AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons.

{"article_title":"AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons.","author":"Stack BC Jr, Tolley NS, Bartel TB, Bilezikian JP, Bodenner D, Camacho P, Cox JPDT, Dralle H, Jackson JE, Morris JC 3rd, Orloff LA, Palazzo F, Ridge JA, Scott-Coombes D, Steward DL, Terris DJ, Thompson G, Randolph GW","journal_title":"Head & neck","issn":"1097-0347","isbn":"","publication_date":"2018-08-01","volume":"40","issue":"8","first_page":"1617","page_count":"","accession_number":"30070413","doi":"","publisher":"John Wiley And Sons","doctype":"Consensus Development Conference","subjects":"Hyperparathyroidism, Primary surgery; Parathyroid Glands surgery; Parathyroidectomy; Reoperation; Bone Density; Calcium blood; Cholecalciferol therapeutic use; Clinical Competence; Diagnosis, Differential; Hospitals, High-Volume; Humans; Hyperparathyroidism, Primary diagnosis; Intraoperative Neurophysiological Monitoring; Medical History Taking; Parathyroid Glands diagnostic imaging; Patient Selection; Postoperative Complications prevention & control; Preoperative Care; Recurrence; Societies, Medical; Vitamin D Deficiency drug therapy; Vitamins therapeutic use","interest_area":["Endocrinology"," Surgery"],"abstract":"Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness. Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed. Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach. \u00a9 2018 Wiley Periodicals, Inc.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=30070413","isPdfLink":true,"isSAML":false,"an":"30070413","number_other":"","type_pub":"","issn_electronic":"1097-0347","languages":"English","language":"eng","date_entry":"","date_update":"","titleSource":"Head & neck [Head Neck] 2018 Aug; Vol. 40 (8), pp. 1617-1629. Date of Electronic Publication: 2018 Aug 02.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2018-08-01","description":"Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present.<br \/>Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness.<br \/>Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed.<br \/>Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach.<br \/> (© 2018 Wiley Periodicals, Inc.)","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=30070413&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Stack BC Jr, Tolley NS, Bartel TB, Bilezikian JP, Bodenner D, Camacho P, Cox JPDT, Dralle H, Jackson JE, Morris JC 3rd, Orloff LA, Palazzo F, Ridge JA, Scott-Coombes D, Steward DL, Terris DJ, Thompson G, Randolph GW","header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"30070413","RelevancyScore":"844","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"843.997619628906"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=30070413&authtype=shib&custid=ns346513&group=main&profile=eds","physicalDescription":{"Pagination":{"StartPage":"1617"}},"additionalInfo":{"Authored_By":"Stack BC Jr, Tolley NS, Bartel TB, Bilezikian JP, Bodenner D, Camacho P, Cox JPDT, Dralle H, Jackson JE, Morris JC 3rd, Orloff LA, Palazzo F, Ridge JA, Scott-Coombes D, Steward DL, Terris DJ, Thompson G, Randolph GW","Journal_Info":"Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE","Publication_Type":"Consensus Development Conference; Journal Article; Practice Guideline","Published_Date":"2018-08-01","Source":"Head & neck [Head Neck] 2018 Aug; Vol. 40 (8), pp. 1617-1629. Date of Electronic Publication: 2018 Aug 02.","Languages":"English","Electronic_ISSN":"1097-0347","MeSH_Terms":"Parathyroidectomy* , Reoperation*, Hyperparathyroidism, Primary\/*surgery , Parathyroid Glands\/*surgery, Bone Density ; Calcium\/blood ; Cholecalciferol\/therapeutic use ; Clinical Competence ; Diagnosis, Differential ; Hospitals, High-Volume ; Humans ; Hyperparathyroidism, Primary\/diagnosis ; Intraoperative Neurophysiological Monitoring ; Medical History Taking ; Parathyroid Glands\/diagnostic imaging ; Patient Selection ; Postoperative Complications\/prevention & control ; Preoperative Care ; Recurrence ; Societies, Medical ; Vitamin D Deficiency\/drug therapy ; Vitamins\/therapeutic use","Subjects":"Bone Density, Calcium blood, Cholecalciferol therapeutic use, Clinical Competence, Diagnosis, Differential, Hospitals, High-Volume, Humans, Hyperparathyroidism, Primary diagnosis, Intraoperative Neurophysiological Monitoring, Medical History Taking, Parathyroid Glands diagnostic imaging, Patient Selection, Postoperative Complications prevention & control, Preoperative Care, Recurrence, Societies, Medical, Vitamin D Deficiency drug therapy, Vitamins therapeutic use, Hyperparathyroidism, Primary surgery, Parathyroid Glands surgery, Parathyroidectomy, Reoperation","Title_Abbreviations":"Head & neck","Volume":"40"}}