{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T06:56:16Z","timestamp":1770965776493,"version":"3.50.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>RESUMO Objetivo: avaliar o benef\u00edcio de paratireoidectomia em pacientes submetidos \u00e0 hemodi\u00e1lise, em rela\u00e7\u00e3o ao estado nutricional e bioqu\u00edmico, composi\u00e7\u00e3o corporal e a qualidade de vida. M\u00e9todos: estudo longitudinal envolvendo 28 adultos em programa de hemodi\u00e1lise, com hiperparatireoidismo secund\u00e1rio grave, avaliados antes e um ano ap\u00f3s a cirurgia. Crit\u00e9rios de inclus\u00e3o: n\u00edveis de paratorm\u00f4nio dez vezes superior ao valor de referencia e doen\u00e7a renal cr\u00f4nica em programa de hemodi\u00e1lise. O \u00edndice de massa corporal foi utilizado para classifica\u00e7\u00e3o do estado nutricional. A bioimped\u00e2ncia el\u00e9trica para avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal. A an\u00e1lise bioqu\u00edmica incluiu dosagem de lip\u00eddios e marcadores do metabolismo \u00f3sseo. A qualidade de vida foi avaliada pelo question\u00e1rio SF36 (Short Form Health Survey). Todos os pacientes foram submetidos \u00e0 paratireoidectomia total com implante em antebra\u00e7o. Resultados: houve ganho significativo de peso corporal (61,7 vs 66,0 kg; p&lt;0,001), da massa celular corporal (22,0 vs 24,5 kg\/m2; p=0,05) e da qualidade de vida (p=0,001) ap\u00f3s a cirurgia. Com rela\u00e7\u00e3o ao metabolismo \u00f3sseo, PTH intacto, c\u00e1lcio, f\u00f3sforo e fosfatase alcalina, se estabilizaram e houve melhora em par\u00e2metros bioqu\u00edmicos, tais como albumina e hemoglobina. Conclus\u00e3o: a paratireoidectomia melhora a sobrevida em pacientes de hemodi\u00e1lise e est\u00e1 associada a aumento de peso, ganho de massa \u00f3ssea e melhoria na qualidade de vida.<\/jats:p>","DOI":"10.1590\/0100-69912017003007","type":"journal-article","created":{"date-parts":[[2017,7,29]],"date-time":"2017-07-29T23:14:55Z","timestamp":1501370095000},"page":"263-269","source":"Crossref","is-referenced-by-count":10,"title":["Paratireoidectomia na doen\u00e7a renal cr\u00f4nica: efeitos no ganho de peso e na melhora da qualidade de vida"],"prefix":"10.1590","volume":"44","author":[{"given":"Henyse Gomes","family":"Valente-Da-Silva","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina Ara\u00fajo","family":"Maya","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie Seixas","family":"Moreira","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1053\/j.ackd.2014.06.002","article-title":"Health policy, disparities, and the kidney","volume":"22","author":"Williams AW","year":"2015","journal-title":"Adv Chronic Kidney Dis"},{"key":"ref2","series-title":"2014 USRDS annual data report: Epidemiology of kidney disease in the United States","year":"2014"},{"key":"ref3","series-title":"Obesity: Preventing and Managing the Global Epidemic. 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