{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:59:08Z","timestamp":1787803148701,"version":"build-2784847793"},"reference-count":60,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Bras Endocrinol Metab"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>O hiperparatireoidismo (HPT) secund\u00e1rio tem preval\u00eancia elevada em doentes renais cr\u00f4nicos. Decorre de altera\u00e7\u00f5es na homeostase mineral, principalmente do c\u00e1lcio, que estimulam as gl\u00e2ndulas paratireoides, com aumento na secre\u00e7\u00e3o de paratorm\u00f4nio (PTH). O est\u00edmulo prolongado pode levar \u00e0 autonomia na fun\u00e7\u00e3o paratire\u00f3idea. Inicialmente, o tratamento \u00e9 cl\u00ednico, mas a paratireoidectomia (PTx) pode ser necess\u00e1ria. A PTx pode ser total, subtotal e total seguida de autoimplante de tecido paratire\u00f3ideo. Este trabalho compara as indica\u00e7\u00f5es e resultados dessas t\u00e9cnicas na literatura. Foi realizada revis\u00e3o sistematizada dos trabalhos publicados entre janeiro de 2008 e mar\u00e7o de 2014 sobre tratamento cir\u00fargico do hiperparatireoidismo secund\u00e1rio nas bases de dados MedLine e LILACS. Foram utilizados os termos: hiperparatireoidismo; hiperparatireoidismo secund\u00e1rio; gl\u00e2ndulas paratireoides e paratireoidectomia. Foram restritos a pesquisas apenas em humanos; artigos dispon\u00edveis em meio eletr\u00f4nico; publicados em portugu\u00eas, espanhol, ingl\u00eas ou franc\u00eas. A amostra final foi constitu\u00edda de 49 artigos. A PTx subtotal e a total mais autoimplante foram as t\u00e9cnicas mais utilizadas, sem consenso sobre a t\u00e9cnica mais efetiva. Embora haja certa prefer\u00eancia pela \u00faltima, a escolha depende da experi\u00eancia do cirurgi\u00e3o. H\u00e1 consenso sobre a necessidade de identificar todas as paratireoides e sobre a criopreserva\u00e7\u00e3o de tecido paratire\u00f3ideo, quando poss\u00edvel, para enxerto em caso de hipoparatireoidismo. Exames de imagem podem ser \u00fateis, especialmente nas recidivas. Tratamentos alternativos do HPT secund\u00e1rio, tanto intervencionistas quanto conservadores, carecem de estudos mais aprofundados.<\/jats:p>","DOI":"10.1590\/0004-2730000003372","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T14:56:24Z","timestamp":1408546584000},"page":"562-571","source":"Crossref","is-referenced-by-count":12,"title":["Tratamento cir\u00fargico do hiperparatireoidismo secund\u00e1rio: revis\u00e3o sistematizada da literatura"],"prefix":"10.1590","volume":"58","author":[{"given":"Felipe Ferraz","family":"Magnabosco","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos Roberto","family":"Tavares","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Luiz de 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