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Asymptomatic primary hyperparathyroidism in the elderly--a review.

M W Pearson

    Age and Ageing
    |January 1, 1984
    PubMed
    Summary

    Routine calcium testing increases hyperparathyroidism diagnoses, particularly in older adults. For asymptomatic elderly patients, observation is recommended over surgery, based on surgical outcomes and natural history studies.

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    Area of Science:

    • Endocrinology
    • Geriatric Medicine
    • Surgical Outcomes

    Background:

    • Routine calcium level estimations have increased hyperparathyroidism diagnoses.
    • Hyperparathyroidism is increasingly diagnosed in the elderly population.

    Purpose of the Study:

    • To review surgical outcomes in elderly patients with hyperparathyroidism.
    • To evaluate the natural history of untreated hyperparathyroidism.
    • To determine the optimal management strategy for asymptomatic elderly patients with hyperparathyroidism.

    Main Methods:

    • Review of surgical results in elderly patients.
    • Analysis of studies on the natural history of untreated hyperparathyroidism.

    Main Results:

    • Surgery outcomes in the elderly were reviewed.
    • Natural history data for untreated hyperparathyroidism were analyzed.

    Conclusions:

    • Observation is the recommended management for asymptomatic elderly patients with hyperparathyroidism.
    • This recommendation is based on a review of surgical outcomes and natural history studies.

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