The current NIH criteria 11 for surgery in people with asymptomatic primary hyperparathyroidism are as follows: serum calcium (>upper limit of normal): 1.0 mg/dL (0.25 mmol/L); BMD by DXA: T-score ≤2.5 at lumbar spine, total hip, femoral neck, or distal 1/3 radius; vertebral fracture by X-ray, CT, MRI, or VFA; ...
Parathyroidectomy remains the definitive therapy of asymptomatic PHPT, and is always acknowledged to be an option, even in patients who do not meet surgical ... |
10 авг. 2016 г. · Patients with otherwise asymptomatic pHPT may have nephrocalcinosis or silent nephrolithiasis; both are indications for parathyroidectomy. |
The most common indications for surgery were extent of hypercalcemia (51%), osteoporosis (28%), and nephrolithiasis (27%). Of the 155 (13%) patients who did not ... Abstract · Material and Methods · Results · Discussion |
30 июн. 2017 г. · Asymptomatic patients might have disease manifesta- tions on the results of bone densitometry or renal ultrasonogra- phy, and it is often not ... |
Patients who do not meet any guidelines for surgery may appropriately undergo parathyroid surgery as long as there are no medical contraindications. Although ... |
Currently, many patients with primary hyperparathyroidism (PHPT) are diagnosed when they are considered to be “asymptomatic.” The need for parathyroidectomy in ... |
Parathyroidectomy improves functional capacity in "asymptomatic" older patients with ... Indications for surgery in patients with minimally symptomatic primary. |
30 авг. 2024 г. · Outline · - Surgery versus nonsurgical management · Biochemical abnormalities · Subclinical kidney disease · Subclinical bone disease ... |
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