Current evidence for recommendation of surgery, medical treatment and vitamin D repletion in mild primary hyperparathyroidism
Bollerslev, Jens × Marcocci, Claudio Sosa, Manuel Nordenstrom, Jorgen Bouillon, Roger Mosekilde, Leif #
European Journal of Endocrinology vol:165 issue:6 pages:851-864
Management of patients with mild primary hyperparathyroidism (PHPT) has been widely discussed because most patients today do not have specific symptoms. While surgery is always an option, the recommendations for treatment have shifted, which mostly reflects changes in clinical practice. In this study, we aimed to evaluate evidence for the current recommendations concerning operation vs observation, repletion with vitamin D (VitD) and alternative medical management.