title: Parathyroidectomy in chronic renal failure: has medical care reduced the need for surgery?
abstract: Subtotal or total parathyroidectomy is sometimes required for the management of severe secondary or tertiary hyperparathyroidism. Advances in medical and dialysis care may have a beneficial effect on hyperphosphatemia and vitamin D status, which could, in turn, reduce the need for parathyroidectomy. We used the United States Renal Data System to test this hypothesis. We found that the percentage of prevalent end-stage renal disease patients undergoing subtotal or total parathyroidectomy has declined significantly from 1988 to 1998. It is likely that improved medical and dialysis care has enabled this result.
authors.affiliation: Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisc, USA. ecohen@mcw.edu
authors.forename: E P
authors.initials: EP
authors.lastname: Cohen
authors.forename: J E
authors.initials: JE
authors.lastname: Moulder
mesh_terms: D019992:Databases as Topic; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery / Q000628:therapy*; D016105:Parathyroidectomy / Q000706:statistics & numerical data / Q000639:trends*; D006435:Renal Dialysis / Q000706:statistics & numerical data; D014481:United States