title: Surgical management of primary hyperparathyroidism in Canada.
abstract: Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands. Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia. In recent decades localizing imaging has improved and there has been a shift away from multiple gland exploration toward a single gland excision. There are, however, no practice guidelines regarding an optimal approach to this condition. This study shows that there is a high degree of variation in practices across Canada and a large amount of uncertainty in the approach to primary hyperparathyroidism.
authors.affiliation: Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Dalhousie University, Halifax, NS, Canada. drbwilliams@gmail.com.
authors.forename: Blair A
authors.initials: BA
authors.lastname: Williams
authors.forename: Jonathan R B
authors.initials: JR
authors.lastname: Trites
authors.forename: S Mark
authors.initials: SM
authors.lastname: Taylor
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Bullock
authors.forename: Robert D
authors.initials: RD
authors.lastname: Hart
mesh_terms: D002170:Canada; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*