Systematic review of surgical and medical treatment for tertiary hyperparathyroidism. BJS 2017; 104: 804-813.
Published: 18th May 2017
Authors: R. R. Dulfer, G. J. H. Franssen, D. A. Hesselink, E. J. Hoorn, C. H. J. van Eijck, T. M. van Ginhoven et al.
A significant proportion of patients with chronic kidney disease and secondary hyperparathyroidism (
A systematic review was performed and medical literature databases were searched for studies on the treatment of tertiary
A total of 1669 articles were identified, of which 47 were included in the review. Following subtotal and total parathyroidectomy, initial cure rates were 98·7 and 100 per cent respectively, but in 7·6 and 4 per cent of patients tertiary
Side‐effects and complications of both treatment modalities were mild and occurred in a minority of patients. Surgical treatment for tertiary
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