Journal of Surgical Research
Volume 140, Issue 2 , Pages 194-198 , 15 June 2007

Parathyroidectomy for Primary Hyperparathyroidism in Octogenarians and Nonagenarians: A Risk–Benefit Analysis

  • Kelly R. Egan
    • ,
  • Joel T. Adler, B.A.
    • ,
  • Jordan E. Olson, B.S.
    • ,
  • Herbert Chen, M.D., F.A.C.S.

      Affiliations

    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Department of Surgery, University of Wisconsin, H4/750 Clinical Science Center, 600 Highland Ave., Madison, WI 53792.

Received 27 November 2006

References 

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  2. Pruhs ZM, Starling JR, Mack E, et al. Changing trends for surgery in elderly patients with hyperparathyroidism at a single institution. J Surg Res. 2005;127:58
  3. Silverberg SJ, Bilezikian JP, Bone HG, et al. Therapeutic controversies in primary hyperparathyroidism. J Clin Endocrinol Metab. 1999;84:2275
  4. Chen H, Zeiger MA, Gordon TA, et al. Parathyroidectomy in Maryland: Effects of an endocrine center. Surgery. 1996;120:948;52
  5. Chen H, Sokoll LJ, Udelsman R. Outpatient minimally invasive parathyroidectomy: A combination of sestamibi-SPECT localization, cervical block anesthesia, and intraoperative parathyroid hormone assay. Surgery. 1999;126:1016
  6. Chen H. Surgery for primary hyperparathyroidism: What is the best approach?. Ann Surg. 2002;236:552
  7. Chen H, Parkerson S, Udelsman R. Parathyroidectomy in the elderly: Do the benefits outweigh the risks?. World J Surg. 1998;22:531
  8. Kebebew E, Duh QY, Clark OH. Parathyroidectomy for primary hyperparathyroidism in octogenarians and nonagenarians: A plea for early surgical referral. Arch Surg. 2003;138:867
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  11. Ware JE, Kosinski M, Dewey JE. How to score version 2 of the SF-36 Health Survey (standard and acute forms). Lincoln, RI: QualityMetric Inc; 2000;
  12. Pasieka JL, Parsons LL. Prospective surgical outcome study of relief of symptoms following surgery in patients with primary hyperparathyroidism. World J Surg. 1998;22:513
  13. Nilsson IL, Wadsten C, Brandt L, et al. Mortality in sporadic primary hyperparathyroidism: Nationwide cohort study of multiple parathyroid gland disease. Surgery. 2004;136:981
  14. Nilsson IL, Yin L, Lundgren E, et al. Clinical presentation of primary hyperparathyroidism in Europe—nationwide cohort analysis on mortality from nonmalignant causes. J Bone Miner Res. 2002;17(Suppl 2):N68
  15. Pickard AL, Gridley G, Mellemkjae L, et al. Hyperparathyroidism and subsequent cancer risk in Denmark. Cancer. 2002;95:1611
  16. Silverberg SJ, Shane E, Jacobs TP, et al. A ten-year prospective study of primary hyperparathyroidism with or without parathyroid surgery. N Engl J Med. 1999;341:1249
  17. Rao DS, Phillips ER, Divine GW, et al. Randomized controlled clinical trial of surgery versus no surgery in patients with mild asymptomatic primary hyperparathyroidism. J Clin Endocrinol Metab. 2004;89:5415
  18. Chen H, Mack E, Starling JR. Radioguided parathyroidectomy is equally effective for both adenomatous and hyperplastic glands. Ann Surg. 2003;238:332
  19. Chen H, Pruhs ZM, Starling JR, et al. Intraoperative parathyroid hormone testing improves cure rates in patients undergoing minimally invasive parathyroidectomy. Surgery. 2005;138:583
  20. Chen H, Mack E, Starling JR. A comprehensive evaluation of perioperative adjuncts during minimally invasive parathyroidectomy: Which is most reliable?. Ann Surg. 2005;242:375

PII: S0022-4804(07)00036-4

doi: 10.1016/j.jss.2007.01.027

Journal of Surgical Research
Volume 140, Issue 2 , Pages 194-198 , 15 June 2007

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