Parathyroid Imaging Practices for Primary Hyperparathyroidism Without Previous Operations Among Endocrine Surgery Program Directors
| العنوان: | Parathyroid Imaging Practices for Primary Hyperparathyroidism Without Previous Operations Among Endocrine Surgery Program Directors |
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| المؤلفون: | Jessica Fazendin, Ruth Obiarinze, Brenessa Lindeman, Kimberly M. Ramonell, Herbert Chen |
| المصدر: | The American Surgeon. 89:277-279 |
| بيانات النشر: | SAGE Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Modalities, business.industry, medicine.medical_treatment, General Medicine, medicine.disease, Endocrine surgery, 03 medical and health sciences, 0302 clinical medicine, Parathyroid imaging, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Medicine, 030211 gastroenterology & hepatology, Parathyroid gland, Radiology, business, Primary hyperparathyroidism, Preoperative imaging |
| الوصف: | Background Attempts at preoperative localization of abnormal parathyroid gland(s) in primary hyperparathyroidism (pHPT) can be performed with a variety of modalities. Study utilization is surgeon-specific with highly variable opinions in parathyroid surgery. As more people are diagnosed with pHPT, the complexity of the disease has given rise to variation in management. This heterogeneity raises the question of the true clinical practice of imaging among individual endocrine surgeons. Methods To better understand the preoperative parathyroid imaging practices of endocrine surgeons, an email-based survey was disseminated to the program directors of 22 American Association of Endocrine Surgeons fellowship programs querying them on their initial diagnostic test of choice for pHPT. Clinical support team members from each respective program were subsequently contacted and answers were compared. Results Sixty-eight percent (15/22) of clinical team members recommended either an additional (12/15) or different imaging test (3/15) than what was recommended by their institution’s endocrine surgeon. The most common initial imaging test that was repeated by both the endocrine surgeon and clinical team member was neck ultrasound; 33% of clinical team members (7/22) responded concordantly to their surgeon with ultrasound as the initial recommendation. Discussion Significant variability exists in the preoperative approach to patients with hyperparathyroidism. Here, we demonstrate that inconsistency in preoperative imaging recommendations even extends to within an individual surgeon’s practice based on the impact of the clinical support team, highlighting the role for improved clinical protocols within an institution’s clinical team. |
| تدمد: | 1555-9823 0003-1348 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9177d177973ce1555ed915f603dda4fbTest https://doi.org/10.1177/00031348211023440Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....9177d177973ce1555ed915f603dda4fb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15559823 00031348 |
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