PMID: 9639474Jun 25, 1998Paper

The ectopic parathyroid adenoma: a cost justification for routine preoperative localization with technetium Tc 99m sestamibi scan

Archives of Otolaryngology--head & Neck Surgery
R A Sofferman, M H Nathan

Abstract

To evaluate the cumulative costs of failure to identify the ectopic parathyroid adenoma when exploration without preoperative localization is performed and to compare these costs with the expenses of routine preoperative localization in every patient. A consecutive series of 59 patients with primary hyperparathyroidism studied with preoperative scans using technetium Tc 99m sestamibi and ultrasound was submitted to a cost analysis. A subset of 5 cases of ectopic adenomas, presumed to be unidentifiable on routine surgery, was similarly analyzed. Academic tertiary referral center. The operative, anesthesia, hospitalization, imaging, and physician reimbursement costs of a failed exploration are compared with the costs of preoperative technetium Tc 99m sestamibi and ultrasound scans in every patient. Two cases of mediastinal parathyroid adenomas in this consecutive series of 59 patients were given a theoretical cost, including hospitalization, physician reimbursement, and anesthesia fees. These costs were based on a failed cervical exploration and extracted from the record of an actual patient who underwent such a process at the University of Vermont, Burlington, in 1995. In addition, the records of 2 patients with intrathyroidal a...Continue Reading

Citations

May 21, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·S F Saleeb, S K Teplick
Feb 22, 2012·World Journal of Surgery·Naris NilubolElectron Kebebew
May 25, 2005·Annals of Nuclear Medicine·Vani Vijayakumar, Matthew E Anderson
Aug 24, 2006·Langenbeck's Archives of Surgery·Lutz S FreudenbergRainer Görges
May 19, 2001·The Laryngoscope·D P SullivanA Komisar
Apr 3, 2003·The Laryngoscope·Matthew D Proctor, Robert A Sofferman
Sep 25, 2007·The Laryngoscope·Kelly A LoftusDavid J Terris
Jun 14, 2003·Otolaryngologic Clinics of North America·Greg A KremplAnna L Bouknight
Apr 26, 2008·American Journal of Surgery·Nagesh B RavipatiRodolfo Argueta
May 5, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E J Kezirian, B Yueh
Oct 6, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A KackerA Komisar
Oct 19, 2004·World Journal of Surgery·Russell Van Husen, Lawrence T Kim
Jan 22, 2019·Head & Neck·Nathaniel J WalshDavid J Terris
Jan 4, 2001·Clinical Nuclear Medicine·B OjhaJ M Mountz
May 15, 2002·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Scott B ReederR Brooke Jeffrey
Oct 22, 2003·Archives of Pathology & Laboratory Medicine·Alexis Byrne Carter, Peter J Howanitz

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