In this issue of Surgery, Lou et al
from the University of Wisconsin investigate the effects of parathyroid surgery upon
patients with tertiary hyperparathyroidism (3HPT) after kidney transplantation. They
conclude that for patients with 3HPT, parathyroidectomy (PTX) is curative; however,
it is substantially underused. The University of Wisconsin group have published extensively
on PTX for patients with secondary and tertiary forms of hyperparathyroidism and are
recognized experts in the field. In this cohort of patients, they demonstrate that
PTX is highly effective and safe therapy for 3HPT.
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References
- Surgery. 2015;
- Hypercalcemia and hyperparathyroidism after renal transplantation.Nephron. 1999; 81: 364-365
- Natural history of parathyroid function and calcium metabolism after kidney transplantation: a single-centre study.Nephrol Dial Transplant. 2004; 19: 1281-1287
- Tertiary hyperparathyroidism after renal transplantation: operative indications.Surgery. 1989; 106: 1049-1055
- Exploring the effect of parathyroidectomy for tertiary hyperparathyroidism after kidney transplantation.Am J Med Sci. 2010; 339: 420-424
- Predictors of tertiary hyperparathyroidism: Who will benefit from parathyroidectomy?.Surgery. 2014; 156: 1631-1637
- A randomized study evaluating cinacalcet to treat hypercalcemia in renal transplant recipients with persistent hyperparathyroidism.Am J Transplant. 2014; 14: 2545-2555
- Improved long-term survival of dialysis patients after near-total parathyroidectomy.J Am Coll Surg. 2012; 214: 400-407
Article info
Publication history
Published online: October 16, 2015
Accepted:
August 12,
2015
Identification
Copyright
© 2016 Elsevier Inc. Published by Elsevier Inc. All rights reserved.