What long-term monitoring is needed following treatment for primary hyperparathyroidism?

Updated: Dec 24, 2020
  • Author: Lawrence Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Answer

Patients are seen 1-2 weeks postoperatively, and serum calcium, 25-hydroxyvitamin D levels, and parathyroid hormone levels are obtained. Vitamin D deficiency is particularly common in patients with hyperparathyroidism. Many practitioners routinely add calcium and vitamin D supplementation postoperatively to help restore bone loss and supplement poor dietary intake.

Analysis has shown that the recurrence rate after successful parathyroidectomy is approximately 10-15% with long-term follow-up, which is much higher than had historically been thought. [51, 52]  Long-term follow-up is therefore recommended, with annual calcium and parathyroid hormone determinations.


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