Matches in SemOpenAlex for { <https://semopenalex.org/work/W47262016> ?p ?o ?g. }
Showing items 1 to 75 of
75
with 100 items per page.
- W47262016 endingPage "8" @default.
- W47262016 startingPage "S62" @default.
- W47262016 abstract "The appropriate use of phosphate binders, calcium supplements and especially calcitriol therapy has significantly decreased the incidence of overt secondary hyperparathyroidism in dialysis patients. Nevertheless some patients may still need parathyroidectomy, especially in the event of severe clinical signs and symptoms such as persistent hypercalcemia, pruritus, calcifilaxis, or extensive extra-skeletal calcification. Since aluminum-induced bone disease may resemble hyperparathyroidism in dialysis patients, whenever parathyroidectomy is contemplated the diagnosis of secondary hyperparathyroidism must be firmly established. Thus, a bone biopsy is mandatory prior to parathyroidectomy. It is our experience that once the patient goes to surgery the most important factor in the surgical approach is the presence of a skilled surgeon who has extensive experience in parathyroid gland surgery. The data comparing subtotal parathyroidectomy with total parathyroidectomy and autotransplantation are similar. The most important shortcoming is the lack of long-term follow-up. Recently, new data by several investigators has been advanced reintroducing total parathyroidectomy. Long-term observations in patients who despite total parathyroidectomy still have normal PTH levels are of special interest. In addition, long-term follow-up of these patients has shown that normal plasma calcium and phosphorus levels may be maintained without the use of Vitamin D; this occurred in the presence of active mineralization. However, our major objection to this procedure is the risk of aluminum-induced bone disease. At the present time we feel that the relative high incidence of recurrent hyperparathyroidism following subtotal parathyroidectomy is a reasonable trade off for the risk of aluminum bone disease which may develop in absence of PTH.(ABSTRACT TRUNCATED AT 250 WORDS)" @default.
- W47262016 created "2016-06-24" @default.
- W47262016 creator A5051229288 @default.
- W47262016 date "1990-09-01" @default.
- W47262016 modified "2023-09-23" @default.
- W47262016 title "Parathyroidectomy in chronic renal failure: indications, surgical approach and the use of calcitriol." @default.
- W47262016 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/2214549" @default.
- W47262016 hasPublicationYear "1990" @default.
- W47262016 type Work @default.
- W47262016 sameAs 47262016 @default.
- W47262016 citedByCount "25" @default.
- W47262016 countsByYear W472620162012 @default.
- W47262016 countsByYear W472620162014 @default.
- W47262016 countsByYear W472620162016 @default.
- W47262016 countsByYear W472620162018 @default.
- W47262016 crossrefType "journal-article" @default.
- W47262016 hasAuthorship W47262016A5051229288 @default.
- W47262016 hasConcept C124490489 @default.
- W47262016 hasConcept C126322002 @default.
- W47262016 hasConcept C126894567 @default.
- W47262016 hasConcept C141071460 @default.
- W47262016 hasConcept C2775945674 @default.
- W47262016 hasConcept C2776079296 @default.
- W47262016 hasConcept C2776169692 @default.
- W47262016 hasConcept C2776541429 @default.
- W47262016 hasConcept C2776954043 @default.
- W47262016 hasConcept C2777645128 @default.
- W47262016 hasConcept C2778122501 @default.
- W47262016 hasConcept C2778838027 @default.
- W47262016 hasConcept C2779053571 @default.
- W47262016 hasConcept C2779134260 @default.
- W47262016 hasConcept C2779978075 @default.
- W47262016 hasConcept C2781208988 @default.
- W47262016 hasConcept C2911091166 @default.
- W47262016 hasConcept C519063684 @default.
- W47262016 hasConcept C71924100 @default.
- W47262016 hasConceptScore W47262016C124490489 @default.
- W47262016 hasConceptScore W47262016C126322002 @default.
- W47262016 hasConceptScore W47262016C126894567 @default.
- W47262016 hasConceptScore W47262016C141071460 @default.
- W47262016 hasConceptScore W47262016C2775945674 @default.
- W47262016 hasConceptScore W47262016C2776079296 @default.
- W47262016 hasConceptScore W47262016C2776169692 @default.
- W47262016 hasConceptScore W47262016C2776541429 @default.
- W47262016 hasConceptScore W47262016C2776954043 @default.
- W47262016 hasConceptScore W47262016C2777645128 @default.
- W47262016 hasConceptScore W47262016C2778122501 @default.
- W47262016 hasConceptScore W47262016C2778838027 @default.
- W47262016 hasConceptScore W47262016C2779053571 @default.
- W47262016 hasConceptScore W47262016C2779134260 @default.
- W47262016 hasConceptScore W47262016C2779978075 @default.
- W47262016 hasConceptScore W47262016C2781208988 @default.
- W47262016 hasConceptScore W47262016C2911091166 @default.
- W47262016 hasConceptScore W47262016C519063684 @default.
- W47262016 hasConceptScore W47262016C71924100 @default.
- W47262016 hasLocation W472620161 @default.
- W47262016 hasOpenAccess W47262016 @default.
- W47262016 hasPrimaryLocation W472620161 @default.
- W47262016 hasRelatedWork W1703923883 @default.
- W47262016 hasRelatedWork W2049437029 @default.
- W47262016 hasRelatedWork W2070156409 @default.
- W47262016 hasRelatedWork W2077961263 @default.
- W47262016 hasRelatedWork W2090089440 @default.
- W47262016 hasRelatedWork W2168438234 @default.
- W47262016 hasRelatedWork W4232483868 @default.
- W47262016 hasRelatedWork W4234412401 @default.
- W47262016 hasRelatedWork W47262016 @default.
- W47262016 hasRelatedWork W2021433767 @default.
- W47262016 hasVolume "29" @default.
- W47262016 isParatext "false" @default.
- W47262016 isRetracted "false" @default.
- W47262016 magId "47262016" @default.
- W47262016 workType "article" @default.