The management of primary hyperparathyroidism.
Recent improvements in parathyroid imaging have led to renewed interest in the criteria for, and the surgical approach to, parathyroidectomy. It therefore seemed appropriate to review current evidence relating to the evaluation and management of primary hyperparathyroidism for those working within a general endocrine service. The recommendations are based on an electronic search spanning the past decade using the search terms hyperparathyroidism, management and parathyroidectomy/surgery, but we have also included key publications outside this period. The findings have been graded systematically (Appendix), according to the quality of the information available, to indicate the level of evidence on which they are based.
Davies
M
M
Department of Medicine, Manschester Royal Infirmary, Royal Liverpool University Hospital, City Hospital, Nottingham, UK.
Fraser
W D
WD
Hosking
D J
DJ
D015519:Bone Density; D002118:Calcium / Q000097:blood; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis / Q000628:therapy*; D006973:Hypertension / Q000209:etiology; D007669:Kidney Calculi / Q000209:etiology; D008017:Life Expectancy; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy; D018579:Patient Selection; D011184:Postoperative Period
D010281:Parathyroid Hormone; D002118:Calcium