Table 1.
Factor | N=88 patients and 98 reoperations |
---|---|
Disease, No. (%) | |
pHPT | 57 (64.8) |
rHPT | 31 (35.2) |
| |
Initial parathyroid surgery, No. (%) | |
At our institution, total | 16 (18.2) |
pHPT | 6 (6.8)* |
rHPT | 10 (11.4)* |
Outside our institution, total | 72 (81.8) |
pHPT | 51 (60.0)* |
rHPT | 21 (23.8)* |
| |
Sex (F / M); No. (%) | 69 (78.4)/19 (21.6) |
| |
Age, mean (range); years | |
Female | 50.3 (24–78) |
Male | 40.4 (17–81) |
| |
Calcium, mean (range); mmol/l | 2.71 (2.30–4.24) |
| |
Phosphate, mean (range); mmol/l | 0.77 (0.40–1.38) |
| |
Kreatinine, mean (range); μmol/l | 95.26 (35.36–268.74) |
| |
Alkaline phosphatase, mean (range); IU/l | 120.38 (50.0–167.0) |
| |
Urea, mean (range); mmol/l | 5.93 (2.99–20.92) |
| |
iPTH, mean (range); ng/l | 322.75 (70.34–1137.0) |
| |
Symptomatic disease, No (%) | 66 (75.0) |
Renal stones | 39 (44.3) |
Osteoporosis | 31 (35.2) |
Arterial hypertension | 17 (19.3) |
Risk of hyperkalcemic crisis | 15 (17.0) |
GI symptoms | 14 (15.9) |
Impaired renal function | 14 (15.9) |
| |
Asymptomatic disease, No. (%) | 22 (25.0) |
Calcium, mean (range); mmol/l | 3.04 (2.62–4.24) |
iPTH, mean (range); ng/l | 285.06 (87.64–509.0) |
| |
Previous surgery before referral, No. (%) | |
1 | 80 (90.9) |
2 | 8 (9.1) |
| |
Time from initial surgery to reoperation, months (range) | 35.2 (0.13–192.0) |
pHPT | 17.5 (0.13–84.0) |
rHPT | 77.3 (15.0–192.0) |
Solitary disease | 31.0 (0.13–156.0) |
MEN 1 | 55.0 (12.0–132.0) |
MEN 2A | 0.13 (0.13–0.13) |
| |
Preoperative unilateral RLN injury, No. (%) | 4 (4.5) |
p=0.011 (χ2-test); pHPT – persistent primary hyperparathyroidism; rHPT – recurrent primary hyperparathyroidism; iPTH – intact parathormone; MEN – multiple endocrine neoplasia; RLN – recurrent laryngeal nerve; reference ranges: total serum calcium (2.15–2.60 mmol/l); total serum phosphate (0.81–1.45 mmol/l); serum creatinine (60.0–130.0 μmol/l); serum alkaline phosphatase (38.0–126.0 IU/l); urea (2.5–6.7 mmol/l); iPTH (15.0–65.0 ng/ml).