{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T11:06:12Z","timestamp":1794049572391,"version":"4.8.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.1016\/j.surg.2021.06.035","type":"journal-article","created":{"date-parts":[[2021,7,31]],"date-time":"2021-07-31T01:36:43Z","timestamp":1627695403000},"page":"40-46","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Recurrence after successful parathyroidectomy\u2014Who should we worry about?"],"prefix":"10.1016","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8132-3391","authenticated-orcid":false,"given":"Aditya S.","family":"Shirali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1636-8382","authenticated-orcid":false,"given":"Si-Yuan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Ju","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul H.","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth G.","family":"Grubbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey E.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy D.","family":"Perrier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah B.","family":"Fisher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2021.06.035_bib1","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1067\/j.cpsurg.2010.08.002","article-title":"New trends in parathyroid surgery","volume":"47","author":"Adler","year":"2010","journal-title":"Curr Probl Surg"},{"key":"10.1016\/j.surg.2021.06.035_bib2","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1016\/j.surg.2013.06.051","article-title":"The prevalence of undiagnosed and unrecognized primary hyperparathyroidism: A population-based analysis from the electronic medical record","volume":"154","author":"Press","year":"2013","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib3","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","year":"2013","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2021.06.035_bib4","doi-asserted-by":"crossref","first-page":"3561","DOI":"10.1210\/jc.2014-1413","article-title":"Guidelines for the management of asymptomatic primary hyperparathyroidism: Summary statement from the Fourth International Workshop","volume":"99","author":"Bilezikian","year":"2014","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2021.06.035_bib5","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.surg.2021.06.035_bib6","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1007\/s00268-007-9068-5","article-title":"1112 consecutive bilateral neck explorations for primary hyperparathyroidism","volume":"31","author":"Allendorf","year":"2007","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2021.06.035_bib7","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/SLA.0b013e318208fed9","article-title":"The superiority of minimally invasive parathyroidectomy based on 1650 consecutive patients with primary hyperparathyroidism","volume":"253","author":"Udelsman","year":"2011","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2021.06.035_bib8","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1067\/msy.2099.101433","article-title":"Outpatient minimally invasive parathyroidectomy: A combination of sestamibi-SPECT localization, cervical block anesthesia, and intraoperative parathyroid hormone assay","volume":"126","author":"Chen","year":"1999","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib9","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.surg.2012.08.022","article-title":"Is minimally invasive parathyroidectomy associated with greater recurrence compared to bilateral exploration? Analysis of more than 1,000 cases","volume":"152","author":"Schneider","year":"2012","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib10","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.surg.2021.06.035_bib11","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.surg.2021.06.035_bib12","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.surg.2021.06.035_bib13","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.surg.2020.05.049","article-title":"Early biochemical response to parathyroidectomy for primary hyperparathyroidism and its predictive value for recurrent hypercalcemia and recurrent primary hyperparathyroidism","volume":"169","author":"Ryder","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib14","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.surg.2012.07.005","article-title":"Persistent elevation in serum parathyroid hormone levels in normocalcemic patients after parathyroidectomy: Does it matter?","volume":"152","author":"Carsello","year":"2012","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib15","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/j.surg.2005.09.018","article-title":"25-hydroxyvitamin D deficiency is a risk factor for symptoms of postoperative hypocalcemia and secondary hyperparathyroidism after minimally invasive parathyroidectomy","volume":"138","author":"Stewart","year":"2005","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib16","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S0002-9610(01)00664-X","article-title":"Normocalcemia with elevated parathyroid hormone levels after surgical treatment of primary hyperparathyroidism","volume":"182","author":"Denizot","year":"2001","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2021.06.035_bib17","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1007\/s002680010219","article-title":"Postoperative elevated serum levels of intact parathyroid hormone after surgery for parathyroid adenoma: Sign of bone remineralization and decreased calcium absorption","volume":"24","author":"Westerdahl","year":"2000","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2021.06.035_bib18","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1016\/j.surg.2006.07.028","article-title":"Improved preoperative planning for directed parathyroidectomy with 4-dimensional computed tomography","volume":"140","author":"Rodgers","year":"2006","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2021.06.035_bib19","doi-asserted-by":"crossref","first-page":"142","DOI":"10.3174\/ajnr.A5901","article-title":"Solitary parathyroid adenoma localization in technetium Tc99m sestamibi SPECT and multiphase multidetector 4D CT","volume":"40","author":"Vu","year":"2019","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.surg.2021.06.035_bib20","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1148\/radiol.2019182122","article-title":"Diagnostic performance of 4D CT and sestamibi SPECT\/CT in localizing parathyroid adenomas in primary hyperparathyroidism","volume":"291","author":"Yeh","year":"2019","journal-title":"Radiology"},{"key":"10.1016\/j.surg.2021.06.035_bib21","doi-asserted-by":"crossref","first-page":"e328","DOI":"10.1210\/clinem\/dgaa779","article-title":"Use of preoperative imaging in primary hyperparathyroidism","volume":"106","author":"Broome","year":"2021","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2021.06.035_bib22","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.surg.2020.03.009","article-title":"Genetic testing in endocrine surgery: Opportunities for precision surgery","volume":"168","author":"Alobuia","year":"2020","journal-title":"Surgery"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606021006498?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606021006498?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:00:17Z","timestamp":1758538817000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606021006498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["S0039606021006498"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2021.06.035","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Recurrence after successful parathyroidectomy\u2014Who should we worry about?","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2021.06.035","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}