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Refractory hyperparathyroidism occurs when parathyroid glands fail to respond to medical therapy. Parathyroidectomy (PTX), surgical resection of parathyroid glands, is usually performed in cases of persistent serum levels of PTH above 1000\u00a0pg\/mL associated with hypercalcemia or when hyperparathyroidism is refractory to conservative therapy. Parathyroidectomy can be carried out using different procedures: subtotal PTX or total PTX with or without parathyroid autotransplantation. Parathyroid surgery may have undesirable consequences due to PTH oversuppression, such as the development of adynamic bone disease; hungry bone syndrome is quite common after this surgery. However, PTX improves survival and parameters of mineral metabolism. Parathyroidectomy needs to be considered in those patients with severe hyperparathyroidism with a poor response to pharmacological treatment and with distinct undesirable effects of PTH on bone and mineral metabolism parameters.<\/jats:p>","DOI":"10.1111\/sdi.12772","type":"journal-article","created":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T02:56:37Z","timestamp":1547780197000},"page":"444-451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Parathyroidectomy in dialysis patients: Indications, methods, and consequences"],"prefix":"10.1111","volume":"32","author":[{"given":"Mar\u00eda E.","family":"Rodr\u00edguez\u2010Ortiz","sequence":"first","affiliation":[{"name":"Maim\u00f3nides Institute for Biomedical Research (IMIBIC) C\u00f3rdoba Spain"},{"name":"Reina Sof\u00eda University Hospital C\u00f3rdoba Spain"},{"name":"University of C\u00f3rdoba C\u00f3rdoba Spain"},{"name":"Spanish Renal Research 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