Elderly patients with Primary Hyperparathyroidism

  • Elderly patients with pHPT are at increased risk of bone-related disease and fractures and are more likely to have neuropsychiatric complaints; however, referral for parathyroidectomy in the elderly is often limited due to the perceived risk of surgery.
  • Parathyroidectomy is the only curative treatment.
  • This study found that parathyroidectomy in the elderly was not associated with higher morbidity.
  • Elderly patients with hypercalcemia should be evaluated for pHPT and if confirmed should be considered for parathyroidectomy.
  • Am J Surg. 2021 Sep;222(3):549-553. doi: 10.1016/j.amjsurg.2021.01.027.

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