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NIH conference. Diagnosis and management of asymptomatic primary hyperparathyroidism: consensus development conference statement. Ann Intern Med. 1991;114(7):593-7doi: 10.7326/0003-4819-114-7-593.
(1991). NIH conference. Diagnosis and management of asymptomatic primary hyperparathyroidism: consensus development conference statement. Annals of internal medicine, 114(7), 593-7. https://doi.org/10.7326/0003-4819-114-7-593
"NIH conference. Diagnosis and management of asymptomatic primary hyperparathyroidism: consensus development conference statement." Annals of internal medicine vol. 114,7 (1991): 593-7. doi: https://doi.org/10.7326/0003-4819-114-7-593
NIH conference. Diagnosis and management of asymptomatic primary hyperparathyroidism: consensus development conference statement. Ann Intern Med. 1991 Apr 01;114(7):593-7. doi: 10.7326/0003-4819-114-7-593. PMID: 1900404.
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Ann Intern Med. 1991 Apr 01;114(7):593-7. doi: 10.7326/0003-4819-114-7-593.

NIH conference. Diagnosis and management of asymptomatic primary hyperparathyroidism: consensus development conference statement.

Annals of internal medicine

[No authors listed]

PMID: 1900404 DOI: 10.7326/0003-4819-114-7-593

Abstract

Endocrinologists, surgeons, radiologists, epidemiologists, and primary health care providers convened to address both indications for surgery in asymptomatic patients with hyperparathyroidism as well as how patients who do not have surgery should be monitored and managed to minimize the risk for complications. The National Institutes of Health Consensus Development Conference Panel concluded that a diagnosis of hyperparathyroidism is established by showing persistent hypercalcemia and an elevated serum parathyroid hormone concentration; that the current and acceptable treatment for hyperparathyroidism is surgery; that the diagnosis of hyperparathyroidism in an asymptomatic patient does not in all cases mandate referral for surgery; that conscientious surveillance may be justified in patients whose calcium levels are only mildly elevated and whose renal and bone status are close to normal; and that preoperative localization in patients without previous neck operation is rarely indicated and has not proved to be cost effective.

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