Effects of preoperative parathyroid localisation studies on the cost of operations for persistent hyperparathyroidism.

• To find out whether preoperative parathyroid localisation studies are cost-effective in patients with persistent hyperparathyroidism (HPT).Retrospective study.University hospital, Sweden.29 consecutive patients with persistent HPT who were reoperated on with or without localisation studies. 15 other patients had initial operations for HPT without localisation studies.Initial or repeat operation for HPT, localisation studies with 99mTc sestamibi scintigraphy, and catheterisation of large cervical and mediastinal veins with measurements of serum concentrations of parathyroid hormone.Operative time. Cost of operations, frozen section biopsy and localisation studies.The mean durations of reoperation with localisation studies and for the initial operation without them, were 124 and 135 minutes, respectively, while it was 269 minutes for reoperation without studies. For patients who had localisation studies the mean total cost of the investigations, operating time, and frozen section biopsy was 28% less than for patients who were reoperated on without such studies.Preoperative localisation studies before repeat operations for HPT were cost-effective. Even if it has not been shown in this series, the reduction in operating time and the extent of dissection by localisation studies has the potential to decrease morbidity.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

Biopsy

economics

Catheterization

Central Venous

economics

Cost-Benefit Analysis

Female

Humans

Hyperparathyroidism

diagnosis

diagnostic imaging

economics

surgery

Male

Middle Aged

Parathyroid Hormone

blood

Parathyroidectomy

economics

Preoperative Care

economics

Radiography

Interventional

economics

Radionuclide Imaging

Radiopharmaceuticals

Recurrence

Reoperation

Retrospective Studies

Technetium Tc 99m Sestamibi

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)