Differences in primary hyperparathyroidism characteristics between children and adolescents

Živaljević, Vladan; Jovanović, Milan; Diklić, Aleksandar; Zdravković, Vera; Djordjevic, Maja; Paunović, Ivan

doi:10.1016/j.jpedsurg.2019.09.023

Cited by 16 publications

(23 citation statements)

References 15 publications

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“…Applying about 10 cm long swatches to the patient's pain level, 0-10 scale corresponds to 0-10 points, patients evaluate the degree of pain in their own pain, and patient pain levels are positively correlated with the score. Life Quality Rating [ 10 ]. Social function, physiological functions, mental health, physical pain, emotional function, etc.…”

Section: Methodsmentioning

confidence: 99%

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Chen

Zhao

et al. 2022

Applied Bionics and Biomechanics

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Objective. To explore the effects of cluster nursing on VAS score and urinary system function of patients after percutaneous nephrolithotomy with pneumatic lithotripsy (PCNL). Methods. November 2019-January 2019, 114 patients with PCNL who received treatment in our hospital were selected and randomly divided into two groups: the control group and the study group. The study group received cluster nursing, and the control group received routine nursing. Compare the Barthel index (BI), between two groups, SAS score, complications rate, surgical outcomes, pain scores, quality of life scores, knowledge awareness rate, and satisfaction rate were compared. Results. There were no significant variations in Bi and SAS scores before the nursing ( P > 0.05 ). The BI ratings were clearly higher after nursing, whereas the SAS and pain levels were considerably lower, however, the research group altered more dramatically ( P 0.05 ). The study group’s incidence of complications was lower ( P 0.05 ) than the control group’s; the study group’s hospitalization cost was lower, and the hospitalization and lower bed activity were shorter ( P 0.05 ); after the nursing, the organised quality score was significantly higher in both groups, but the research group changed more dramatically ( P 0.05 ). Compared with the control group, the knowledge of the research team was higher ( P < 0.05 ); after the nursing, both group satisfaction scores were obviously high, but the study group changes more significantly ( P < 0.05 ). Conclusion. After PCNL treatment, the patient receives cluster therapy, improving the patient’s anxiety, reducing the degree of pain, and improving the quality of life in patients, and the patient satisfaction is high. Therefore, cluster nursing is worthy of extensive application in the postoperative care of patients with PCNL.

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Section: Methodsmentioning

confidence: 99%

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Chen

Zhao

et al. 2022

Applied Bionics and Biomechanics

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“…The prevalence of PHPT is affected by age, sex, race, and gender, with postmenopausal women showing the highest prevalence worldwide. In recent years, its prevalence has increased further worldwide, which has been attributed, in part, to improved screening methodologies, usage of lithium and thiazide drugs, and increased rates of obesity and hypertension [2][3][4]. In Europe and the United States, PHPT is considered to be the third most common endocrine disease after diabetes and hyperthyroidism [5].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of ultrasonography and Tc-99m MIBI SPECT/CT in preoperative localization of parathyroid adenomas causing primary hyperthyroidism

Zhao

Yin

et al. 2021

BMC Med Imaging

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Background Primary hyperparathyroidism (PHPT) results from an excess of parathyroid hormone (PTH) produced from an overactive parathyroid gland. The study aimed to explore the sonographic features of parathyroid adenomas and assess the diagnostic performance of ultrasonography (US) and Tc-99m MIBI SPECT/CT for preoperative localization of parathyroid adenomas. Methods A total of 107 patients were enrolled in this retrospective study who had PHPT and underwent parathyroidectomy. Of the 107 patients, 97 performed US and Tc-99m MIBI SPECT/CT examinations for preoperative localization of parathyroid nodules. The sensitivity and accuracy of each modality were calculated. Results In this study, residual parathyroid sign and polar vascular sign were identified as characteristic US features of parathyroid adenomas. These manifestations were closely related to the size of the abnormal parathyroid lesions. Among the 108 parathyroid nodules from 97 patients with PHPT, the sensitivity and accuracy of US for locating the parathyroid nodules were significantly higher than those of Tc-99m MIBI SPECT/CT (93.0% vs. 63.0% and 88.0% vs. 63.0% respectively; χ2 = 26.224, 18.227 respectively, P < 0.001). The differences between US + Tc-99m MIBI SPECT/CT and Tc-99m MIBI SPECT/CT-alone were statistically significant (χ2 = 33.410, 21.587 respectively, P < 0.001), yet there were no significant differences in the sensitivity or accuracy between US + Tc-99m MIBI SPECT/CT and US-alone (χ2 = 0.866, 0.187 respectively, P = 0.352 and 0.665). Conclusions US shows significantly better sensitivity and accuracy for localization of parathyroid adenomas than Tc-99m MIBI SPECT/CT. However, US combined with Tc-99m MIBI SPECT/CT is of great clinical value in the preoperative localization of parathyroid nodules in patients with PHPT.

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“…In contrast, approximately 80% of children with PHPT are symptomatic (5). This delay in diagnosis leads to organ damage, and children with PHPT are usually seriously ill (6).…”

Section: Discussionmentioning

confidence: 99%

Primary hyperparathyroidism in a child with abdominal pain and hematuria

Fukaya

Oto

Inoue

et al. 2021

Clin Pediatr Endocrinol

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Differences in primary hyperparathyroidism characteristics between children and adolescents

Cited by 16 publications

References 15 publications

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Impact of Cluster Nursing on Nursing on VAS Score and Urinary Function of Patients after Percutaneous Nephrolithotomy with Pneumatic Lithotripsy (PCNL)

Efficacy of ultrasonography and Tc-99m MIBI SPECT/CT in preoperative localization of parathyroid adenomas causing primary hyperthyroidism

Primary hyperparathyroidism in a child with abdominal pain and hematuria

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