{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:55:47Z","timestamp":1780581347375,"version":"3.54.1"},"reference-count":22,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"DOI":"10.1016\/j.surg.2025.109706","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T03:53:06Z","timestamp":1758858786000},"page":"109706","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Use of a Best Practice Advisory to increase the detection rate of hyperparathyroidism"],"prefix":"10.1016","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4940-7501","authenticated-orcid":false,"given":"Rebecca S.","family":"Gates","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"McCoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Behnke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adegbenga","family":"Bankole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Vallia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Nussbaum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Tershak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2025.109706_bib1","series-title":"StatPearls","article-title":"Primary hyperparathyroidism","author":"Pokhrel","year":"2024"},{"key":"10.1016\/j.surg.2025.109706_bib2","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 Clin Endocrinol Metab"},{"key":"10.1016\/j.surg.2025.109706_bib3","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.15396","article-title":"Analysis of comorbidities, clinical outcomes, and parathyroidectomy in adults with primary hyperparathyroidism","volume":"5","author":"Axelsson","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.surg.2025.109706_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12902-023-01302-9","article-title":"Primary hyperparathyroidism in young patients is associated with metabolic disorders: a prospective comparative study","volume":"23","author":"Bibik","year":"2023","journal-title":"BMC Endocr Disord"},{"key":"10.1016\/j.surg.2025.109706_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12902-023-01344-z","article-title":"Quality of life in patients with primary hyperparathyroidism before and after parathyroidectomy: long term single center experience","volume":"23","author":"Ionova","year":"2023","journal-title":"BMC Endocr Disord"},{"key":"10.1016\/j.surg.2025.109706_bib6","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00198-022-06629-y","article-title":"Primary hyperparathyroidism and fracture probability","volume":"34","author":"Kanis","year":"2023","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.surg.2025.109706_bib7","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.2025.109706_bib8","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s00240-020-01239-x","article-title":"Effect of parathyroidectomy on renal stone recurrence","volume":"49","author":"Charles","year":"2021","journal-title":"Urolithiasis"},{"key":"10.1016\/j.surg.2025.109706_bib9","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1002\/jbmr.4763","article-title":"Positive effect of parathyroidectomy compared to observation on BMD in a randomized controlled trial of mild primary hyperparathyroidism","volume":"38","author":"Lundstam","year":"2023","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.surg.2025.109706_bib10","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1001\/jamasurg.2022.4249","article-title":"Long-term quality of life after parathyroidectomy for primary hyperparathyroidism: a systematic review","volume":"157","author":"Livschitz","year":"2022","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2025.109706_bib11","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.2025.109706_bib12","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.2025.109706_bib13","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1001\/jamainternmed.2023.7389","article-title":"Evaluation of a best-practice advisory for primary aldosteronism screening","volume":"184","author":"Charoensri","year":"2024","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.surg.2025.109706_bib14","article-title":"Interacting with best practice advisory (BPA) notifications in the electronic medical record significantly improves screening rates for abdominal aortic aneurysms","volume":"2","author":"Pinkney","year":"2024","journal-title":"JVS-Vasc Insights"},{"key":"10.1016\/j.surg.2025.109706_bib15","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1159\/000355526","article-title":"What is hypercalcemia? The importance of fasting samples","volume":"3","author":"Siyam","year":"2013","journal-title":"Cardiorenal Med"},{"key":"10.1016\/j.surg.2025.109706_bib16","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1016\/j.surg.2006.07.032","article-title":"Cost-effectiveness analysis of parathyroidectomy for asymptomatic primary hyperparathyroidism","volume":"140","author":"Zanocco","year":"2006","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2025.109706_bib17","doi-asserted-by":"crossref","first-page":"69","DOI":"10.4158\/EP10311.RA","article-title":"Cost-effectiveness of parathyroidectomy for primary hyperparathyroidism","volume":"17","author":"Zanocco","year":"2011","journal-title":"Endocr Pract"},{"key":"10.1016\/j.surg.2025.109706_bib18","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1001\/jamainternmed.2022.2684","article-title":"An electronic medical record\u2013based decision support tool for the diagnosis of primary hyperparathyroidism","volume":"182","author":"Dawood","year":"2022","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.surg.2025.109706_bib19","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.surg.2020.11.014","article-title":"Utilization of a quality reporting system to increase faculty participation in resident operative assessment","volume":"169","author":"Naples","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2025.109706_bib20","series-title":"Cultural Issues in Healthcare: Emerging Challenges and Opportunities","first-page":"93","article-title":"Appalachians and health: the impact of history and culture on healthcare decisions and disparities","author":"Stanzak","year":"2023"},{"key":"10.1016\/j.surg.2025.109706_bib21","article-title":"Factors associated with delaying and forgoing care due to cost among long-term, Appalachian cancer survivors in rural North Carolina","volume":"1","author":"Falk","year":"2023","journal-title":"Cancer Surviv Res Care"},{"key":"10.1016\/j.surg.2025.109706_bib22","article-title":"A therapeutic approach to primary hyperparathyroidism: a collaborative evaluation between endocrinology and surgery","volume":"15","author":"Behnke","year":"2023","journal-title":"Cureus"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025005586?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025005586?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T04:26:57Z","timestamp":1780201617000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606025005586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":22,"alternative-id":["S0039606025005586"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2025.109706","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Use of a Best Practice Advisory to increase the detection rate of hyperparathyroidism","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2025.109706","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109706"}}