一次性副甲状腺功能障碍症的彻底评估:不仅仅是一个石头的扔远
Rebecca L Green1, Rajiv Raghavan2, Laura M Douglass2
1Temple University Lewis Katz School of Medicine, Department of General Surgery, 3401 N. Broad St., Philadelphia, PA, 19140, United States.
American journal of surgery
|September 25, 2024
概括
原发性偏甲状腺症 (PHPT) 是结石的常见原因之一. 在患有结石和高血症的患者中对PHPT的评估很低,很少有人转诊给专家.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 原发性副甲状腺功能障碍症 (PHPT) 是结石病的可治疗原因.
- 在患有结石的患者中,PHPT并未得到一致的评估.
- 这项研究探讨了甲状腺疾病症状与甲病患者的PHPT评估有关.
研究的目的:
- 评估诊断为结石病的患者PHPT的评估率.
- 识别与PHPT评估和专家推相关的特征.
- 确定甲状腺上腺激素 (PTH) 水平升高的高热血性结石病患者中被转诊到专家的比例.
主要方法:
- 在2017-2021年期间诊断出2264名结石病患者.
- 测量血清水平后结石病的诊断.
- 评估特征与PTH评估和高血患者 (≥10.2 mg/dL) 的专家转诊有关.
主要成果:
- 17.1% (383/2264) 的腎病患者患有高血症.
- 只有27.9% (107/383) 的高热血患者的PTH水平被绘制出来.
- 63.6%的评估患者的PTH升高/不抑制;45.6%的患者被转诊给专家.
结论:
- 在高血性腎病患者中,PTH評估未得到充分利用.
- 大多数被评估的患者表现出异常的PTH水平,但专家转诊率仍然很低.
- 需要改善诊断和转诊途径,以在结石病患者中进行PHPT.
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