Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach
Lebastchi AH, Donovan PI, Udelsman R. Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach. JAMA Surgery 2014, 149: 1133-1137. PMID: 25188005, DOI: 10.1001/jamasurg.2014.1296.Peer-Reviewed Original ResearchConceptsConventional treatment groupTotal hospital chargesLength of stayParathyroid hyperplasiaGeneral anesthesiaPrimary hyperparathyroidismComplication rateConsecutive patientsConscious sedationHospital chargesLocoregional anesthesiaLimited incisionTreatment groupsConventional treatmentLower total hospital chargesPreoperative serum calcium levelsSerum parathyroid hormone levelsTertiary academic referral centerParathyroid hormone levelsBilateral neck explorationShorter hospital staySingle-gland diseaseAcademic referral centerSerum calcium levelsTreatment of patientsThe Surgical Management of Asymptomatic Primary Hyperparathyroidism: Proceedings of the Fourth International Workshop
Udelsman R, Åkerström G, Biagini C, Duh QY, Miccoli P, Niederle B, Tonelli F. The Surgical Management of Asymptomatic Primary Hyperparathyroidism: Proceedings of the Fourth International Workshop. The Journal Of Clinical Endocrinology & Metabolism 2014, 99: 3595-3606. PMID: 25162669, DOI: 10.1210/jc.2014-2000.Peer-Reviewed Original ResearchConceptsAsymptomatic primary hyperparathyroidismExperienced endocrine surgeonsPrimary hyperparathyroidismSurgical managementEndocrine surgeonsSurgical criteriaRapid intraoperative PTH assayIntraoperative PTH assayHigh cure ratesLow complication rateFourth International WorkshopInternational task forceComprehensive literature searchComplication rateIntraoperative adjunctsMedical contraindicationsPreoperative imagingCure rateSurgical approachPotential complicationsPTH assaysRegional anesthesiaSkeletal manifestationsSurgeon involvementOperative plan