A study of predictors of parathyroidectomy in renal hyperparathyroidism

Abstract

Parathyroidectomy is necessary in treatment-resistant cases of renal hyperparathyroidism. Although the number of patients undergoing parathyroidectomy has decreased since the approval of cinacalcet, parathyroidectomy is still necessary in some cases. However, some patients do not undergo parathyroidectomy as recommended by the guidelines because of prognostic, cost, or surgical issues. In this study, we examined the predictors of parathyroidectomy by comparing cases that led to parathyroidectomy with cases in which conservative treatment continued to be employed. As a result, it was suggested that a serum intact parathyroid hormone value of 308.05 pg/mL at one year after cinacalcet use might be a useful cut-off value for determining the necessity of parathyroidectomy.