{"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":1794049572422,"version":"4.8.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025092","name":"Ministry of Health, Ontario","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025092","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020895","name":"University of Toronto Faculty of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020895","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013885","name":"Kementerian Kesihatan Malaysia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013885","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025090","name":"Ministry of Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","surgjournal.com","clinicalkey.jp","clinicalkey.com.au","clinicalkey.es","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2025,1]]},"DOI":"10.1016\/j.surg.2024.08.052","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T14:23:46Z","timestamp":1731767026000},"page":"108883","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["The effect of surgical management in mitigating fragility fracture risk among individuals with primary hyperparathyroidism"],"prefix":"10.1016","volume":"177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6021-9405","authenticated-orcid":false,"given":"Bahar","family":"Golbon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogeh","family":"Habashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Shellenberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Griffiths","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Avery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minna","family":"Woo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pincus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Eskander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D.","family":"Pasternak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2024.08.052_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00198-016-3716-2","article-title":"Primary hyperparathyroidism: review and recommendations on evaluation, diagnosis, and management. A Canadian and International Consensus","volume":"28","author":"Khan","year":"2017","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.surg.2024.08.052_bib2","doi-asserted-by":"crossref","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\u00a0Bone Miner Res"},{"key":"10.1016\/j.surg.2024.08.052_bib3","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1111\/j.1365-2265.2008.03520.x","article-title":"Epidemiology of primary hyperparathyroidism in Tayside, Scotland, UK","volume":"71","author":"Yu","year":"2009","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.surg.2024.08.052_bib4","doi-asserted-by":"crossref","first-page":"3993","DOI":"10.1210\/jc.2018-01225","article-title":"Primary hyperparathyroidism","volume":"103","author":"Bilezikian","year":"2018","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2024.08.052_bib5","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1136\/bmj.321.7261.598","article-title":"Cohort study of risk of fracture before and after surgery for primary hyperparathyroidism","volume":"321","author":"Vestergaard","year":"2000","journal-title":"Br Med J"},{"key":"10.1016\/j.surg.2024.08.052_bib6","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.2024.08.052_bib7","doi-asserted-by":"crossref","first-page":"3595","DOI":"10.1210\/jc.2014-2000","article-title":"The surgical management of asymptomatic primary hyperparathyroidism: proceedings of the Fourth International Workshop","volume":"99","author":"Udelsman","year":"2014","journal-title":"J\u00a0Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2024.08.052_bib8","doi-asserted-by":"crossref","first-page":"3215","DOI":"10.1007\/s00268-018-4629-3","article-title":"Patient frailty should be used to individualize treatment decisions in primary hyperparathyroidism","volume":"42","author":"Seib","year":"2018","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2024.08.052_bib9","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.surg.2020.04.066","article-title":"Undertreatment of primary hyperparathyroidism in a privately insured US population: decreasing utilization of parathyroidectomy despite expanding surgical guidelines","volume":"169","author":"Seib","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2024.08.052_bib10","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1097\/SLA.0b013e31824dad7d","article-title":"Surgery for primary hyperparathyroidism: are the consensus guidelines being followed?","volume":"255","author":"Yeh","year":"2012","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2024.08.052_bib11","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/SLA.0000000000002474","article-title":"Surgery for primary hyperparathyroidism: adherence to consensus guidelines in an academic health system","volume":"269","author":"Kuo","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2024.08.052_bib12","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.2024.08.052_bib13","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.3390\/medicina57101119","article-title":"Fragility fractures: risk factors and management in the elderly","volume":"57","author":"Migliorini","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"10.1016\/j.surg.2024.08.052_bib14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11657-022-01143-4","article-title":"Risk factors of refracture after a fragility fracture in elderly","volume":"17","author":"Sriruanthong","year":"2022","journal-title":"Arch Osteoporos"},{"key":"10.1016\/j.surg.2024.08.052_bib15","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1007\/s00198-021-05877-8","article-title":"Incremental costs of fragility fractures: a population-based matched-cohort study from Ontario, Canada","volume":"32","author":"Tarride","year":"2021","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.surg.2024.08.052_bib16","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.2024.08.052_bib17","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1136\/bmj.327.7414.530","article-title":"Cohort study on effects of parathyroid surgery on\u00a0multiple outcomes in primary hyperparathyroidism","volume":"327","author":"Vestergaard","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.surg.2024.08.052_bib18","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1046\/j.0954-6820.2003.01237.x","article-title":"Parathyroid surgery is associated with a decreased risk of hip and upper arm fractures in primary hyperparathyroidism: a controlled cohort study","volume":"255","author":"Vestergaard","year":"2004","journal-title":"J\u00a0Intern Med"},{"key":"10.1016\/j.surg.2024.08.052_bib19","doi-asserted-by":"crossref","first-page":"715","DOI":"10.7326\/M15-1232","article-title":"The relationship of parathyroidectomy and bisphosphonates with fracture risk in primary hyperparathyroidism: an observational study","volume":"164","author":"Yeh","year":"2016","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.surg.2024.08.052_bib20","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1001\/jamainternmed.2021.6437","article-title":"Risk of fracture among older adults with primary hyperparathyroidism receiving parathyroidectomy vs nonoperative management","volume":"182","author":"Seib","year":"2022","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.surg.2024.08.052_bib21","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1093\/aje\/kwm324","article-title":"Immortal time bias in pharmacoepidemiology","volume":"167","author":"Suissa","year":"2008","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.surg.2024.08.052_bib23","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1186\/s12891-021-04051-9","article-title":"Fragility fracture identifies patients at imminent risk for subsequent fracture: real-world retrospective database study in Ontario, Canada","volume":"22","author":"Adachi","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.surg.2024.08.052_bib24","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1097\/MLR.0b013e318229360e","article-title":"The mortality risk score and the ADG score: two points-based scoring systems for the Johns Hopkins aggregated diagnosis groups to predict mortality in a general adult population cohort in Ontario, Canada","volume":"49","author":"Austin","year":"2011","journal-title":"Med Care"},{"key":"10.1016\/j.surg.2024.08.052_bib25","first-page":"1","article-title":"Measuring \u2018rurality\u2019 for purposes of health-care planning: an empirical measure for Ontario","volume":"20","author":"Kralj","year":"2009","journal-title":"Ont Med Assoc Econ Dep"},{"key":"10.1016\/j.surg.2024.08.052_bib26","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1080\/01621459.1999.10474144","article-title":"A\u00a0proportional hazards model for the subdistribution of a competing risk on JSTOR","volume":"94","author":"Fine","year":"1999","journal-title":"J\u00a0Am Stat Assoc"},{"key":"10.1016\/j.surg.2024.08.052_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1179551418815916","article-title":"Why is hyperparathyroidism underdiagnosed and undertreated in older adults?","volume":"11","author":"Dombrowsky","year":"2018","journal-title":"Clin Med Insights Endocrinol Diabetes"},{"key":"10.1016\/j.surg.2024.08.052_bib28","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1056\/NEJMoa1600176","article-title":"Cholesterol lowering in intermediate-risk persons without cardiovascular disease","volume":"374","author":"Yusuf","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.surg.2024.08.052_bib29","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1056\/NEJMoa2208375","article-title":"Effect of colonoscopy screening on risks of colorectal cancer and related death","volume":"387","author":"Bretthauer","year":"2022","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.surg.2024.08.052_bib30","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1097\/SLA.0000000000002370","article-title":"Failure to diagnose hyperparathyroidism in 10,432 patients with hypercalcemia: opportunities for system-level intervention to increase surgical referrals and cure","volume":"266","author":"Balentine","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2024.08.052_bib31","doi-asserted-by":"crossref","first-page":"E719","DOI":"10.1097\/SLA.0000000000005781","article-title":"Characterizing the impact of procedure funding on the covid-19 generated procedure gap in Ontario: a population-based analysis","volume":"278","author":"Gomez","year":"2023","journal-title":"Ann Surg"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606024008110?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606024008110?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T21:42:10Z","timestamp":1734126130000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606024008110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":30,"alternative-id":["S0039606024008110"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2024.08.052","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The effect of surgical management in mitigating fragility fracture risk among individuals with primary hyperparathyroidism","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2024.08.052","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"108883"}}