ArticleSurgery in practice and science2026
Cautious clinical interpretation of preoperative Tc-
Article in Surgery in practice and science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Introduction: Chronic kidney disease (CKD) patients and kidney transplant recipients are predisposed to developing hyperparathyroidism. Although CKD is typically associated with parathyroid hyperplasia, preoperative assessment may include a Materials and methods: Retrospective cohort study, with at least 6 months post-operative follow-up, based on laboratory, imaging, medical, and operative notes in referral medical center between 2012 and 2022. Results: Among 871 parathyroidectomies, 59 patients had a relevant renal background and long-term follow-up. Of these, 31 (53%) had hyperplasia. Preoperative Discussion: Over half of CKD patients had hyperplasia. The majority of patients underwent a localization parathyroid MIBI scan. About 3/4 of scanned patients had positive adenoma localization, but only 3/4 were eventually operated on and cured as adenoma. Conclusions: We demonstrate a limited benefit of MIBI scans in CKD and kidney transplant patients. We recommend either omitting the scan or performing bilateral neck exploration or at least two same-side parathyroid glands exploration to improve cure rates.
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