TABLE 1.
Recommended indications for surgery in asymptomatic patients with hyperparathyroidism20
| Age | <50 years |
| Serum calcium | >0.25mmol/l above upper limit of normal |
| Creatinine clearance | Reduced by 30% or more (eGFR <60ml/min) |
| Bone mineral density | T score <-2.5 (at any site) |
| Follow up | Unlikely or impractical |