Hyperparathyroidism Associated with Long-Term Proton Pump Inhibitors Independent of Concurrent Bisphosphonate Therapy in Elderly Adults.

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Title: Hyperparathyroidism Associated with Long-Term Proton Pump Inhibitors Independent of Concurrent Bisphosphonate Therapy in Elderly Adults.
Authors: Hinson, Andrew M., Wilkerson, Bekka M., Rothman‐Fitts, Ivy, Riggs, Ann T., Stack, Brendan C., Bodenner, Donald L.
Source: Journal of the American Geriatrics Society. Oct2015, Vol. 63 Issue 10, p2070-2073. 4p. 2 Graphs.
Subjects: Calcium, Creatinine, Diphosphonates, Hyperparathyroidism, Parathyroid hormone, T-test (Statistics), Vitamin D, Proton pump inhibitors, Retrospective studies, Descriptive statistics
Abstract: Objectives To measure the effect of proton pump inhibitors ( PPIs), with and without concurrent bisphosphonates, on parathyroid hormone ( PTH), vitamin D, and calcium. Design Retrospective chart review of individuals 60 years and older. Subjects with reduced renal function (creatinine >1.3 mg/ dL) and low vitamin D (<30 ng/ mL) were excluded. Setting Academic geriatric outpatient center in southern midwest. Participants Individuals aged 60 and older with concurrent calcium, PTH, vitamin D, and creatinine laboratory measurements ( N = 80) meeting labeled criteria. Measurements Serum calcium, PTH, vitamin D, and creatinine. Results Chronic PPI exposure was associated with statistically significantly higher PTH (65.5 vs 30.3 pg/ mL, P < .001; normal range 10-55 pg/ mL) and lower calcium (9.1 vs 9.4 mg/ dL, P = .02; normal range 8.5-10.5 mg/ dL) than no PPI exposure. Chronic PPI exposure with concurrent BP therapy was associated with statistically significantly higher PTH (65.2 vs 43.4 pg/ mL, P = .05) and lower calcium (9.2 vs 9.6 mg/ dL, P = .04) than BP therapy only. Conclusion Based on the present study, chronic PPI exposure in elderly adults is associated with mild hyperparathyroidism regardless of concurrent oral BP administration. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Hyperparathyroidism Associated with Long-Term Proton Pump Inhibitors Independent of Concurrent Bisphosphonate Therapy in Elderly Adults.
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  Data: Objectives To measure the effect of proton pump inhibitors ( PPIs), with and without concurrent bisphosphonates, on parathyroid hormone ( PTH), vitamin D, and calcium. Design Retrospective chart review of individuals 60 years and older. Subjects with reduced renal function (creatinine &gt;1.3 mg/ dL) and low vitamin D (&lt;30 ng/ mL) were excluded. Setting Academic geriatric outpatient center in southern midwest. Participants Individuals aged 60 and older with concurrent calcium, PTH, vitamin D, and creatinine laboratory measurements ( N = 80) meeting labeled criteria. Measurements Serum calcium, PTH, vitamin D, and creatinine. Results Chronic PPI exposure was associated with statistically significantly higher PTH (65.5 vs 30.3 pg/ mL, P &lt; .001; normal range 10-55 pg/ mL) and lower calcium (9.1 vs 9.4 mg/ dL, P = .02; normal range 8.5-10.5 mg/ dL) than no PPI exposure. Chronic PPI exposure with concurrent BP therapy was associated with statistically significantly higher PTH (65.2 vs 43.4 pg/ mL, P = .05) and lower calcium (9.2 vs 9.6 mg/ dL, P = .04) than BP therapy only. Conclusion Based on the present study, chronic PPI exposure in elderly adults is associated with mild hyperparathyroidism regardless of concurrent oral BP administration. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/jgs.13661
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 4
        StartPage: 2070
    Subjects:
      – SubjectFull: Calcium
        Type: general
      – SubjectFull: Creatinine
        Type: general
      – SubjectFull: Diphosphonates
        Type: general
      – SubjectFull: Hyperparathyroidism
        Type: general
      – SubjectFull: Parathyroid hormone
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Vitamin D
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      – SubjectFull: Proton pump inhibitors
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Descriptive statistics
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      – TitleFull: Hyperparathyroidism Associated with Long-Term Proton Pump Inhibitors Independent of Concurrent Bisphosphonate Therapy in Elderly Adults.
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              Text: Oct2015
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