2014
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
2013
Cure Predictability During Parathyroidectomy
Udelsman R, Donovan P, Shaw C. Cure Predictability During Parathyroidectomy. World Journal Of Surgery 2013, 38: 525-533. PMID: 24240672, DOI: 10.1007/s00268-013-2327-8.Peer-Reviewed Original ResearchConceptsPostoperative parathyroid hormoneResidual diseaseCure rateTermination of surgeryConsecutive unselected patientsMean cure rateLogistic stepwise regressionCervical explorationPTH curveCurative resectionPrimary hyperparathyroidismPTH valuesUnselected patientsParathyroid hormoneSA patientsHyperfunctioning tissueOperative casesPatientsSubsequent cohortsLog oddsResectionCureAdditional explorationDiseaseCalcium data