No significant differences were identified regarding the impact of the hyperplastic pattern of autografted PTGs on the prevention of hypoparathyroidism after initial PTx, both in the unadjusted (P = 0.163) and adjusted Cox regression analyses for dialysis vintage, maximum diameter of PTG, and weight of PTG, as well as preoperative vitamin D receptor activation therapy (P = 0.485) (Table 8). Here, VDR is linked to hypoparathyroidism.