The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism.

  title={The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism.},
  author={Scott M. Wilhelm and Tracy S. Wang and Daniel T. Ruan and James A. Lee and Sylvia L. Asa and Quan-yang Duh and Gerard M. Doherty and Miguel F. Herrera and Janice L. Pasieka and Nancy D. Perrier and Shonni J. Silverberg and Carmen C. Sol{\'o}rzano and Cord Sturgeon and Mitchell E. Tublin and Robert Udelsman and Sally E. Carty},
  journal={JAMA surgery},
  volume={151 10},
Importance Primary hyperparathyroidism (pHPT) is a common clinical problem for which the only definitive management is surgery. [] Key MethodEvidence Review A multidisciplinary panel used PubMed to review the medical literature from January 1, 1985, to July 1, 2015. Levels of evidence were determined using the American College of Physicians grading system, and recommendations were discussed until consensus.

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Management of primary and renal hyperparathyroidism: guidelines from the German Association of Endocrine Surgeons (CAEK)

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Recent advances in the understanding and management of primary hyperparathyroidism

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Perioperative Evaluation of Primary Hyperparathyroidism

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Single Center Experience in the Surgical Management of Primary Hyperparathyroidism

Routine use of preoperative imaging modalities reduced the risk of complications in the authors' clinic and revealed three patients have parathyroid carcinoma.

How Best to Approach Surgery for Primary Hyperparathyroidism-Can We All Agree?

The new guidelines for the definitive management of primary hyperparathyroidism from the American Association of Endocrine Surgeons (AAES) published in JAMA Surgery are a welcome addition to the literature, especially because they are written for the practicing surgeon.

Primary Hyperparathyroidism: Defining the Appropriate Preoperative Imaging Algorithm.

In this article, imaging strategies before first surgery as well as in the case of repeat surgery for persistent or recurrent primary hyperparathyroidism are discussed, and a preferred algorithm and alternative options are described.

The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults.

These clinical guidelines analyze the indications for thyroidectomy as well as its definitions, technique, morbidity, and outcomes and were created to assist clinicians in the optimal surgical management of thyroid disease.



The surgical management of asymptomatic primary hyperparathyroidism: proceedings of the Fourth International Workshop.

The frequency of hereditary forms of PHPT may be underappreciated and needs to be assessed with increased vigilance, and surgery is likely to benefit patients due to high cure rates, low complication rates, and the likelihood of reversing skeletal manifestations.

Surgical Management of Familial Hyperparathyroidism

In the February 2007 issue of the journal, the members of the Section of Endocrine Surgery at the University of Wisconsin report their experience with radioguided parathyroidectomy in 19 patients with familial hyperparathyroidism, finding the parathyroids is of value only if one knows how many to remove, when to cryopreserve, and when and where to autograft.

Surgery or surveillance for mild asymptomatic primary hyperparathyroidism: a prospective, randomized clinical trial.

In patients with mild asymptomatic primary hyperparathyroidism, successful PTx is followed by an improvement in BMD and quality of life, and most patients followed without surgery did not show evidence of progression.

Familial Parathyroid Tumors: Diagnosis and Management

The goals of parathyroidectomy in familial HPT are to achieve and maintain normocalcemia for the longest time possible, avoid both iatrogenic hypocalcemi and operative complications, and facilitate future surgery for recurrent disease.

The natural history of primary hyperparathyroidism with or without parathyroid surgery after 15 years.

Parathyroidectomy led to normalization of biochemical indices and sustained increases in BMD, which raises questions regarding how long patients with PHPT should be followed up without intervention.

Diagnosis of asymptomatic primary hyperparathyroidism: proceedings of the Fourth International Workshop.

It is concluded that reference ranges should be established for serum PTH in vitamin D-replete healthy individuals and genetic testing has the potential to be useful in the differential diagnosis of familial hyperparathyroidism or hypercalcemia.

Progress in the Operative Management of Sporadic Primary Hyperparathyroidism Over 34 Years

LPX, with its reported advantages of minimal dissection, shorter operative time, and use in ambulatory settings, compares favorably with the traditional BNE and should be considered as a standard operative approach in SPHPT.