Surgical Approach for Primary Hyperparathyroidism in the Elderly - a Prospective Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Withdrawn
- Sponsor
- Rambam Health Care Campus
- Locations
- 1
- Primary Endpoint
- Frequency of multigland disease in hyperparathyroidism in the elderly.
Study Overview
Brief Summary
Following a personal observation and a retrospective analysis of the data, the investigators hypothesise that there is increased frequency of multiple gland disease in primary hyperparathyroidism in the elderly.
This study will include patients over the age of 65, diagnosed with primary hyperaprathyroidism, referred for surgery and suspected to have a single adenoma according to preoperative imaging. Surgery will begin with a focal parathyroid exploration as suspected followed by an exploration of the other gland at the same time. Data will be analysed to determine the frequency of multigland disease in this population.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patient with primary hyperparathyroidism.
- •patients with an indication for surgery.
- •Suspected adenoma on preop images.
- •minimum age of 65.
Exclusion Criteria
- •patients younger than
- •cases where imaging didn't locate any adenoma.
- •patients who did not consent to participate in the study.
Arms & Interventions
unilateral neck exploration
unilateral neck exploration of elderly with primary hyperparathyroidism
Intervention: unilateral neck exploration (Procedure)
Outcomes
Primary Outcomes
Frequency of multigland disease in hyperparathyroidism in the elderly.
Time Frame: two years
Secondary Outcomes
No secondary outcomes reported