{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:59:15Z","timestamp":1790434755520,"version":"4.1.0"},"reference-count":116,"publisher":"American Medical Association (AMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Otolaryngol Head Neck Surg"],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:sec><jats:title>Importance<\/jats:title><jats:p>Intraoperative parathyroid hormone (IOPTH) monitoring is recommended by the American Association of Endocrine Surgeons for use during parathyroidectomy for patients with primary hyperparathyroidism (PHPT), but there is no clinician consensus regarding the IOPTH monitoring criteria that optimize diagnostic accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate and rank the diagnostic properties of IOPTH monitoring criteria used during surgery for patients with PHPT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>A bayesian diagnostic test accuracy network meta-analysis (DTA-NMA) was performed, in which peer-reviewed citations from January 1, 1990, to July 22, 2023, were searched for in MEDLINE, Embase, Web of Science, CENTRAL, and CINAHL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Selection<\/jats:title><jats:p>All full-text study designs that evaluated any IOPTH monitoring criteria as a diagnostic test were included in this meta-analysis. Any studies evaluating adult patients diagnosed with PHPT undergoing parathyroidectomy were also included. The reference standard used in this study was normalization of calcium and\/or parathyroid hormone levels within 1 year of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Extraction and Synthesis<\/jats:title><jats:p>This DTA-NMA was reported in accordance with the applicable Preferred Reporting Items for Systematic Reviews and Meta-analyses (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.equator-network.org\/reporting-guidelines\/prisma\/\">PRISMA<\/jats:ext-link>) reporting guidelines. Two reviewers evaluated all abstracts and full-text articles using a piloted extraction form. A third author resolved any conflicts. There are no published Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) resources for DTA-NMA. The following conventional monitoring criteria were included: Halle, Miami, Rome, Vienna, and PTH normalization, and the following modified criteria were included: Miami and PTH normalization, modified Miami, and modified Vienna. A bayesian hierarchical DTA-NMA model with corresponding 95% credible intervals (CrIs) was used to describe the pooled diagnostic characteristics of the evaluated IOPTH monitoring criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>Main outcomes included pooled diagnostic test properties, including sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 72 studies, which included 19\u202f072 patients, met the inclusion criteria. Sixty-nine studies (95.8%) investigated classic PHPT. In PHPT, the Miami criteria were investigated most often and had the best diagnostic properties (diagnostic odds ratio, 60.00 [95% CrI, 32.00-145.00]) when compared to other conventional criteria. Moreover, the modified Miami criteria, which measures a postexcision IOPTH level 15 minutes or more postexcision of all hyperfunctioning parathyroid tissue, were the overall best criteria (diagnostic odds ratio, 79.71 [95% CrI, 22.46-816.67]). There was a low risk of study bias and no publication bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance<\/jats:title><jats:p>The results of this meta-analysis suggest that surgeons should use the modified Miami criteria when performing IOPTH-guided surgery for patients with PHPT because these criteria optimize intraoperative diagnostic accuracy by minimizing unnecessary neck exploration and revision surgery rates.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamaoto.2024.4453","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T16:32:19Z","timestamp":1735230739000},"page":"190","source":"Crossref","is-referenced-by-count":25,"title":["Intraoperative Parathyroid Hormone Monitoring Criteria in Primary Hyperparathyroidism"],"prefix":"10.1001","volume":"151","author":[{"given":"Phillip","family":"Staibano","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"},{"name":"Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Au","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winnie","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D.","family":"Pasternak","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Health Network, Toronto, Ontario, Canada"},{"name":"Department of Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn D.","family":"Seib","sequence":"additional","affiliation":[{"name":"Stanford-Surgery Policy Improvement Research and Education Center (S-SPIRE), Department of Surgery, Stanford University School of Medicine, Stanford, California"},{"name":"Division of General Surgery, Palo Alto Veterans Affairs Health Care System, and Geriatric Research, Education and Clinical Center, Veterans Affairs Palo Alto, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Orloff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Stanford University Medical Center, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nhu-Tram","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Parpia","sequence":"additional","affiliation":[{"name":"Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"},{"name":"Department of Oncology, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"McKechnie","sequence":"additional","affiliation":[{"name":"Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"},{"name":"Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Thabane","sequence":"additional","affiliation":[{"name":"Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. E. M. (Ted)","family":"Young","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"},{"name":"Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"},{"name":"Division of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"key":"ooi240094r1","doi-asserted-by":"publisher","first-page":"16033","DOI":"10.1038\/nrdp.2016.33","article-title":"Primary hyperparathyroidism.","volume":"2","author":"Bilezikian","year":"2016","journal-title":"Nat Rev Dis Primers"},{"issue":"5","key":"ooi240094r2","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.amjoto.2017.06.009","article-title":"Parathyroidectomy for tertiary hyperparathyroidism: a systematic review.","volume":"38","author":"Tang","year":"2017","journal-title":"Am J Otolaryngol"},{"issue":"2","key":"ooi240094r3","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1038\/nrendo.2017.104","article-title":"Primary hyperparathyroidism.","volume":"14","author":"Walker","year":"2018","journal-title":"Nat Rev Endocrinol"},{"key":"ooi240094r4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.106042","article-title":"The role of rapid intraoperative parathyroid hormone (ioPTH) assay in determining outcome of parathyroidectomy in primary hyperparathyroidism: a systematic review and meta-analysis.","volume":"92","author":"Medas","year":"2021","journal-title":"Int J Surg"},{"issue":"10","key":"ooi240094r5","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1001\/jamasurg.2016.2310","article-title":"The American Association of Endocrine Surgeons guidelines for definitive management of primary hyperparathyroidism.","volume":"151","author":"Wilhelm","year":"2016","journal-title":"JAMA Surg"},{"issue":"2","key":"ooi240094r6","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1001\/jamaoto.2020.4021","article-title":"Use of intraoperative parathyroid hormone in minimally invasive parathyroidectomy for primary hyperparathyroidism: a systematic review and meta-analysis.","volume":"147","author":"Quinn","year":"2021","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"1","key":"ooi240094r7","doi-asserted-by":"publisher","first-page":"21","DOI":"10.5005\/jp-journals-10002-1016","article-title":"A comprehensive review of intraoperative parathyroid hormone monitoring.","volume":"2","author":"Guerrero","year":"2010","journal-title":"World J Endocr Surg"},{"issue":"3","key":"ooi240094r8","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1001\/archsurg.2011.5","article-title":"An optimal algorithm for intraoperative parathyroid hormone monitoring.","volume":"146","author":"Richards","year":"2011","journal-title":"Arch Surg"},{"key":"ooi240094r9","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jss.2022.08.016","article-title":"Primary hyperparathyroidism and intraoperative parathyroid hormone monitoring: application of a modified interpretation in patients with \u201cparathyroid hormone spikes\u201d.","volume":"282","author":"Heidtmann","year":"2023","journal-title":"J Surg Res"},{"key":"ooi240094r10","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.1024350","article-title":"Contribution of intraoperative parathyroid hormone monitoring to the surgical success in minimal invasive parathyroidectomy.","volume":"9","author":"Akg\u00fcn","year":"2022","journal-title":"Front Surg"},{"issue":"5","key":"ooi240094r11","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1001\/archsurg.141.5.483","article-title":"Which intraoperative parathyroid hormone assay criterion best predicts operative success?\u2014a study of 352 consecutive patients.","volume":"141","author":"Chiu","year":"2006","journal-title":"Arch Surg"},{"issue":"1","key":"ooi240094r12","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1097\/SLA.0b013e31825ffbe1","article-title":"Creation of a \u201cWisconsin index\u201d nomogram to predict the likelihood of additional hyperfunctioning parathyroid glands during parathyroidectomy.","volume":"257","author":"Mazeh","year":"2013","journal-title":"Ann Surg"},{"issue":"5","key":"ooi240094r13","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1097\/00000658-200211000-00001","article-title":"Unilateral versus bilateral neck exploration for primary hyperparathyroidism: a prospective randomized controlled trial.","volume":"236","author":"Bergenfelz","year":"2002","journal-title":"Ann Surg"},{"key":"ooi240094r14","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.jclinepi.2022.02.001","article-title":"Diagnostic test accuracy network meta-analysis methods: a scoping review and empirical assessment.","volume":"146","author":"Veroniki","year":"2022","journal-title":"J Clin Epidemiol"},{"key":"ooi240094r15","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1298611","article-title":"Intraoperative parathyroid hormone monitoring in parathyroidectomy for hyperparathyroidism: a protocol for a network meta-analysis of diagnostic test accuracy.","volume":"10","author":"Staibano","year":"2024","journal-title":"Front Surg"},{"issue":"11","key":"ooi240094r16","doi-asserted-by":"publisher","first-page":"777","DOI":"10.7326\/M14-2385","article-title":"The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations.","volume":"162","author":"Hutton","year":"2015","journal-title":"Ann Intern Med"},{"key":"ooi240094r17","doi-asserted-by":"publisher","first-page":"m2632","DOI":"10.1136\/bmj.m2632","article-title":"Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): explanation, elaboration, and checklist.","volume":"370","author":"Salameh","year":"2020","journal-title":"BMJ"},{"issue":"4","key":"ooi240094r18","doi-asserted-by":"publisher","first-page":"327","DOI":"10.3803\/EnM.2019.34.4.327","article-title":"Intraoperative parathyroid hormone monitoring in the surgical management of sporadic primary hyperparathyroidism.","volume":"34","author":"Khan","year":"2019","journal-title":"Endocrinol Metab (Seoul)"},{"issue":"4","key":"ooi240094r19","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/0002-9610(91)90135-Z","article-title":"Operative monitoring of parathyroid gland hyperfunction.","volume":"162","author":"Irvin","year":"1991","journal-title":"Am J Surg"},{"issue":"8","key":"ooi240094r20","doi-asserted-by":"publisher","first-page":"529","DOI":"10.7326\/0003-4819-155-8-201110180-00009","article-title":"QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies.","volume":"155","author":"Whiting","year":"2011","journal-title":"Ann Intern Med"},{"issue":"9","key":"ooi240094r21","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1016\/j.jclinepi.2005.01.016","article-title":"The performance of tests of publication bias and other sample size effects in systematic reviews of diagnostic test accuracy was assessed.","volume":"58","author":"Deeks","year":"2005","journal-title":"J Clin Epidemiol"},{"key":"ooi240094r22","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1186\/1471-2288-14-70","article-title":"Investigation of publication bias in meta-analyses of diagnostic test accuracy: a meta-epidemiological study.","volume":"14","author":"van Enst","year":"2014","journal-title":"BMC Med Res Methodol"},{"issue":"11","key":"ooi240094r23","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1016\/S0895-4356(03)00177-X","article-title":"The diagnostic odds ratio: a single indicator of test performance.","volume":"56","author":"Glas","year":"2003","journal-title":"J Clin Epidemiol"},{"issue":"7458","key":"ooi240094r24","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1136\/bmj.329.7458.168","article-title":"Diagnostic tests 4: likelihood ratios.","volume":"329","author":"Deeks","year":"2004","journal-title":"BMJ"},{"issue":"527","key":"ooi240094r25","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1080\/01621459.2018.1476239","article-title":"A Bayesian hierarchical summary receiver operating characteristic model for network meta-analysis of diagnostic tests.","volume":"114","author":"Lian","year":"2019","journal-title":"J Am Stat Assoc"},{"issue":"1","key":"ooi240094r26","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1093\/biostatistics\/kxx025","article-title":"A Bayesian hierarchical model for network meta-analysis of multiple diagnostic tests.","volume":"19","author":"Ma","year":"2018","journal-title":"Biostatistics"},{"issue":"22","key":"ooi240094r27","doi-asserted-by":"publisher","first-page":"2365","DOI":"10.1001\/jama.2018.17977","article-title":"Bayesian hierarchical models.","volume":"320","author":"McGlothlin","year":"2018","journal-title":"JAMA"},{"issue":"6","key":"ooi240094r28","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1067\/msy.2001.118376","article-title":"Intraoperative quick parathyroid hormone versus same-day parathyroid hormone testing for minimally invasive parathyroidectomy: a cost-effectiveness study.","volume":"130","author":"Agarwal","year":"2001","journal-title":"Surgery"},{"issue":"2","key":"ooi240094r29","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1046\/j.1445-2197.2002.02310.x","article-title":"Minimally invasive parathyroidectomy using the \u2018focused\u2019 lateral approach\u2014results of the first 100 consecutive cases.","volume":"72","author":"Agarwal","year":"2002","journal-title":"ANZ J Surg"},{"issue":"12","key":"ooi240094r30","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1007\/s00595-011-0113-5","article-title":"The impact of vitamin D status and tumor size on the intraoperative parathyroid hormone dynamics in patients with symptomatic primary hyperparathyroidism.","volume":"42","author":"Agarwal","year":"2012","journal-title":"Surg Today"},{"issue":"5","key":"ooi240094r31","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1177\/00031348211048844","article-title":"Effects of parathyroidectomy on normocalcemic primary hyperparathyroidism and the role of intraoperative PTH measurement.","volume":"88","author":"Alameer","year":"2022","journal-title":"Am Surg"},{"issue":"5","key":"ooi240094r32","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1007\/s00268-005-0312-6","article-title":"Minimally invasive video-assisted parathyroidectomy versus open minimally invasive parathyroidectomy for a solitary parathyroid adenoma: a prospective, randomized, blinded trial.","volume":"30","author":"Barczynski","year":"2006","journal-title":"World J Surg"},{"issue":"5","key":"ooi240094r33","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1007\/s00423-009-0516-6","article-title":"Utility of intraoperative bilateral internal jugular venous sampling with rapid parathyroid hormone testing in guiding patients with a negative sestamibi scan for minimally invasive parathyroidectomy\u2014a randomized controlled trial.","volume":"394","author":"Barczynski","year":"2009","journal-title":"Langenbecks Arch Surg"},{"issue":"5","key":"ooi240094r34","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1007\/s00423-009-0510-z","article-title":"Evaluation of Halle, Miami, Rome, and Vienna intraoperative iPTH assay criteria in guiding minimally invasive parathyroidectomy.","volume":"394","author":"Barczynski","year":"2009","journal-title":"Langenbecks Arch Surg"},{"issue":"2","key":"ooi240094r35","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/s13304-015-0342-z","article-title":"Feasibility of unilateral parathyroidectomy in patients with primary hyperparathyroidism and negative or discordant localization studies.","volume":"68","author":"Cal\u00f2","year":"2016","journal-title":"Updates Surg"},{"issue":"12","key":"ooi240094r36","doi-asserted-by":"publisher","first-page":"1800","DOI":"10.5858\/2007-131-1800-NCFPHL","article-title":"Novel criteria for parathyroid hormone levels in parathyroid hormone-guided parathyroid surgery.","volume":"131","author":"de Vos tot Nederveen Cappel","year":"2007","journal-title":"Arch Pathol Lab Med"},{"issue":"3","key":"ooi240094r37","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1097\/01.sla.0000179622.37270.36","article-title":"A comprehensive evaluation of perioperative adjuncts during minimally invasive parathyroidectomy: which is most reliable?","volume":"242","author":"Chen","year":"2005","journal-title":"Ann Surg"},{"issue":"1","key":"ooi240094r38","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1111\/1744-1633.12226","article-title":"Use of intraoperative parathyroid hormone assay in primary hyperparathyroidism: a selective approach.","volume":"21","author":"Chick","year":"2017","journal-title":"Surg Pract"},{"issue":"4","key":"ooi240094r39","doi-asserted-by":"publisher","first-page":"464","DOI":"10.3803\/EnM.2014.29.4.464","article-title":"Preoperative localization and intraoperative parathyroid hormone assay in Korean patients with primary hyperparathyroidism.","volume":"29","author":"Cho","year":"2014","journal-title":"Endocrinol Metab (Seoul)"},{"issue":"3","key":"ooi240094r40","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s42000-019-00121-9","article-title":"Surgical treatment in patients with single and multiple gland primary hyperparathyroidism with the use of intraoperative parathyroid hormone monitoring: extensive single-center experience.","volume":"18","author":"Christoforides","year":"2019","journal-title":"Hormones (Athens)"},{"issue":"2","key":"ooi240094r41","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s00268-003-7255-6","article-title":"Impact of intraoperative parathyroid hormone monitoring on the prediction of multiglandular parathyroid disease.","volume":"28","author":"Clerici","year":"2004","journal-title":"World J Surg"},{"issue":"1","key":"ooi240094r42","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1007\/BF03345568","article-title":"Intra-operative testing for parathyroid hormone: the Central Laboratory option.","volume":"31","author":"De Pasquale","year":"2008","journal-title":"J Endocrinol Invest"},{"issue":"9-10","key":"ooi240094r43","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/j.clinbiochem.2006.12.007","article-title":"Parathyroidectomy monitored by intra-operative PTH: the relevance of the 20 min end-point.","volume":"40","author":"Di Stasio","year":"2007","journal-title":"Clin Biochem"},{"issue":"9","key":"ooi240094r44","doi-asserted-by":"publisher","first-page":"2835","DOI":"10.1007\/s00268-018-4544-7","article-title":"Intraoperative parathyroid hormone assay remains predictive of cure in renal impairment in patients with single parathyroid adenomas.","volume":"42","author":"Egan","year":"2018","journal-title":"World J Surg"},{"issue":"6","key":"ooi240094r45","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1007\/s00268-005-7751-y","article-title":"Unexpected results using rapid intraoperative parathyroid hormone monitoring during parathyroidectomy for primary hyperparathyroidism.","volume":"29","author":"Emmolo","year":"2005","journal-title":"World J Surg"},{"issue":"11","key":"ooi240094r46","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.4158\/EP-2019-0191","article-title":"Receiver operating characteristic analysis of intraoperative parathyroid hormone monitoring to determine optimum sensitivity and specificity: analysis of 896 cases.","volume":"25","author":"Foley","year":"2019","journal-title":"Endocr Pract"},{"key":"ooi240094r47","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.ijsu.2015.11.044","article-title":"What is the most appropriate intraoperative baseline parathormone?\u2014a prospective cohort study.","volume":"25","author":"Garbutt","year":"2016","journal-title":"Int J Surg"},{"issue":"6","key":"ooi240094r48","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1067\/msy.2099.101429","article-title":"Initial experience with intraoperative PTH determinations in the surgical management of 130 consecutive cases of primary hyperparathyroidism.","volume":"126","author":"Garner","year":"1999","journal-title":"Surgery"},{"issue":"6","key":"ooi240094r49","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1067\/msy.2001.118385","article-title":"Intraoperative parathyroid hormone monitoring fails to detect double parathyroid adenomas: a 2-institution experience.","volume":"130","author":"Gauger","year":"2001","journal-title":"Surgery"},{"issue":"2","key":"ooi240094r50","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1001\/archsurg.139.2.164","article-title":"An alternative analysis of intraoperative parathyroid hormone data may improve the ability to detect multiglandular disease.","volume":"139","author":"Gauger","year":"2004","journal-title":"Arch Surg"},{"issue":"2","key":"ooi240094r51","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1007\/s00268-019-05157-x","article-title":"Biochemical profile affects IOPTH kinetics and cure rate in primary hyperparathyroidism.","volume":"44","author":"Graves","year":"2020","journal-title":"World J Surg"},{"issue":"6","key":"ooi240094r52","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrac118","article-title":"The value of intraoperative parathyroid hormone monitoring in patients with primary hyperparathyroidism and varying baseline parathyroid hormone levels.","volume":"6","author":"Hargitai","year":"2022","journal-title":"BJS Open"},{"issue":"5","key":"ooi240094r53","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1007\/s00423-013-1080-7","article-title":"The value of intraoperative PTH measurements in patients with mild primary hyperparathyroidism.","volume":"398","author":"Hathaway","year":"2013","journal-title":"Langenbecks Arch Surg"},{"issue":"2","key":"ooi240094r54","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1177\/0194599815590597","article-title":"Is intraoperative parathyroid hormone monitoring warranted in cases of 4D-CT\/ultrasound localized single adenomas?","volume":"153","author":"Heineman","year":"2015","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"ooi240094r55","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.1016\/j.surg.2005.05.026","article-title":"Are frozen sections useful and cost-effective in the era of intraoperative qPTH assays?","volume":"138","author":"Iacobone","year":"2005","journal-title":"Surgery"},{"issue":"12","key":"ooi240094r56","doi-asserted-by":"publisher","first-page":"1287","DOI":"10.1007\/s00268-004-7708-6","article-title":"Quick intraoperative parathyroid hormone assay: surgical adjunct to allow limited parathyroidectomy, improve success rate, and predict outcome.","volume":"28","author":"Irvin","year":"2004","journal-title":"World J Surg"},{"issue":"6","key":"ooi240094r57","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1097\/01.sla.0000255578.11198.ff","article-title":"The utility of intraoperative bilateral internal jugular venous sampling with rapid parathyroid hormone testing.","volume":"245","author":"Ito","year":"2007","journal-title":"Ann Surg"},{"issue":"9","key":"ooi240094r58","doi-asserted-by":"publisher","first-page":"2205","DOI":"10.1002\/lary.24615","article-title":"A simplified approach to minimally invasive parathyroidectomy.","volume":"124","author":"Kanotra","year":"2014","journal-title":"Laryngoscope"},{"issue":"6","key":"ooi240094r59","doi-asserted-by":"publisher","first-page":"1878","DOI":"10.1245\/s10434-013-3479-3","article-title":"Operative failure in minimally invasive parathyroidectomy utilizing an intraoperative parathyroid hormone assay.","volume":"21","author":"Lee","year":"2014","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"ooi240094r60","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1016\/j.surg.2009.09.006","article-title":"Focused parathyroidectomy guided by intra-operative parathormone monitoring does not miss multiglandular disease in patients with sporadic primary hyperparathyroidism: a 10-year outcome.","volume":"146","author":"Lew","year":"2009","journal-title":"Surgery"},{"issue":"7","key":"ooi240094r61","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1001\/archsurg.2010.104","article-title":"Operative failure in the era of focused parathyroidectomy: a contemporary series of 845 patients.","volume":"145","author":"Lew","year":"2010","journal-title":"Arch Surg"},{"issue":"3","key":"ooi240094r62","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1507\/endocrj.EJ13-0446","article-title":"Intraoperative PTH monitoring: a new approach based on the identification of the \u201ctrue\u201d time origin of the decay curve.","volume":"61","author":"Locchi","year":"2014","journal-title":"Endocr J"},{"issue":"5","key":"ooi240094r63","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1007\/s00423-008-0384-5","article-title":"Intraoperative PTH monitoring during parathyroidectomy: the need for stricter criteria to detect multiglandular disease.","volume":"393","author":"Lombardi","year":"2008","journal-title":"Langenbecks Arch Surg"},{"key":"ooi240094r64","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s12893-018-0459-3","article-title":"Intraoperative parathyroid hormone (PTH) testing in patients with primary hyperparathyroidism and PTH levels in the normal range.","volume":"18","author":"Medas","year":"2019","journal-title":"BMC Surg"},{"issue":"6","key":"ooi240094r65","doi-asserted-by":"publisher","first-page":"1500","DOI":"10.1007\/s00268-017-3871-4","article-title":"Intraoperative PTH may not be necessary in the management of primary hyperparathyroidism even with only one positive or only indeterminate preoperative localization studies.","volume":"41","author":"Najafian","year":"2017","journal-title":"World J Surg"},{"issue":"8","key":"ooi240094r66","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1007\/s00268-009-0084-5","article-title":"When initial postexcision PTH level does not fall appropriately during parathyroidectomy: what to do next?","volume":"33","author":"O\u2019Neal","year":"2009","journal-title":"World J Surg"},{"issue":"2","key":"ooi240094r67","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1080\/00015458.2021.1955185","article-title":"Does the intraoperative parathormone monitoring really affect surgical success in primary hyperparathyroidism?","volume":"123","author":"Ozdemir","year":"2023","journal-title":"Acta Chir Belg"},{"issue":"12","key":"ooi240094r68","doi-asserted-by":"publisher","first-page":"3156","DOI":"10.1007\/s00464-010-1109-8","article-title":"Validity and limits of intraoperative parathyroid hormone monitoring during minimally invasive parathyroidectomy: a 10-year experience.","volume":"24","author":"Ozimek","year":"2010","journal-title":"Surg Endosc"},{"issue":"1","key":"ooi240094r69","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1007\/s00423-023-02848-x","article-title":"A 15-year experience: intraoperative parathyroid hormone assay for the management of primary hyperparathyroidism in a UK endocrine surgical unit.","volume":"408","author":"Patel","year":"2023","journal-title":"Langenbecks Arch Surg"},{"issue":"3","key":"ooi240094r70","doi-asserted-by":"publisher","first-page":"347","DOI":"10.4103\/ijem.IJEM_20_19","article-title":"Focused parathyroidectomy using accurate preoperative imaging and intraoperative PTH: tertiary care experience.","volume":"23","author":"Pradhan","year":"2019","journal-title":"Indian J Endocrinol Metab"},{"issue":"12","key":"ooi240094r71","doi-asserted-by":"publisher","first-page":"2664","DOI":"10.1002\/hed.25453","article-title":"Evaluating a shortened interpretation criterion for intraoperative parathyroid hormone monitoring in patients with primary hyperparathyroidism: 5-minutes criterion in primary hyperparathyroidism and intraoperative algorithm.","volume":"40","author":"Riss","year":"2018","journal-title":"Head Neck"},{"issue":"5","key":"ooi240094r72","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1007\/s10353-018-0547-8","article-title":"Applicability of a shortened interpretation model for intraoperative parathyroid hormone monitoring in patients with primary hyperparathyroidism in an endemic goiter region.","volume":"50","author":"Riss","year":"2018","journal-title":"Eur Surg"},{"issue":"6","key":"ooi240094r73","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1007\/s00423-013-1097-y","article-title":"Risk factors for \u201cPTH spikes\u201d during surgery for primary hyperparathyroidism.","volume":"398","author":"Riss","year":"2013","journal-title":"Langenbecks Arch Surg"},{"issue":"2","key":"ooi240094r74","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1177\/000313481908500231","article-title":"Primary hyperparathyroidism: redefining cure.","volume":"85","author":"Rudin","year":"2019","journal-title":"Am Surg"},{"issue":"1","key":"ooi240094r75","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1007\/s00405-018-5179-x","article-title":"Intraoperative parathyroid hormone testing in primary hyperparathyroidism surgery: time for giving up?","volume":"276","author":"Sartori","year":"2019","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"2","key":"ooi240094r76","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1245\/s10434-007-9683-2","article-title":"Value of intraoperative parathyroid hormone monitoring.","volume":"15","author":"Sharma","year":"2008","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"ooi240094r77","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1111\/cen.12067","article-title":"Intra-operative parathyroid hormone kinetics and influencing factors with high baseline PTH: a prospective study.","volume":"78","author":"Singh","year":"2013","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"6","key":"ooi240094r78","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1007\/s00268-010-0413-8","article-title":"Weight difference between double parathyroid adenomas is the cause of false-positive IOPTH test after resection of the first lesion.","volume":"34","author":"Sitges-Serra","year":"2010","journal-title":"World J Surg"},{"issue":"11","key":"ooi240094r79","doi-asserted-by":"publisher","first-page":"3216","DOI":"10.1245\/s10434-007-9590-6","article-title":"Intra-operative parathyroid hormone monitoring in patients with parathyroid cancer.","volume":"14","author":"Sol\u00f3rzano","year":"2007","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"ooi240094r80","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jamcollsurg.2006.03.022","article-title":"Intraoperative parathyroid hormone measurement during minimally invasive parathyroidectomy: does it \u201cvalue-add\u201d to decision-making?","volume":"203","author":"Stalberg","year":"2006","journal-title":"J Am Coll Surg"},{"issue":"6","key":"ooi240094r81","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1016\/j.otohns.2006.12.010","article-title":"Intraoperative PTH: effect of sample timing and vitamin D status.","volume":"136","author":"Statham","year":"2007","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"11","key":"ooi240094r82","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1507\/endocrj.K10E-196","article-title":"Minimally invasive surgery for primary hyperparathyroidism with or without intraoperative parathyroid hormone monitoring.","volume":"57","author":"Sugino","year":"2010","journal-title":"Endocr J"},{"issue":"6","key":"ooi240094r83","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1007\/s00268-009-0029-z","article-title":"Significance of biochemical parameters in differentiating uniglandular from multiglandular disease and limiting use of intraoperative parathormone assay.","volume":"33","author":"Thakur","year":"2009","journal-title":"World J Surg"},{"issue":"5","key":"ooi240094r84","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1007\/s00423-009-0524-6","article-title":"Surgery for patients with primary hyperparathyroidism and negative sestamibi scintigraphy\u2014a feasibility study.","volume":"394","author":"Thier","year":"2009","journal-title":"Langenbecks Arch Surg"},{"issue":"4","key":"ooi240094r85","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1177\/0194599818793879","article-title":"Surgical management of normocalcemic primary hyperparathyroidism and the impact of intraoperative parathyroid hormone testing on outcome.","volume":"159","author":"Trinh","year":"2018","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"ooi240094r86","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1001\/archsurg.141.6.589","article-title":"Parathyroid surgical failures with sufficient decline of intraoperative parathyroid hormone levels: unobserved multiple endocrine neoplasia as an explanation.","volume":"141","author":"Westerdahl","year":"2006","journal-title":"Arch Surg"},{"issue":"4","key":"ooi240094r87","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1016\/j.surg.2008.06.017","article-title":"Reoperative parathyroidectomy: an algorithm for imaging and monitoring of intraoperative parathyroid hormone levels that results in a successful focused approach.","volume":"144","author":"Yen","year":"2008","journal-title":"Surgery"},{"issue":"4","key":"ooi240094r88","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1016\/j.surg.2006.07.006","article-title":"The role of parathyroid hormone measurements after surgery for primary hyperparathyroidism.","volume":"140","author":"Yen","year":"2006","journal-title":"Surgery"},{"issue":"4","key":"ooi240094r89","doi-asserted-by":"publisher","first-page":"e105","DOI":"10.1016\/j.surge.2021.04.008","article-title":"Challenging NICE guidelines on parathyroid surgery.","volume":"20","author":"Zammit","year":"2022","journal-title":"Surgeon"},{"issue":"1","key":"ooi240094r90","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.surg.2020.03.024","article-title":"Intraoperative parathyroid hormone (IOPTH) assay might be better than the second-generation assay in parathyroidectomy for primary hyperparathyroidism.","volume":"169","author":"Lang","year":"2021","journal-title":"Surgery"},{"issue":"6","key":"ooi240094r91","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1016\/j.amjsurg.2008.07.022","article-title":"Reoperative parathyroidectomy in 228 patients during the era of minimal-access surgery and intraoperative parathyroid hormone monitoring.","volume":"196","author":"Richards","year":"2008","journal-title":"Am J Surg"},{"issue":"2","key":"ooi240094r92","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1111\/cen.13882","article-title":"Impact of intraoperative parathyroid hormone monitoring on the management of patients with primary hyperparathyroidism.","volume":"90","author":"Shawky","year":"2019","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"12","key":"ooi240094r93","doi-asserted-by":"publisher","first-page":"3450","DOI":"10.1245\/s10434-009-0699-7","article-title":"Utility of intraoperative PTH for primary hyperparathyroidism due to multigland disease.","volume":"16","author":"Cayo","year":"2009","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"ooi240094r94","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1177\/145749690409300109","article-title":"Primary hyperparathyroidism: intraoperative PTH-measurements.","volume":"93","author":"Rolighed","year":"2004","journal-title":"Scand J Surg"},{"issue":"6","key":"ooi240094r95","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/j.surg.2003.06.001","article-title":"Comparison of intraoperative iPTH assay (QPTH) criteria in guiding parathyroidectomy: which criterion is the most accurate?","volume":"134","author":"Carneiro","year":"2003","journal-title":"Surgery"},{"issue":"10","key":"ooi240094r96","doi-asserted-by":"publisher","first-page":"2213","DOI":"10.12998\/wjcc.v11.i10.2213","article-title":"Update on the current management of persistent and recurrent primary hyperparathyroidism after parathyroidectomy.","volume":"11","author":"Pavlidis","year":"2023","journal-title":"World J Clin Cases"},{"issue":"1","key":"ooi240094r97","first-page":"3","article-title":"Intraoperative parathyroid hormone monitoring in primary hyperparathyroidism; resolving controversies and debates.","volume":"5","author":"Shawky","year":"2017","journal-title":"J Parathyroid Dis"},{"issue":"1","key":"ooi240094r98","doi-asserted-by":"publisher","first-page":"3333","DOI":"10.1038\/s41598-022-07380-4","article-title":"Interpretation of intraoperative parathyroid hormone monitoring according to the Rome criterion in primary hyperparathyroidism.","volume":"12","author":"Graceffa","year":"2022","journal-title":"Sci Rep"},{"key":"ooi240094r99","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/1471-2482-13-36","article-title":"Intraoperative parathyroid hormone assay during focused parathyroidectomy: the importance of 20 minutes measurement.","volume":"13","author":"Cal\u00f2","year":"2013","journal-title":"BMC Surg"},{"issue":"9","key":"ooi240094r100","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1007\/s40618-020-01201-z","article-title":"Influence of common clinical variables on intraoperative parathyroid hormone monitoring during surgery for primary hyperparathyroidism.","volume":"43","author":"Shawky","year":"2020","journal-title":"J Endocrinol Invest"},{"key":"ooi240094r101","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.jss.2019.03.026","article-title":"Vitamin D does not affect intraoperative parathyroid hormone kinetics: a mixed linear model analysis.","volume":"241","author":"Graves","year":"2019","journal-title":"J Surg Res"},{"issue":"6","key":"ooi240094r102","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1016\/j.surg.2004.05.059","article-title":"Does propofol anesthesia affect intraoperative parathyroid hormone levels?\u2014a randomized, prospective trial.","volume":"136","author":"Sippel","year":"2004","journal-title":"Surgery"},{"issue":"2","key":"ooi240094r103","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1001\/archotol.131.2.137","article-title":"Arterial and venous parathyroid hormone levels in minimally invasive surgery.","volume":"131","author":"Urquhart","year":"2005","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"13","key":"ooi240094r104","doi-asserted-by":"publisher","first-page":"4205","DOI":"10.1245\/s10434-013-3190-4","article-title":"Multigland disease and slower decline in intraoperative PTH characterize mild primary hyperparathyroidism.","volume":"20","author":"Schneider","year":"2013","journal-title":"Ann Surg Oncol"},{"issue":"3","key":"ooi240094r105","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/j.amjsurg.2014.09.022","article-title":"Is intraoperative parathyroid hormone testing in patients with renal insufficiency undergoing parathyroidectomy for primary hyperparathyroidism accurate?","volume":"209","author":"Sohn","year":"2015","journal-title":"Am J Surg"},{"key":"ooi240094r106","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6614406","article-title":"4DCT scanning technique for primary hyperparathyroidism: a scoping review.","volume":"2021","author":"Raeymaeckers","year":"2021","journal-title":"Radiol Res Pract"},{"issue":"3","key":"ooi240094r107","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1016\/j.surg.2017.10.064","article-title":"Sestamibi SPECT\/CT versus SPECT only for preoperative localization in primary hyperparathyroidism: a single institution 8-year analysis.","volume":"163","author":"McCoy","year":"2018","journal-title":"Surgery"},{"issue":"11","key":"ooi240094r108","doi-asserted-by":"publisher","first-page":"2293","DOI":"10.1002\/jbmr.4677","article-title":"Evaluation and management of primary hyperparathyroidism: summary statement and guidelines from the fifth international workshop.","volume":"37","author":"Bilezikian","year":"2022","journal-title":"J Bone Miner Res"},{"issue":"3","key":"ooi240094r109","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1016\/j.amjsurg.2019.09.039","article-title":"Increasing trend of bilateral neck exploration in primary hyperparathyroidism.","volume":"219","author":"Khokar","year":"2020","journal-title":"Am J Surg"},{"issue":"7","key":"ooi240094r110","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1373\/clinchem.2003.030817","article-title":"Rapid intraoperative immunoassay of parathyroid hormone and other hormones: a new paradigm for point-of-care testing.","volume":"50","author":"Sokoll","year":"2004","journal-title":"Clin Chem"},{"key":"ooi240094r111","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2024.0051","article-title":"Intraoperative parathyroid hormone assay benefits surgery for primary hyperparathyroidism when preoperative localisation is negative or not performed.","author":"Scott-Coombes","year":"2024","journal-title":"Ann R Coll Surg Engl"},{"issue":"2","key":"ooi240094r112","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1002\/hed.24567","article-title":"Cost-benefit analysis of the intraoperative parathyroid hormone assay in primary hyperparathyroidism.","volume":"39","author":"Badii","year":"2017","journal-title":"Head Neck"},{"issue":"1","key":"ooi240094r113","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s40463-017-0188-0","article-title":"Validation of selective use of intraoperative PTH monitoring in parathyroidectomy.","volume":"46","author":"Thielmann","year":"2017","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"5","key":"ooi240094r114","doi-asserted-by":"publisher","first-page":"1383","DOI":"10.1016\/j.surg.2021.05.030","article-title":"Focused parathyroidectomy without intraoperative parathyroid hormone measurement in primary hyperparathyroidism: still a valid approach?","volume":"170","author":"Di Marco","year":"2021","journal-title":"Surgery"},{"issue":"3","key":"ooi240094r115","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1245\/s10434-009-0773-1","article-title":"The value of intraoperative parathyroid hormone monitoring in localized primary hyperparathyroidism: a cost analysis.","volume":"17","author":"Morris","year":"2010","journal-title":"Ann Surg Oncol"},{"issue":"8","key":"ooi240094r116","doi-asserted-by":"publisher","DOI":"10.1002\/jbm4.10391","article-title":"Normocalcemic hyperparathyroidism: a heterogeneous disorder often misdiagnosed?","volume":"4","author":"Zavatta","year":"2020","journal-title":"JBMR Plus"}],"container-title":["JAMA Otolaryngology\u2013Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamaotolaryngology\/articlepdf\/2827787\/jamaotolaryngology_staibano_2024_oi_240094_1740587393.22656.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T15:05:06Z","timestamp":1741878306000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamaotolaryngology\/fullarticle\/2827787"}},"subtitle":["A Network Meta-Analysis of Diagnostic Test Accuracy"],"short-title":[],"issued":{"date-parts":[[2025,3,1]]},"references-count":116,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamaoto.2024.4453","relation":{},"ISSN":["2168-6181"],"issn-type":[{"value":"2168-6181","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3,1]]}}}