An update from the latest workshop on asymptomatic primary hyperparathyroidism.
Considerable data have accumulated since 1990 concerning the natural history of asymptomatic primary hyperparathyroidism,the extent of target organ involvement, techniques for preoperative localization of parathyroid glands, and new surgical approaches for parathyroidectomy. Therefore a Workshop on Asymptomatic Primary Hyperparathyroidism: a Perspective for the Twenty-first Century was held in April 2002 with a goal of reevaluating the conclusions from the 1990 National Institutes of Health (NIH)Consensus Development Conference. This article presents the recommendations of the workshop panel and discusses the evidence leading to the changes in the recommendations of the 1990 NIH conference.
Lendel
Irina
I
Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Pennsylvania State University College of Medicine, Hershey 17033, USA. vlendel@usa.net
Horwith
Melvin
M
D015519:Bone Density; D002118:Calcium / Q000097:blood / Q000652:urine; D015975:Consensus Development Conferences, NIH as Topic; D003404:Creatinine / Q000652:urine; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D009316:National Institutes of Health (U.S.); D017410:Practice Guidelines as Topic; D014481:United States
D003404:Creatinine; D002118:Calcium