{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:11:54Z","timestamp":1791893514774,"version":"4.3.4"},"reference-count":124,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T00:00:00Z","timestamp":1639872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T00:00:00Z","timestamp":1639872000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop evidence\u2010based recommendations to guide the surgical management and postoperative follow\u2010up of adults with primary hyperparathyroidism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Representatives from relevant Australian and New Zealand Societies used a systematic approach for adaptation of guidelines (ADAPTE) to derive an evidence\u2010informed position statement addressing eight key questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Diagnostic imaging does not determine suitability for surgery but can guide the planning of surgery in suitable candidates. First\u2010line imaging includes ultrasound and either parathyroid 4DCT or scintigraphy, depending on local availability and expertise. Minimally invasive parathyroidectomy is appropriate in most patients with concordant imaging. Bilateral neck exploration should be considered in those with discordant\/negative imaging findings, multi\u2010gland disease and genetic\/familial risk factors. Parathyroid surgery, especially re\u2010operative surgery, has better outcomes in the hands of higher volume surgeons. Neuromonitoring is generally not required for initial surgery but should be considered for re\u2010operative surgery. Following parathyroidectomy, calcium and parathyroid hormone levels should be re\u2010checked in the first 24\u2009h and repeated early if there are risk factors for hypocalcaemia. Eucalcaemia at 6 months is consistent with surgical cure; parathyroid hormone levels do not need to be re\u2010checked in the absence of other clinical indications. Longer\u2010term surveillance of skeletal health is recommended.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This position statement provides up\u2010to\u2010date guidance on evidence\u2010based best practice surgical and postoperative management of adults with primary hyperparathyroidism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cen.14650","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T01:43:18Z","timestamp":1639964598000},"page":"516-530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Primary hyperparathyroidism in adults\u2014(Part II) surgical management and postoperative follow\u2010up: Position statement of the Endocrine Society of Australia, The Australian &amp; New Zealand Endocrine Surgeons, and The Australian &amp; New Zealand Bone and Mineral Society"],"prefix":"10.1111","volume":"101","author":[{"given":"Julie A.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Surgery The Royal Melbourne Hospital Melbourne Victoria Australia"},{"name":"Department of Surgery University of Melbourne Melbourne Victoria Australia"},{"name":"Endocrine Surgical Centre Epworth Hospital Network Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Gundara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Redland Hospital, Metro South and Faculty of Medicine University of Queensland Saint Lucia Queensland Australia"},{"name":"Department of Surgery, Logan Hospital, Metro South and School of Medicine and Dentistry Griffith University Nathan Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of General Surgery Wellington Regional Hospital Wellington New Zealand"},{"name":"Department of Surgery University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhuni","family":"Herath","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Monash Health Clayton Victoria Australia"},{"name":"Centre for Endocrinology &amp; 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