{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T05:56:52Z","timestamp":1757311012472,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2020,12]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>The aim of this study was to determine the adherence to consensus guidelines on preoperative imaging of patients with primary hyperparathyroidism (pHPT) in real local practice.<\/jats:p><\/jats:sec>Methods<\/jats:title>This was a retrospective multicenter cohort study of 411 patients undergoing parathyroidectomy for pHPT from 2007 to 2017 in three referral centers.<\/jats:p><\/jats:sec>Results<\/jats:title>In 286\/411 patients (69%) the preoperative imaging workup adhered to guidelines (utilizing ultrasound and parathyroid scintigraphy). In patients in whom guidelines were followed 63% were discharged within one day versus 37% in whom guidelines were not followed (P<\/jats:italic> <\u2009.0005). The use of a bimodality imaging workup, starting with ultrasound and parathyroid scintigraphy followed by imaging upscaling aiming for anatomical and functional concordance, was a predictor for the performance of a minimally invasive parathyroidectomy (OR 4.098, 95% CI 2.296\u20107.315, P<\/jats:italic> <\u2009.0005).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The level of compliance to preoperative imaging guidelines is suboptimal in this population. Patients in whom adherence was achieved showed a shorter length of stay. More education of physicians is required regarding the appropriate preoperative imaging workup in pHPT.<\/jats:p><\/jats:sec>Level of evidence<\/jats:title>2b (individual cohort study).<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.464","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T09:43:50Z","timestamp":1602150230000},"page":"1247-1253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Non\u2010adherence to consensus guidelines on preoperative imaging in surgery for primary hyperparathyroidism"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4520-9249","authenticated-orcid":false,"given":"Milou E.","family":"Noltes","sequence":"first","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Nuclear Medicine and Molecular Imaging Groningen The Netherlands"},{"name":"University of Groningen, University Medical Center Groningen, Surgical Oncology Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Brands","sequence":"additional","affiliation":[{"name":"Surgical Oncology Isala Zwolle The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudi A.J.O.","family":"Dierckx","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Nuclear Medicine and Molecular Imaging Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieter L.","family":"Jager","sequence":"additional","affiliation":[{"name":"Nuclear Medicine Isala Zwolle The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Kelder","sequence":"additional","affiliation":[{"name":"Surgery Martini Hospital Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne H","family":"Brouwers","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Nuclear Medicine and Molecular Imaging Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Brecht","family":"Francken","sequence":"additional","affiliation":[{"name":"Surgical Oncology Isala Zwolle The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Schelto","family":"Kruijff","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Surgical Oncology Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1210\/jc.2012-4022","article-title":"Incidence and prevalence of primary hyperparathyroidism in a racially mixed population","volume":"98","author":"Yeh M","year":"2013","journal-title":"Clin Endocrinol Metab"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.10.005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.2310"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-009-0533-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002474"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824dad7d"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-017-1549-x"},{"key":"e_1_2_7_9_1","unstructured":"Dutch Hyperparathryoid Study Group (DHSG). 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