Open research questions in Electrolyte and hormonal disorders
114 gap statements mined from Electrolyte and hormonal disorders papers in our 4.5M-paper local library, which holds 613 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The paper highlights the need for further prospective studies to clarify the role of chloride-guided management strategies in older adults with heart failure.
It highlights the need for a thorough evaluation of fluid status, electrolytes, and urine chemistry to guide management. The paper also identifies a gap in the treatment of hypernatremia, including the use of inappropriate fluids and the lack of effective therapies.
There is a need to assess the impact of desmopressin on bleeding risk and hemodynamic stability in patients undergoing kidney biopsies.
The Role of Fixed-Dose Desmopressin in Hemostatic Outcomes of Native and Transplant Kidney Biopsies in a Tertiary Referral Hospital · 2025 · DOIThe lack of an appropriate assay to measure AVP levels hindered further investigation. Variations in the provision of care for non-ST segment elevation myocardial infarction. Conflicting data on the diagnostic utility of copeptin in combination with high-sensitivity troponin assays.
Copeptin in Acute Myocardial Infarction: Is There a Role in the Era of High-Sensitivity Troponins? · 2025 · DOIAlthough furosemide combined with oral sodium chloride (NaCl) tablets is widely used as second-line therapy, evidence supporting its effectiveness after FR failure remains limited, and predictors of response have not been established.
Furosemide plus oral sodium chloride for syndrome of inappropriate antidiuresis after fluid restriction failure · 2026 · DOIThe association between correction rate and mortality can be influenced by numerous factors, including comorbidities, overall condition, and treatment interventions, but this complex interplay remains unclear.
While we acknowledge the preclinical studies by the group of Tamma8,9 in our discussion, we must emphasize that, to date, there is no clear evidence of how vasopressin affects bone metabolism in humans, and we concur that this warrants further investigation.
Response to the comments on normalization of hyponatremia in hospitalized patients decreases osteoclast activity · 2026 · DOIEmpagliflozin has demonstrated an aquaretic sodium-raising effect in randomised trials, but real-world durability and clinically useful predictors of early response remain uncertain.
RC5.2 - ECE_2298 - Empagliflozin for paraneoplastic SIAD-related hyponatraemia: real-world multi-centre evidence · 2026 · DOIThis underlines that different strategies, even when targeting the same correction rate, should be investigated for potential treatment heterogeneity.
Why Analyses of Achieved Sodium Correction Rates in Hyponatremia Studies Do Not Identify Causal (Treatment) Effects · 2026 · DOICurrent practices in fluid management across public and private maternity units within Australia and New Zealand remain unknown.
Intrapartum hydration assessment and management: A cross-sectional survey of Australian and New Zealand maternity units · 2025 · DOIRenal fibrosis, developed from persistent inflammation, is worsened by M2 macrophages, yet the precise mechanisms underlying macrophage M2 polarization remain unclear.
Inhibition of Kv1.3 channel restrains macrophage M2 polarization and ameliorates renal fibrosis via regulating STAT6 phosphorylation · 2025 · DOIWhile hyponatraemia can cause severe neurological symptoms, its clinical predictors remain poorly defined.
Risk factors for neurological symptoms in hyponatraemic patients: a retrospective cohort study · 2025 · DOIFuture research should investigate the long-term impact of electrolyte imbalances in obesity, the role of emerging therapies, and how lifestyle interventions can optimize electrolyte homeostasis and metabolic outcomes.
Electrolyte Imbalances and Metabolic Emergencies in Obesity: Mechanisms and Clinical Implications · 2025 · DOIHowever, the detailed mechanisms by which hyponatremia influences muscle and bone remain unclear.
Roles of Insulin-Like Growth Factor-1 in Muscle Wasting and Osteopenia in Mice with Hyponatremia · 2025 · DOIFurther experiments are warranted to determine if the decrease in blood pressure and cardiac overload are suffcient to inhibit profibrogenic mechanisms and/or activate antifibrogenic mechanisms.
ARGININE VASOPRESSIN DEFICIENCY INDUCES DECREASED CARDIAC FIBROSIS RATE AND MEAN ARTERIAL BLOOD PRESSURE IN RATS WITH EXPERIMENTAL ABDOMINAL AORTIC STENOSIS · 2024 · DOIAlthough the clinical implications of MRI-detected lesions remain uncertain, psychiatrists should be cautious about CPM when refeeding patients with AN.
Apart from the reports indicating a relationship between hypokalemia and ODS, the mechanism remains unclear.
Osmotic Demyelination Syndrome in Hyponatremia: Does the Rate of Sodium Correction Matter? · 2024 · DOIThe study's methodological approach and interpretation of findings are questionable. The cohort may not represent isolated AVP deficiency, but rather includes patients with broader pituitary dysfunction. The study's findings may be influenced by underlying differences in skeletal fragility at baseline.
Response to fracture risks in patients with arginine vasopressin deficiency: a nationwide matched cohort study by Seung Shin Park et al. · 2026 · DOINone of our patients had hypo- or hypercortisolism, nor were they using corticosteroids, making the impact of cortisol likely limited to the hospitalization setting, which was common to all participants, and the severity of comorbidities, which was similar in patients with both persistent hyponatremia and normonatremia.
Response to the comments on normalization of hyponatremia in hospitalized patients decreases osteoclast activity · 2026 · DOIOsmotic diuresis is an underrecognized cause of polyuria and hypernatremia the intensive care setting.
Although vinblastine-induced SIADH is rarely reported, its structural similarity to vincristine suggests a shared mechanism, namely direct renal and neurohypophyseal toxicity leading to disrupted osmoreceptor control of ADH secretion.
Severe Syndrome of Inappropriate Antidiuretic Hormone Secretion Following a Single Infusion of AVD Chemotherapy in a Patient with Hodgkin Lymphoma · 2025 · DOIThere are relatively few studies on the effect of SNa indicators on the prognosis of patients undergoing maintenance hemodialysis (MHD).
Effect of long-term serum sodium levels on the prognosis of patients on maintenance hemodialysis · 2024 · DOIIntroduction Consequences of hypernatremia in akute kidney injury (AKI-hyperNa) is poorly understood.
Studies specifically involving older adults with HF remain limited - Most available evidence derives from studies conducted in the general HF population, whereas data specifically addressing older adults remain…
Further studies are needed to evaluate the effectiveness of desmopressin in reducing bleeding risk in kidney biopsies, - Research is needed to identify potential risk factors influencing bleeding outcomes in kidney biopsies, - Studies should investigate the optimal dosage and timing of desmopressin…
The Role of Fixed-Dose Desmopressin in Hemostatic Outcomes of Native and Transplant Kidney Biopsies in a Tertiary Referral Hospital · 2025 · DOI
Most-cited papers in Electrolyte and hormonal disorders
- Effects of Oral Tolvaptan in Patients Hospitalized for Worsening Heart Failure<SUBTITLE>The EVEREST Outcome Trial</SUBTITLE> · JAMA · 2007 · 1,417 citations
- A TEST FOR CONCENTRATION OF ELECTROLYTES IN SWEAT IN CYSTIC FIBROSIS OF THE PANCREAS UTILIZING PILOCARPINE BY IONTOPHORESIS · PEDIATRICS · 1959 · 1,041 citations
- Premature mortality due to cardiovascular disease in hypopituitarism · The Lancet · 1990 · 1,031 citations
- ABNORMAL ELECTROLYTE COMPOSITION OF SWEAT IN CYSTIC FIBROSIS OF THE PANCREAS · PEDIATRICS · 1953 · 450 citations
- Impact of Hospital-Associated Hyponatremia on Selected Outcomes · Archives of Internal Medicine · 2010 · 441 citations
- Controlled Hypotension · Drugs · 2007 · 291 citations
- Characterization and Prognostic Value of Persistent Hyponatremia in Patients With Severe Heart Failure in the ESCAPE Trial · Archives of Internal Medicine · 2007 · 279 citations
- Prevention of Hospital-Acquired Hyponatremia: A Case for Using Isotonic Saline · PEDIATRICS · 2003 · 272 citations
- Hyponatremia in ultradistance triathletes · Medicine & Science in Sports & Exercise · 1999 · 212 citations
- A Salt Wasting Syndrome in Infancy · Archives of Disease in Childhood · 1958 · 210 citations
Most recent work
- Sodium Correction Rates and Associated Outcomes Among Patients With Severe Hyponatremia · Annals of Internal Medicine · 2026
- Effects of GLP-1 receptor agonists on copeptin in euvolemic participants · European Journal of Endocrinology · 2026
- Non-hyponatremia-associated osmotic demyelination syndrome: an analysis of published cases · The American Journal of Medicine · 2026
- The role of electrolytes imbalance in determining poor health outcomes in a cohort of older in-patients: the ELECTROHEALTH study · Aging Clinical and Experimental Research · 2026
- Antidepressants and the risk of hyponatremia: A multi‐institutional cohort study using observational medical outcomes partnership—Common Data Model · British Journal of Clinical Pharmacology · 2026
- Facilitators and barriers to volume management interventions in patients with heart failure and hyponatremia: a qualitative study · BMC Geriatrics · 2026
- Fever and syndrome of inappropriate antidiuretic hormone secretion in a patient with multiple system atrophy after treatment with duloxetine · Neurological Sciences · 2026
- Predictive role and clinical correlation of copeptin in patients with type 2 diabetes mellitus associated nephropathy approaching end-stage renal disease · BMC Nephrology · 2026
- Early postoperative hyponatremia after pituitary adenoma surgery: risk factors, predictive model, and clinical implications · BMC Endocrine Disorders · 2026
- Weight-normalized norepinephrine dosing and apparent BMI-dependent vasopressin responsiveness · Critical Care · 2026
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