{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:32:01Z","timestamp":1761514321795,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T00:00:00Z","timestamp":1545782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We sought to evaluate the relationship between the preoperative core\u2010laboratory parathyroid hormone (CL\u2010PTH) level and the baseline intraoperative PTH (IOPTH) level and assess the impact of any differences on clinical decision making in consecutive surgical patients with primary hyperparathyroidism undergoing parathyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The CL\u2010PTH and baseline IOPTH levels were compared. The influence of relying on either the CL\u2010PTH or baseline PTH levels for intraoperative decision making was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data were available for 316 patients. Baseline IOPTH measurements were usually higher than the CL\u2010PTH (247 patients; 78.2%) measurements, with a mean difference of 68.2 pg\/mL (<jats:italic>P<\/jats:italic> &lt; .001). Using the CL\u2010PTH as a surrogate for the baseline parathyroid hormone (PTH) would have prolonged the operation in 23 patients (7.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Baseline point\u2010of\u2010care IOPTH levels were higher than the preoperative CL\u2010PTH levels in &gt;75% of patients undergoing parathyroidectomy. Using the CL\u2010PTH in lieu of an IOPTH baseline value would prolong the operation in some patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25193","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T11:14:37Z","timestamp":1545822877000},"page":"592-597","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Baseline intraoperative intact parathyroid hormone levels in parathyroid surgery"],"prefix":"10.1002","volume":"41","author":[{"given":"William S.","family":"Duke","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Augusta University Augusta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilson I.","family":"Omesiete","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Augusta University Augusta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7686-5399","authenticated-orcid":false,"given":"Nathaniel J.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Augusta University Augusta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4372-8934","authenticated-orcid":false,"given":"David J.","family":"Terris","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Augusta University Augusta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3479-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e1013"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318208fed9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-009-0510-z"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-1758"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2010.10.015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811413718"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.104"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/cclm-2013-0315"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24615"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.117214"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.09.008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.11.044"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12398"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.05.019"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-6-417"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.25193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.25193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T09:42:03Z","timestamp":1694684523000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.25193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,26]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1002\/hed.25193"],"URL":"https:\/\/doi.org\/10.1002\/hed.25193","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"type":"print","value":"1043-3074"},{"type":"electronic","value":"1097-0347"}],"subject":[],"published":{"date-parts":[[2018,12,26]]},"assertion":[{"value":"2017-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}