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. 2011 May;93(4):294–296. doi: 10.1308/003588411X13020175704352

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