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Original Paper

Parathyroidectomy in Chronic Renal Failure: Has Medical Care Reduced the Need for Surgery?

Cohen E.P. · Moulder J.E.

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Departments of Medicine and Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisc., USA

Related Articles for ""

Nephron 2001;89:271–273

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: October 10, 2001
Issue release date: 2001

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 1

ISSN: 1660-8151 (Print)
eISSN: 2235-3186 (Online)

For additional information: https://www.karger.com/NEF

Abstract

Subtotal or total parathyroidectomy is sometimes required for the management of severe secondary or tertiary hyperparathyroidism. Advances in medical and dialysis care may have a beneficial effect on hyperphosphatemia and vitamin D status, which could, in turn, reduce the need for parathyroidectomy. We used the United States Renal Data System to test this hypothesis. We found that the percentage of prevalent end-stage renal disease patients undergoing subtotal or total parathyroidectomy has declined significantly from 1988 to 1998. It is likely that improved medical and dialysis care has enabled this result.

© 2001 S. Karger AG, Basel


References

  1. Felsenfeld AJ: Considerations for the treatment of secondary hyperparathyroidism in renal failure. J Am Soc Nephrol 1997;8:993–1004.
  2. Mucsi I, Hercz G, Uldall R, Ouwendyk M, Francoeur R, Pierratos A: Control of serum phosphate without use of phosphate binders in patients treated with nocturnal hemodialysis. Kidney Int 1998;53:1399–1404.
  3. Demeure MJ, McFee DC, Wilkes W, Duh Q, Clark O: Results of surgical treatment for hyperparathyroidism associated with renal disease. Am J Surg 1990;160:337–340.
  4. Schmid T, Müller P, Spelsberg F: Parathyroidectomy after renal transplantation: A retrospective analysis of long-term outcome. Nephrol Dial Transplant 1997;12:2393–2396.
  5. US Renal Data System, USRDS 1999 Annual Data Report. Bethesda, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 1999.
  6. Decker PA, Doffek KM, Cohen EP, Ashley BA, Bienneman ME, Zhu YR, Adams MB, Wilson SD, Ahrendt SA, Demeure MJ: Subtotal parathyroidectomy in renal failure: Still needed after all these years. World J Surg 2001;25:708–712.
  7. Aubia J, Bosch J, Lloveras J, Marinoso L, Masramon J, Serrano S, Cuevas X, Orfelia A, Llorach I, Llorach M: Low incidence of hyperparathyroidism in diabetic renal failure. Proc EDTA 1985;21:902–908.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: October 10, 2001
Issue release date: 2001

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 1

ISSN: 1660-8151 (Print)
eISSN: 2235-3186 (Online)

For additional information: https://www.karger.com/NEF


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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