BMJ  2003;327 (6 September), doi:10.1136/bmj.327.7414.0-b

Parathyroidectomy is better than conservative management

Patients who undergo surgery for primary hyperparathyroidism have fewer fractures and gastroduodenal ulcers than those treated conservatively. Vestergaard and Mosekilde (p 530) studied more than 3000 Danish patients diagnosed between 1980 and 1999 as having primary hyperparathryroidism. They found that patients treated surgically had a 30% lower risk of fractures and a 40% lower risk of stomach and duodenal ulcers, and lived longer. Surgery was not associated with a lower risk of cardiovascular events.


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Relevant Article

Cohort study on effects of parathyroid surgery on multiple outcomes in primary hyperparathyroidism
Peter Vestergaard and Leif Mosekilde
BMJ 2003 327: 530-534. [Abstract] [Full Text] [PDF]

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