ArticleAmerican journal of surgery2023
Thresholds for surgical referral in primary hyperparathyroidism: A conjoint analysis.
Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Does Parathyroid Autotransplantation Prevent Hypoparathyroidism After Thyroid Surgery?Annals of surgery · 2026Article
- Beyond bones and stones: the relationship between hyperparathyroidism and diabetes.Gland surgery · 2026Article
- Article
- Data-Driven Surgical Referrals for Primary Hyperparathyroidism and Associated Surgical Outcomes: A Simulation Study.Annals of surgical oncology · 2025Article
- Patients with normocalcemic versus hypercalcemic hyperparathyroidism: What's really the difference?American journal of surgery · 2025Article
- Very elevated parathyroid hormone levels in patients with primary hyperparathyroidism: Is it cancer?American journal of surgery · 2024Article
- Factors associated with new fractures in adjacent vertebrae after percutaneous vertebroplasty for osteoporotic vertebral compression fractures.American journal of translational research · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPrimary hyperparathyroidism (PHPT) can be cured through surgery, but referral for treatment is often provider dependent. A conjoint analysis was performed to identify factors influencing referral for surgery.
methodsOnline survey assessed endocrinologists and other physicians who reviewed 10 patient scenarios. They decided whether to refer for surgery or medical management based on clinical (age, comorbidities, etc) and biochemical factors (mild or classic disease).
resultsClassic PHPT, age below 50, absence of comorbidities, presence of osteoporosis, and seeing a surgical provider significantly increased the likelihood of surgery referral (p < 0.001). Physician characteristics such as gender, practice duration, and setting did not have a significant influence.
conclusionDespite published benefits of surgery, non-surgical physicians were less likely to refer PHPT patients for surgical treatment if patients were older (age ≥ 50), had comorbid conditions, or had mild disease. More education and advocacy are needed for improved access to surgery.
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