Table 4.
Risk of thyroid nodules, benign thyroid nodules, and thyroid cancer by serum PTH.
Model 1, OR (95% CI) | P value | Model 2, OR (95% CI) | P value | |
---|---|---|---|---|
Thyroid nodules (n = 105) | ||||
ln (PTH) (1/ln (pg/mL)) | 0.79 (0.62–1.00) | 0.052 | 0.88 (0.65–1.20) | 0.884 |
Women | 2.39 (1.33–4.30) | 0.004 | 2.13 (1.13–3.99) | 0.019 |
Adjusted serum calcium (1/mmol/L) | – | – | 0.83 (0.41–1.68) | 0.609 |
Cr (1/μmol/L) | – | – | 1.00 (0.99–1.01) | 0.222 |
Age | – | – | 1.02 (0.99–1.04) | 0.102 |
Benign thyroid nodules (n = 79) | ||||
ln (PTH) (1/ln (pg/mL)) | 0.88 (0.68–1.15) | 0.354 | 1.04 (0.75–1.44) | 0.835 |
Women | 2.31 (1.21–4.43) | 0.011 | 1.98 (0.98–3.98) | 0.056 |
Adjusted serum calcium (1/mmol/L) | – | – | 0.76 (0.35–1.66) | 0.490 |
Cr (1/μmol/L) | – | – | 0.99 (0.98–1.00) | 0.132 |
Age | – | – | 1.03 (1.00–1.05) | 0.038 |
Thyroid cancer (n = 26) | ||||
ln (PTH) (1/ln (pg/mL)) | 0.52 (0.32–0.84) | 0.008 | 0.50 (0.26–0.93) | 0.028 |
Women | 2.66 (0.87–8.09) | 0.086 | 2.69 (0.83–8.75) | 0.100 |
Adjusted serum calcium (1/mmol/L) | – | – | 1.25 (0.35–4.50) | 0.734 |
Cr (1/μmol/L) | – | – | 1.00 (0.99–1.02) | 0.855 |
Age | – | – | 1.00 (0.96–1.03) | 0.834 |
Multinomial adjusted logistic regression analyses for 318 patients with PHPT. Patients with primary hyperparathyroidism without thyroid nodules were used as a reference group. Model 1 is adjusted for gender. Model 2 is further adjusted for age, creatinine (Cr), and albumin-adjusted serum calcium.
ln, natural logarithm; PTH, parathyroid hormone.