title: [Indications of parathyroidectomy for bone disease associated with secondary hyperparathyroidism].
abstract: BACKGROUND
  The indications and suitable operative time of parathyroidectomy for secondary hyperparathyroidism were discussed.
  
  
  METHODS
  From October 1978 to September 1994 parathyroidectomy was performed for 71 patients who had bone and/or joint pain due to secondary hyperparathyroidism. There were 37 men and 34 women (mean age 48.4 years). The duration of dialysis treatment before parathyroidectomy was 0.8 to 19 years, with a mean of 10.9 years.
  
  
  RESULTS
  Postoperative subjective improvement was noted in 69% of the patients. No significant difference was observed between the improved and non-improved groups regarding age and the duration of dialysis treatment. But the improvement rate in female patients was significantly lower than that in male patients.
  
  
  CONCLUSIONS
  Patients with high carboxyl-terminal PTH level and generalized fibrous osteitis were good suitable objects for parathyroidectomy. But, those with high serum aluminum level were unsuitable objects for it. Furthermore, 99mTc-Pyrophosphate bone scintigraphy and bone mineral determination using dual photon absorptiometry (DPA) or dual energy X-ray absorptiometry (DEXA) were proved to be valuable for patient selection for parathyroidectomy.
authors.affiliation: Department of Urology, Kinki University School of Medicine, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Ishikawa
authors.forename: E
authors.initials: E
authors.lastname: Konya
authors.forename: T
authors.initials: T
authors.lastname: Yamate
authors.forename: N
authors.initials: N
authors.lastname: Amasaki
authors.forename: T
authors.initials: T
authors.lastname: Umekawa
authors.forename: Y
authors.initials: Y
authors.lastname: Katayama
authors.forename: C
authors.initials: C
authors.lastname: Takamura
authors.forename: M
authors.initials: M
authors.lastname: Takada
authors.forename: H
authors.initials: H
authors.lastname: Kajikawa
authors.forename: Y
authors.initials: Y
authors.lastname: Katoh
authors.forename: K
authors.initials: K
authors.lastname: Kataoka
authors.forename: M
authors.initials: M
authors.lastname: Iguchi
authors.forename: T
authors.initials: T
authors.lastname: Kurita
authors.forename: K
authors.initials: K
authors.lastname: Kohri
mesh_terms: D000328:Adult; D001847:Bone Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016105:Parathyroidectomy