Diagnosis and management of asymptomatic primary hyperparathyroidism

Consensus development conference statement

J. T. Potts, I. P. Ackerman, C. F. Barker, M. F. Brennan, J. W. Coburn, Siu Hui, G. L. Melson, L. G. Raisz, M. Rosenblatt, C. T. Rubin, J. A. Schlechte, J. L. Townsend, L. K. Wolfe, G. L. Wong

Research output: Contribution to journalArticle

454 Citations (Scopus)

Abstract

Endocrinologists, surgeons, radiologists, epidemiologists, and primary health care providers convened to address both indications for surgery in asymptomatic patients with hyperparathyroidism as well as how patients who do not have surgery should be monitored and managed to minimize the risk for complications. The National Institutes of Health Consensus Development Conference Panel concluded that a diagnosis of hyperparathyroidism is established by showing persistent hypercalcemia and an elevated serum parathyroid hormone concentration; that the current and acceptable treatment for hyperparathyroidism is surgery; that the diagnosis of hyperparathyroidism in an asymptomatic patient does not in all cases mandate referral for surgery; that conscientious surveillance may be justified in patients whose calcium levels are only mildly elevated and whose renal and bone status are close to normal; and that preoperative localization in patients without previous neck operation is rarely indicated and has not proved to be cost effective.

Original languageEnglish (US)
Pages (from-to)593-597
Number of pages5
JournalAnnals of Internal Medicine
Volume114
Issue number7
StatePublished - 1991
Externally publishedYes

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Consensus Development Conferences
Primary Hyperparathyroidism
Hyperparathyroidism
National Institutes of Health (U.S.)
Hypercalcemia
Parathyroid Hormone
Health Personnel
Primary Health Care
Neck
Referral and Consultation
Calcium
Kidney
Costs and Cost Analysis
Bone and Bones
Serum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Potts, J. T., Ackerman, I. P., Barker, C. F., Brennan, M. F., Coburn, J. W., Hui, S., ... Wong, G. L. (1991). Diagnosis and management of asymptomatic primary hyperparathyroidism: Consensus development conference statement. Annals of Internal Medicine, 114(7), 593-597.

Diagnosis and management of asymptomatic primary hyperparathyroidism : Consensus development conference statement. / Potts, J. T.; Ackerman, I. P.; Barker, C. F.; Brennan, M. F.; Coburn, J. W.; Hui, Siu; Melson, G. L.; Raisz, L. G.; Rosenblatt, M.; Rubin, C. T.; Schlechte, J. A.; Townsend, J. L.; Wolfe, L. K.; Wong, G. L.

In: Annals of Internal Medicine, Vol. 114, No. 7, 1991, p. 593-597.

Research output: Contribution to journalArticle

Potts, JT, Ackerman, IP, Barker, CF, Brennan, MF, Coburn, JW, Hui, S, Melson, GL, Raisz, LG, Rosenblatt, M, Rubin, CT, Schlechte, JA, Townsend, JL, Wolfe, LK & Wong, GL 1991, 'Diagnosis and management of asymptomatic primary hyperparathyroidism: Consensus development conference statement', Annals of Internal Medicine, vol. 114, no. 7, pp. 593-597.
Potts, J. T. ; Ackerman, I. P. ; Barker, C. F. ; Brennan, M. F. ; Coburn, J. W. ; Hui, Siu ; Melson, G. L. ; Raisz, L. G. ; Rosenblatt, M. ; Rubin, C. T. ; Schlechte, J. A. ; Townsend, J. L. ; Wolfe, L. K. ; Wong, G. L. / Diagnosis and management of asymptomatic primary hyperparathyroidism : Consensus development conference statement. In: Annals of Internal Medicine. 1991 ; Vol. 114, No. 7. pp. 593-597.
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