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Operative treatment of primary hyperparathyroidism: balancing cost-effectiveness with successful outcomes.

Abstract
Parathyroidectomy is the most cost-effective treatment for hyperparathyroidism. Randomized prospective trials have shown no difference in cure rate between focused parathyroidectomy and bilateral exploration. Costs of the two techniques differ depending on the preoperative and intraoperative localization used, speed of the operation, ability to discharge the patient on the same day as the operation, cure rate, and complications. It may be less costly and more effective to use a policy of routine 4-gland exploration without the use of preoperative or intraoperative localization studies. The potential economic impact and the expected outcome of the various strategies should be formally evaluated.
AuthorsDina Elaraj, Cord Sturgeon
JournalThe Surgical clinics of North America (Surg Clin North Am) Vol. 94 Issue 3 Pg. 607-23 (Jun 2014) ISSN: 1558-3171 [Electronic] United States
PMID24857579 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2014 Elsevier Inc. All rights reserved.
Topics
  • Cost-Benefit Analysis
  • Humans
  • Hyperparathyroidism, Primary (economics, surgery)
  • Parathyroidectomy (economics)
  • Treatment Outcome

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