Cost-effectiveness of preoperative localization studies in primary hyperparathyroid disease. Discussion.
Southern Surgical Association. Annual scientific session. Hot Springs VA (USA), 1993/12/05.
Objective To evaluate the effect of preoperative localization studies on the surgical management of patients with primary hyperparathyroid disease (PHPT).
Summary Background Data Reported cure rates of initial surgical exploration for PHPT are close to 95%. Preoperative localization studies are frequently obtained to improve surgical success and decrease operative time.
Methods Initial cervical exploration was performed in 113 patients with PHPT from 1981 to 1993.
Twentyfour patients (21 ;) had surgery without preoperative localization studies.
The remaining 89 patients (79%) had 132 noninvasive preoperative localization studies.
Success of the localization studies in tumor localization, pathologic findings, postoperative serum calcium levels, and operative times were compared.
Mots-clés Pascal : Hyperparathyroïdie, Homme, Traitement, Parathyroïdectomie, Localisation, Préopératoire, Coût, Economie santé, Scintigraphie, Endocrinopathie, Parathyroïde pathologie, Exploration radioisotopique
Mots-clés Pascal anglais : Hyperparathyroidism, Human, Treatment, Parathyroidectomy, Localization, Preoperative, Costs, Health economy, Scintigraphy, Endocrinopathy, Parathyroid diseases, Radionuclide study
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0445374
Code Inist : 002B25L. Création : 199406.