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Hyperparathyroidism in the elderly

M A Fiatarone, K Steel, R H Egdahl

    Journal of the American Geriatrics Society
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Primary hyperparathyroidism in older adults often presents subtly, with many patients experiencing reduced well-being. This study highlights the need for considering screening in the elderly population.

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    Area of Science:

    • Endocrinology
    • Geriatric Medicine
    • Surgical Research

    Background:

    • Primary hyperparathyroidism (PHPT) is a common endocrine disorder.
    • The clinical presentation of PHPT can vary significantly, especially in elderly patients.
    • Subtle or asymptomatic disease may be underdiagnosed in older populations.

    Purpose of the Study:

    • To analyze the presentation of primary hyperparathyroidism in patients aged 60 and older.
    • To compare findings with existing literature on hyperparathyroidism in general and elderly populations.
    • To discuss the implications for screening asymptomatic elderly individuals.

    Main Methods:

    • Retrospective review of 40 patients aged 60+ operated for suspected PHPT.
    • Analysis of patient records over a 10-year period at Boston University Medical Center.

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  • Comparison of clinical manifestations with published reviews.

    • Main Results:

    • Mild or asymptomatic presentation was the predominant finding in this elderly cohort.
    • Many patients reported a gradual decrease in well-being, often normalized by them.
    • Findings align with literature suggesting a milder presentation in older adults.

    Conclusions:

    • Asymptomatic primary hyperparathyroidism is common in the elderly.
    • Screening for PHPT in older adults warrants consideration due to subtle presentations.
    • Further research into optimal screening strategies for elderly populations is needed.