[Assessment of the value of monitoring of PTH levels in the standard surgical management of patients with primary hyperparathyroidism].
OBJECTIVE
We decided to evaluate the predictive value of the intra-operative monitoring of PTH concentrations for the standard surgical management of primary hyperparathyroidism (PHP).


METHODS
23 patients with PHP were included.


RESULTS
When serum PTH values either at anaesthesia induction or at visualization-manipulation of the gland were compared with those values at ten minutes post-excision, we observed 20 cases which were true positive, 1 true negative and 2 false negative. By contrast, when the highest PTH pre-excision value was compared with the PTH value at ten minutes post-excision, false negatives results were eliminated.


CONCLUSIONS
Monitoring of PTH levels during conventional treatment of primary hyperparathyroidism has a good predictive value.
Rodríguez
Irene
I
Servicio de Endocrinología y Nutrición. Hospital Universitario Xeral-Cíes. Vigo. Pontevedra. España.
Páramo
Concepción
C
Gil
Pedro
P
Alvarez
Elías
E
Luna
Reyes
R
García-Mayor
Ricardo V
RV
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010281:Parathyroid Hormone / Q000097:blood*; D011237:Predictive Value of Tests
D010281:Parathyroid Hormone