Multigland Disease in Primary Hyperparathyroidism
Conditions
Keywords
Primary Hyperparathyroidism, multigland disease, neck exploration, elderly
Brief summary
Following a personal observation and a retrospective analysis of the data, the investigators hypothesise that there is increased frequency of multiple gland disease in primary hyperparathyroidism in the elderly. This study will include patients over the age of 65, diagnosed with primary hyperaprathyroidism, referred for surgery and suspected to have a single adenoma according to preoperative imaging. Surgery will begin with a focal parathyroid exploration as suspected followed by an exploration of the other gland at the same time. Data will be analysed to determine the frequency of multigland disease in this population.
Interventions
PROCEDUREunilateral neck exploration
All elderly patients with primary hyperparathyroidism suspected to have a single gland disease will have a unilateral neck exploration following the index gland identification.
Sponsors
Rambam Health Care Campus
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient with primary hyperparathyroidism. * patients with an indication for surgery. * Suspected adenoma on preop images. * minimum age of 65.
Exclusion criteria
* patients younger than 65. * cases where imaging didn't locate any adenoma. * patients who did not consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of multigland disease in hyperparathyroidism in the elderly. | two years |
Countries
Israel
Outcome results
None listed