Diagnosis and management of primary hyperparathyroidism in Europe.

QJM : Monthly Journal of the Association of Physicians
B L Langdahl, S H Ralston

Abstract

There is continued debate as to the optimal strategy for diagnosis and management of primary hyperparathyroidism (PHPT). To compare the strategies used for the diagnosis and management of PHPT by physicians in five European countries. Questionnaire-based survey. Physicians in France, Germany, the UK, Italy and Spain were invited to participate in the survey which was conducted using a web-based interface and were included in the evaluation if they had treated a minimum of four patients suffering from PHPT in the past year. A total of 421 physicians completed the survey. The majority of respondents were endocrinologists (68%) but other specialities included rheumatologists (10.9%), internists (11.8%) and urologists (9.2%). Diagnostic methods were similar across different countries and specialities but there were significant differences in the proportion of physicians who recommended parathyroidectomy in asymptomatic patients with indications for surgery according to the 2002 National Institutes of Health (NIH) consensus conference statement (χ(2 )= 26.1, P < 0.001). The proportion of patients referred for surgery ranged from 32% in Italy to 66% in Spain with intermediate values in Germany (64%), France (55%) and the UK (53%). Co...Continue Reading

References

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Citations

Nov 8, 2012·Langenbeck's Archives of Surgery·Lars RolighedPeer Christiansen
Feb 27, 2014·European Journal of Endocrinology·Melanie PhilipponFrederic Castinetti
Nov 1, 2016·Langenbeck's Archives of Surgery·Jesús Villar-Del-MoralUNKNOWN Iberpara Study Group
Feb 26, 2013·Orvosi hetilap·Sándor MagonyTibor Wittmann
Feb 24, 2015·Clinical Nuclear Medicine·Qi-Sheng YangBi-Cheng Wang
Sep 11, 2016·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A A KhanJ P Bilezikian
Dec 19, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yong Joon SuhYeo-Kyu Youn

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Methods Mentioned

BETA
hormone-replacement therapy

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