Biochemical Profile of and Factors Associated With Recurrence in Primary Hyperparathyroidism
In this cohort study, high baseline PTH levels were associated with improved preoperative image localization and presence of SGD. Furthermore, intraoperative PTH kinetics were more optimal in patients with high baseline PTH levels. Targeted surgical approaches must be considered carefully in patients with low baseline PTH levels. Patients with postoperative calcium of 10 mg/dL at 6 months should warrant consideration of close follow-up, as these patients are more likely to have recalcitrant disease.
Authors
- Ryan N. Hellums (ORCID: https://orcid.org/0000-0002-5531-0511)
- Anas Qatanani (ORCID: https://orcid.org/0000-0002-2950-0506)
- Randy W. Lesh (ORCID: https://orcid.org/0000-0003-4150-4363)
- Priscilla F. A. Pichardo (ORCID: https://orcid.org/0000-0003-3697-8855)
- Tian Guo (ORCID: https://orcid.org/0000-0002-7527-4765)
- Nicholas Purdy
- Phillip K. Pellitteri
- Madison Wivell
Institutions
- Oregon Health & Science University (US)
- Geisinger Health System (US)
- Geisinger Commonwealth School of Medicine (US)
- University of Cincinnati Medical Center (US)
Publication Details
- Journal
- JAMA Otolaryngology–Head & Neck Surgery
- Published
- 2025-07-24
- DOI
- https://doi.org/10.1001/jamaoto.2025.1346
- Citations
- 1
- Primary Topic
- Parathyroid Disorders and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 1.43