title: Scandinavian Quality Register for Thyroid and Parathyroid Surgery: audit of surgery for primary hyperparathyroidism.
abstract: OBJECTIVE
  Scandinavian Quality Register for Thyroid and Parathyroid Surgery is an on-line web-based database with the aim to improve the quality of thyroid and parathyroid surgery. Preliminary data from surgery for primary hyperparathyroidism are reported here.
  
  
  METHODS
  Fifteen departments registered 806 operations, with 639 women (79.7%) and 167 men. The median age of the patients was 62 years.
  
  
  RESULTS
  Approximately 95.4% of the patients had sporadic disease and first time operation was performed in 93.8% of the patients. Localization examinations were performed in 524 patients (65%); sestamibi scintigraphy in 413 patients, with a true positive adenoma localization in 64.4% and ultrasound in 293 patients with adenoma localization in 61.1%. Bilateral neck exploration was performed in 66.8%, unilateral exploration in 16.1%, and focused minimal invasive surgery in 17.1%. In 301 patients planned for limited parathyroid exploration, conversion to bilateral neck surgery occurred in 11%. The cure rate, based on short follow-up, was 91.9%. Postoperative hypocalcemia occurred in 11.4% of the patients, and was associated with reoperation, concomitant thyroid operation, and the weight of excised parathyroid tissue.
  
  
  CONCLUSIONS
  Localization examinations are performed in 2/3 of the patients, but limited neck exploration was performed in only approximately 1/3 of the operations. The cure rate was lower and postoperative hypocalcemia was more frequent than expected.
authors.affiliation: Department of Surgery, Lund University Hospital, 221 85 Lund, Sweden. anders.bergenfelz@kir.lu.se
authors.forename: Anders
authors.initials: A
authors.lastname: Bergenfelz
authors.forename: Svante
authors.initials: S
authors.lastname: Jansson
authors.forename: Hans
authors.initials: H
authors.lastname: Mårtensson
authors.forename: Eva
authors.initials: E
authors.lastname: Reihnér
authors.forename: Göran
authors.initials: G
authors.lastname: Wallin
authors.forename: Anders
authors.initials: A
authors.lastname: Kristoffersson
authors.forename: Iver
authors.initials: I
authors.lastname: Lausen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D049950:Hyperparathyroidism, Primary / Q000150:complications / Q000601:surgery*; D006996:Hypocalcemia / Q000209:etiology; D008485:Medical Audit; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D012042:Registries; D012537:Scandinavian and Nordic Countries