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Surgical management of primary hyperparathyroidism in Canada.

Williams BA, Trites JR, Taylor SM, Bullock MJ, Hart RD - J Otolaryngol Head Neck Surg (2014)

Bottom Line: Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands.Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia.There are, however, no practice guidelines regarding an optimal approach to this condition.

View Article: PubMed Central - PubMed

Affiliation: Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Dalhousie University, Halifax, NS, Canada. drbwilliams@gmail.com.

ABSTRACT
Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands. Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia. In recent decades localizing imaging has improved and there has been a shift away from multiple gland exploration toward a single gland excision. There are, however, no practice guidelines regarding an optimal approach to this condition. This study shows that there is a high degree of variation in practices across Canada and a large amount of uncertainty in the approach to primary hyperparathyroidism.

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Related in: MedlinePlus

Reponses to the preoperative investigation section of the survey. Investigations are listed along the X-axis, with columns representing the frequency of use by respondents. PTH – parathyroid hormone, iCa – ionized calcium, CT – computed tomography, SPECT – single photon emission computed tomography.
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Fig1: Reponses to the preoperative investigation section of the survey. Investigations are listed along the X-axis, with columns representing the frequency of use by respondents. PTH – parathyroid hormone, iCa – ionized calcium, CT – computed tomography, SPECT – single photon emission computed tomography.

Mentions: Figure 1 summarizes the results of the portion of the survey regarding preoperative assessment. Preoperative bloodwork is fairly consistent but there is more variation in preoperative imaging. For intraoperative recurrent laryngeal nerve monitoring during parathyroidectomy, 45% of respondents never used it, 32% always used it and the remainder used the monitoring occasionally.Figure 1


Surgical management of primary hyperparathyroidism in Canada.

Williams BA, Trites JR, Taylor SM, Bullock MJ, Hart RD - J Otolaryngol Head Neck Surg (2014)

Reponses to the preoperative investigation section of the survey. Investigations are listed along the X-axis, with columns representing the frequency of use by respondents. PTH – parathyroid hormone, iCa – ionized calcium, CT – computed tomography, SPECT – single photon emission computed tomography.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4221664&req=5

Fig1: Reponses to the preoperative investigation section of the survey. Investigations are listed along the X-axis, with columns representing the frequency of use by respondents. PTH – parathyroid hormone, iCa – ionized calcium, CT – computed tomography, SPECT – single photon emission computed tomography.
Mentions: Figure 1 summarizes the results of the portion of the survey regarding preoperative assessment. Preoperative bloodwork is fairly consistent but there is more variation in preoperative imaging. For intraoperative recurrent laryngeal nerve monitoring during parathyroidectomy, 45% of respondents never used it, 32% always used it and the remainder used the monitoring occasionally.Figure 1

Bottom Line: Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands.Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia.There are, however, no practice guidelines regarding an optimal approach to this condition.

View Article: PubMed Central - PubMed

Affiliation: Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Dalhousie University, Halifax, NS, Canada. drbwilliams@gmail.com.

ABSTRACT
Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands. Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia. In recent decades localizing imaging has improved and there has been a shift away from multiple gland exploration toward a single gland excision. There are, however, no practice guidelines regarding an optimal approach to this condition. This study shows that there is a high degree of variation in practices across Canada and a large amount of uncertainty in the approach to primary hyperparathyroidism.

Show MeSH
Related in: MedlinePlus