European Expert Consensus on Practical Management of Specific Aspects of Parathyroid Disorders in Adults and in Pregnancy: Recommendations of the ESE Educational Program of Parathyroid Disorders.

Bollerslev, Jens, Rejnmark, Lars, Zahn, Alexandra, Heck, Ansgar, Appelman-Dijkstra, N M, Cardoso, Luis, Hannan, Fadil M, Cetani, Filomena, Sikjær, Tanja, Formenti, Anna Maria, Björnsdottir, Sigridur, Schalin-Jantti, Camilla, Belaya, Zhanna, Gibb, Fraser Wilson, Lapauw, Bruno, Amrein, Karin, Wicke, Corinna, Grasemann, Corinna, Krebs, Michael, Ryhänen, Eeva M, Makay, Ozer, Minisola, Salvatore, Gaujoux, Sebastien, Bertocchio, Jean-Philippe, Hassan-Smith, Zaki K, Linglart, Agnès, Winter, Elizabeth M, Kollmann, Martina, Zmierczak, Hans-Georg, Tsourdi, Elena, Pilz, Stefan, Siggelkow, Heide, Gittoes, Neil J L, Marcocci, Claudio and Kamenicky, Peter (2021) European Expert Consensus on Practical Management of Specific Aspects of Parathyroid Disorders in Adults and in Pregnancy: Recommendations of the ESE Educational Program of Parathyroid Disorders. European journal of endocrinology. ISSN 1479-683X. This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/

Full text not available from this repository.
Official URL: https://eje.bioscientifica.com

Abstract

This European expert consensus statement provides recommendations for the diagnosis and management of primary hyperparathyroidism (PHPT), chronic hypoparathyroidism in adults (HypoPT), and parathyroid disorders in relation to pregnancy and lactation. Specified areas of interest and unmet needs identified by experts at the second ESE Educational Program of Parathyroid Disorders (PARAT) in 2019, were discussed during two virtual workshops in 2021, and subsequently developed by working groups with interest in the specified areas. PHPT is a common endocrine disease. However, its differential diagnosing to familial hypocalciuric hypercalcemia (FHH), the definition and clinical course of normocalcemic PHPT, and the optimal management of its recurrence after surgery represent areas of uncertainty requiring clarifications. HypoPT is an orphan disease characterized by low calcium concentrations due to insufficient PTH secretion, most often secondary to neck surgery. Prevention and prediction of surgical injury to the parathyroid glands are essential to limit the disease-related burden. Long-term treatment modalities including the place for PTH replacement therapy and the optimal biochemical monitoring and imaging surveillance for complications to treatment in chronic HypoPT, need to be refined. The physiological changes in calcium metabolism occurring during pregnancy and lactation modify the clinical presentation and management of parathyroid disorders in these periods of life. Modern interdisciplinary approaches to PHPT and HypoPT in pregnant and lactating women and their newborns children are proposed. The recommendations on clinical management presented here will serve as background for further educational material aimed for a broader clinical audience, and were developed with focus on endocrinologists in training.

Item Type: Article
Additional Information: This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/
Subjects: WE Musculoskeletal. Orthopaedics
WK Endocrine system. Endocrinology
WO Surgery
WP Gynaecology. Women’s health
WQ Obstetrics. Midwifery
WS Paediatrics. Child health
Divisions (November 2021 Onwards): Endocrinology
Related URLs:
Depositing User: Lotty Summers
Date Deposited: 17 Dec 2021 11:29
Last Modified: 17 Dec 2021 11:29
URI: http://www.repository.uhblibrary.co.uk/id/eprint/4922

Actions (login required)

View Item View Item