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Changes in Imaging Utilization for Primary Hyperparathyroidism.

Mackenzie N Abraham1, Peter J Abraham1, Brenessa Lindeman1

  • 1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

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|January 22, 2022
PubMed
Summary
This summary is machine-generated.

Preoperative imaging use for primary hyperparathyroidism surgery decreased over 20 years, with shorter hospital stays but consistent cure rates. Ultrasound and CT scans increased, while other methods declined.

Keywords:
endocrinepreoperative imagingprimary hyperparathyroidism

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Radiology

Background:

  • Minimally invasive surgery is standard for primary hyperparathyroidism.
  • Preoperative imaging use surged in the 1990s, but its evolving role is unclear.
  • This study examines trends in imaging for parathyroidectomy over two decades.

Purpose of the Study:

  • To analyze trends in preoperative imaging utilization for primary hyperparathyroidism surgery.
  • To assess changes in imaging modalities over time.
  • To correlate imaging trends with surgical outcomes.

Main Methods:

  • Retrospective analysis of 1734 parathyroidectomy cases (2000-2018).
  • Data from two endocrine surgeons across two institutions.
  • Temporal analysis of imaging utilization across four 5-year periods.

Main Results:

  • Overall preoperative imaging use significantly decreased over time (P < .05).
  • Ultrasound and CT utilization increased; sestamibi and thallium-technetium scans decreased.
  • Length of stay shortened, cure rates remained stable, and recurrence decreased.

Conclusions:

  • Preoperative imaging rates and hospital length of stay declined for primary hyperparathyroidism surgery.
  • Despite reduced imaging, surgical cure rates for primary hyperparathyroidism remained consistent.