ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2017
Validation of selective use of intraoperative PTH monitoring in parathyroidectomy.
Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Intraoperative Parathyroid Hormone Monitoring Criteria in Primary Hyperparathyroidism: A Network Meta-Analysis of Diagnostic Test Accuracy.JAMA otolaryngology-- head & neck surgery · 2025Article
- Article
- Contribution of intraoperative parathyroid hormone monitoring to the surgical success in minimal invasive parathyroidectomy.Frontiers in surgery · 2022Article
- Selection of parathyroidectomy methods for primary hyperparathyroidism according to concordance between ultrasonography and MIBI scan results.Gland surgery · 2021Article
- Selective intra-operative parathyroid hormone in re-do neck exploration in parathyroidectomy: A case report.International journal of surgery case reports · 2019Article
- Applicability of a shortened interpretation model for intraoperative parathyroid hormone monitoring in patients with primary hyperparathyroidism in an endemic goiter region.European surgery : ACA : Acta chirurgica Austriaca · 2018Article
- Management and outcomes of hyperparathyroidism: a case series from a single institution over two decades.Therapeutics and clinical risk management · 2018Article
- Percutaneous Transsternal Cryoablation of Ectopic Parathyroid Adenoma in the Anterior Mediastinum.Journal of the Endocrine Society · 2017Article
- Intraoperative Parathyroid Hormone Monitoring in Guiding Adequate Parathyroidectomy.Indian journal of endocrinology and metabolismArticle
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2 authors.
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Abstract
backgroundThe objective of this study was to validate our approach of treating primary hyperparathyroidism using sestamibi scan directed parathyroidectomy, without routine use of intraoperative parathyroid hormone measurements (ioPTH).
methodsWe prospectively established a protocol limiting the use of ioPTH to patients with negative or equivocal sestamibi scans, and those who had risk factors for multi-gland disease. We then performed a retrospective review to determine our disease control rate.
results128 patients underwent sestamibi-guided parathyroidectomy without (111/128 = 87%) or with (17/128 = 13%) ioPTH. The overall disease control (eucalcemia) rate was 95%. 3/111 (3%) of patients who had surgery without ioPTH measurements required re-exploration.
conclusionsSelective use of ioPTH is an effective strategy. ioPTH is best reserved for patients who have non-localizing preoperative imaging, are at risk for multi-gland disease, or require revision surgery.
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