Cost-effectiveness of scan-directed parathyroidectomy

Abstract

Shorter operative time and day-case admission for MIP generate costs savings that compensate only partially for the additional costs associated with parathyroid imaging studies.

Parathyroidectomy is safe and improves symptoms in elderly patients with primary hyperparathyroidism (PHPT)

“…This proportion is twice that observed in the national audit organized by the British Association of Endocrine and Thyroid Surgeons 4 . As expected, MIP is associated with a significantly shorter operating time and a higher proportion of patients being treated as a day case, 28 particularly those aged below 60 and to a lesser extent those aged 60–75.…”

Impact of modern techniques on short-term outcome after surgery for primary hyperparathyroidism: a multicenter study comprising 2,708 patients

“…The cost effectiveness of localization procedures is controversial [3,35]. In the present study, sestamibi scintigraphy was TP for a solitary adenoma in 64% of the patients and in 58% of the patients for ultrasound.…”

Surgical strategy for sporadic primary hyperparathyroidism an evidence-based approach to surgical strategy, patient selection, surgical access, and reoperations

“…In a very large prospective cohort study of 3,000 consecutive patients undergoing parathyroidectomy and discharged within 2.5 h after the operation, only six patients (0.2%) required a visit to the emergency department for intravenous calcium infusion, all occurring on postoperative day3 or later, and none of these patients required rehospitalization [29]. In the experience at Oxford, 74 of 150 patients were discharged the same day and 70 patients were discharged within 23 h after SP [15], while 71 patients undergoing BNE spent a total of 93 days in hospital and only 66% of them were discharged within 24 h [30].…”