Impact of perioperative diagnostic tools on clinical outcomes and cost-effectiveness in parathyroid surgery: a decision model-based analysis
4D-CT is the most cost-effective modality for the preoperative localisation of solitary parathyroid adenomas and multiglandular disease. The use of ioPTH monitoring is not cost-effective, but to minimise clinical complications, the Miami criterion should be applied for suspected solitary adenomas and the Vienna criterion for multiglandular disease.
Authors
- Reto Martin Kaderli (ORCID: https://orcid.org/0000-0001-8190-8771)
- Jürg Gertsch (ORCID: https://orcid.org/0000-0003-0978-1555)
- Rowan Iskandar (ORCID: https://orcid.org/0000-0001-8680-4824)
- Daniel Bátora (ORCID: https://orcid.org/0000-0001-8605-9844)
Institutions
- University of Bern (CH)
- Brown University (US)
- University Hospital of Bern (CH)
- Institute of Social and Preventive Medicine (CH)
Publication Details
- Journal
- BMJ Open
- Published
- 2024-09-01
- DOI
- https://doi.org/10.1136/bmjopen-2023-082901
- Citations
- 7
- Primary Topic
- Parathyroid Disorders and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 2.37
Funders
- Johannes Gutenberg-Universität Mainz