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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 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.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.

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

Responses to the operative approach section of the survey. Each scenario is listed along the X-axis, with the columns representing the percentage of respondents who chose each surgical management option listed in the legend. MEN – multiple endocrine neoplasm.
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Fig2: Responses to the operative approach section of the survey. Each scenario is listed along the X-axis, with the columns representing the percentage of respondents who chose each surgical management option listed in the legend. MEN – multiple endocrine neoplasm.

Mentions: Figure 2 summarizes respondents approaches to 6 clinical scenarios: PHPT with and without a localizing scan, PHPT in multiple endocrine neoplasia type one (MEN1) with and without a localizing scan, and PHPT in MEN2A with and without a localizing scan.Figure 2


Surgical management of primary hyperparathyroidism in Canada.

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

Responses to the operative approach section of the survey. Each scenario is listed along the X-axis, with the columns representing the percentage of respondents who chose each surgical management option listed in the legend. MEN – multiple endocrine neoplasm.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig2: Responses to the operative approach section of the survey. Each scenario is listed along the X-axis, with the columns representing the percentage of respondents who chose each surgical management option listed in the legend. MEN – multiple endocrine neoplasm.
Mentions: Figure 2 summarizes respondents approaches to 6 clinical scenarios: PHPT with and without a localizing scan, PHPT in multiple endocrine neoplasia type one (MEN1) with and without a localizing scan, and PHPT in MEN2A with and without a localizing scan.Figure 2

Bottom Line: 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.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.

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