Non‐adherence to consensus guidelines on preoperative imaging in surgery for primary hyperparathyroidism Article Swipe
Milou E. Noltes
,
Stephan Brands
,
Rudi Dierckx
,
Pieter L. Jager
,
Wendy Kelder
,
Adrienne H. Brouwers
,
Anne Brecht Francken
,
Schelto Kruijff
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/lio2.464
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/lio2.464
Objective The aim of this study was to determine the adherence to consensus guidelines on preoperative imaging of patients with primary hyperparathyroidism (pHPT) in real local practice. Methods This was a retrospective multicenter cohort study of 411 patients undergoing parathyroidectomy for pHPT from 2007 to 2017 in three referral centers. Results In 286/411 patients (69%) the preoperative imaging workup adhered to guidelines (utilizing ultrasound and parathyroid scintigraphy). In patients in whom guidelines were followed 63% were discharged within one day versus 37% in whom guidelines were not followed ( P < .0005). The use of a bimodality imaging workup, starting with ultrasound and parathyroid scintigraphy followed by imaging upscaling aiming for anatomical and functional concordance, was a predictor for the performance of a minimally invasive parathyroidectomy (OR 4.098, 95% CI 2.296‐7.315, P < .0005). Conclusion The level of compliance to preoperative imaging guidelines is suboptimal in this population. Patients in whom adherence was achieved showed a shorter length of stay. More education of physicians is required regarding the appropriate preoperative imaging workup in pHPT. Level of evidence 2b (individual cohort study).
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/lio2.464
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lio2.464
- OA Status
- gold
- Cited By
- 5
- References
- 12
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3091963050
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https://openalex.org/W3091963050Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/lio2.464Digital Object Identifier
- Title
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Non‐adherence to consensus guidelines on preoperative imaging in surgery for primary hyperparathyroidismWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-10-08Full publication date if available
- Authors
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Milou E. Noltes, Stephan Brands, Rudi Dierckx, Pieter L. Jager, Wendy Kelder, Adrienne H. Brouwers, Anne Brecht Francken, Schelto KruijffList of authors in order
- Landing page
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https://doi.org/10.1002/lio2.464Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lio2.464Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lio2.464Direct OA link when available
- Concepts
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Medicine, Primary hyperparathyroidism, Parathyroidectomy, Concordance, Scintigraphy, Radiology, Retrospective cohort study, Ultrasound, Referral, Population, Surgery, Internal medicine, Parathyroid hormone, Environmental health, Family medicine, CalciumTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2023: 1, 2021: 2, 2020: 1Per-year citation counts (last 5 years)
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12Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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