{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:27:37Z","timestamp":1786681657591,"version":"build-2736575974"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011531","name":"University of Alabama","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011531","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.jss.2026.03.046","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T01:20:49Z","timestamp":1775697649000},"page":"600-608","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Long-Term Outcomes and Predictors of Recurrence in Primary Hyperparathyroidism"],"prefix":"10.1016","volume":"321","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8843-3027","authenticated-orcid":false,"given":"Daniel","family":"Gomez-Carrillo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niranjna","family":"Swaminathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Caretti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hameeda Arif","family":"Arain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Roy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem","family":"Izhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Kasmirski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenessa","family":"Lindeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gillis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Dream","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.03.046_bib1","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1001\/jama.2022.18331","article-title":"Hypercalcemia: a review","volume":"328","author":"Walker","year":"2022","journal-title":"JAMA"},{"key":"10.1016\/j.jss.2026.03.046_bib2","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1056\/NEJMcp1106636","article-title":"Clinical practice. Primary hyperparathyroidism","volume":"365","author":"Marcocci","year":"2011","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jss.2026.03.046_bib3","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/S0140-6736(17)31430-7","article-title":"Hyperparathyroidism","volume":"391","author":"Bilezikian","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.jss.2026.03.046_bib4","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1002\/wjs.12285","article-title":"Risk of neuropsychiatric disorders in primary hyperparathyroidism: parathyroidectomy versus nonoperative management","volume":"49","author":"Song","year":"2025","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib5","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/SLA.0000000000006508","article-title":"Effect of Delayed Parathyroidectomy on Risk of Future Cardiovascular and Nephrolithiasis Interventions in Adults with Primary Hyperparathyroidism [Original Study]","volume":"283","author":"Ramonell","year":"2024","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib6","article-title":"Surgical intervention for primary hyperparathyroidism is associated with a reduction in new-onset neuropsychiatric disorders","volume":"189","author":"Kasmirski","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib7","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1177\/000313481408001132","article-title":"Treatment strategies for primary hyperparathyroidism: what is the cost?","volume":"80","author":"Aliabadi-Wahle","year":"2014","journal-title":"Am Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib8","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.amjsurg.2023.12.027","article-title":"The underrecognized impact of parathyroidectomy for primary hyperparathyroidism","volume":"232","author":"Josephson","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib9","doi-asserted-by":"crossref","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"},{"key":"10.1016\/j.jss.2026.03.046_bib10","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.1007\/s00268-016-3514-1","article-title":"Outcomes of parathyroidectomy in patients with primary hyperparathyroidism: a systematic review and meta-analysis","volume":"40","author":"Singh Ospina","year":"2016","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib11","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/SLA.0000000000000207","article-title":"Predictors of recurrence in primary hyperparathyroidism: an analysis of 1386 cases","volume":"259","author":"Schneider","year":"2014","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib12","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.surg.2014.06.060","article-title":"Is intraoperative parathyroid hormone monitoring necessary with ipsilateral parathyroid gland visualization during anticipated unilateral exploration for primary hyperparathyroidism: a two-institution analysis of more than 2,000 patients","volume":"156","author":"Rajaei","year":"2014","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2024.03.005","article-title":"Surgical tactics of parathyroidectomy: should we abandon the use of ioPTH?","volume":"235","author":"Gomez-Ramirez","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2023.103884","article-title":"Parathyroidectomy trends and surgical trainee parathyroidectomy experience based on the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) database","volume":"44","author":"Beck","year":"2023","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.jss.2026.03.046_bib15","doi-asserted-by":"crossref","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":"Akgun","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib16","article-title":"Current state of autofluorescence technology in parathyroid identification","volume":"253","author":"Gomez-Carrillo","year":"2025","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib17","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.amjsurg.2024.02.006","article-title":"Some thoughts on surgery for primary hyperparathyroidism","volume":"234","author":"Sitges-Serra","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2024.115826","article-title":"Persistent and recurrent hyperparathyroidism - attitude","volume":"238","author":"Procopio","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib19","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.surg.2019.09.005","article-title":"Is it time to redefine cure after parathyroidectomy?","volume":"167","author":"Hughes","year":"2020","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib20","doi-asserted-by":"crossref","first-page":"3022","DOI":"10.1210\/clinem\/dgad316","article-title":"Long-term recurrence rates after surgery in primary hyperparathyroidism","volume":"108","author":"Zaman","year":"2023","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jss.2026.03.046_bib21","doi-asserted-by":"crossref","first-page":"e309","DOI":"10.1097\/SLA.0000000000005688","article-title":"Persistence and recurrence of hypercalcemia after parathyroidectomy over 5 decades (1965-2010) in a community-based cohort","volume":"278","author":"Szabo Yamashita","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib22","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.surg.2016.05.049","article-title":"How long should we follow patients after apparently curative parathyroidectomy?","volume":"161","author":"Lou","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib23","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.surg.2019.05.076","article-title":"Factors associated with late recurrence after parathyroidectomy for primary hyperparathyroidism","volume":"167","author":"Mallick","year":"2020","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib24","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.surg.2021.06.035","article-title":"Recurrence after successful parathyroidectomy-who should we worry about?","volume":"171","author":"Shirali","year":"2022","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.03.046_bib25","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s00423-009-0560-2","article-title":"Reoperation for primary hyperparathyroidism: tips and tricks","volume":"395","author":"Henry","year":"2010","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib26","doi-asserted-by":"crossref","first-page":"2950","DOI":"10.1210\/jc.2011-1010","article-title":"Approach to the patient with persistent or recurrent primary hyperparathyroidism","volume":"96","author":"Udelsman","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jss.2026.03.046_bib27","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.amjsurg.2014.05.006","article-title":"Fewer adverse events after reoperative parathyroidectomy associated with initial minimally invasive parathyroidectomy","volume":"208","author":"Morris","year":"2014","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib28","article-title":"Patients with primary hyperparathyroidism who required three or more parathyroidectomies: could this be prevented?","volume":"254","author":"Savage","year":"2025","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib29","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.jss.2019.08.007","article-title":"Persistent\/Recurrent primary hyperparathyroidism: does the number of abnormal glands play a role?","volume":"246","author":"Mazotas","year":"2020","journal-title":"J Surg Res"},{"key":"10.1016\/j.jss.2026.03.046_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2024.115812","article-title":"Normocalcemic primary hyperparathyroidism: from pathophysiology to clinical management","volume":"235","author":"Wu","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2025.116272","article-title":"Patients with normocalcemic versus hypercalcemic hyperparathyroidism: what's really the difference?","volume":"244","author":"Balachandra","year":"2025","journal-title":"Am J Surg"},{"key":"10.1016\/j.jss.2026.03.046_bib32","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The strengthening the reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jss.2026.03.046_bib33","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.jamcollsurg.2011.12.007","article-title":"Abandoning unilateral parathyroidectomy: why we reversed our position after 15,000 parathyroid operations","volume":"214","author":"Norman","year":"2012","journal-title":"J Am Coll Surg"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001496?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001496?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T03:39:19Z","timestamp":1786678759000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426001496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":33,"alternative-id":["S0022480426001496"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.046","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Long-Term Outcomes and Predictors of Recurrence in Primary Hyperparathyroidism","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.046","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}