hyperparathyroidism |
| D003920 | Diabetes Mellitus |
| D006934 | Hypercalcemia |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D010279 | Parathyroid Diseases |
| D004700 | Endocrine System Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D016105 | Parathyroidectomy |
| ID | Term |
|---|---|
| D013507 | Endocrine Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| cognition |
MoCA-Test |
| 6 months |
| D009750 | Nutritional and Metabolic Diseases |
| D002128 | Calcium Metabolism Disorders |
| D014883 | Water-Electrolyte Imbalance |
| D006946 | Hyperinsulinism |