Table 2.
Assessment of quality of life in PHPT
| Study | Quality of life and neurocognition | Psychological symptoms |
|---|---|---|
| Prospective study | ||
| Walker et al.163 | Worse scores for immediate and delayed recall of contextually related material (Wechsler Memory Scale Logical Memory Test) in patients with PHPT compared with controls, both of which improved 6 months after parathyroidectomy; non-verbal abstraction (Booklet Category Test) was worse compared with controls and improved after parathyroidectomy | More symptoms of depression (Beck Depression Index), and state and trait anxiety (State-Trait Anxiety Inventory) in patients with PHPT compared with controls; significant improvements in depression and trait anxiety 6 months after parathyroidectomy |
| Randomized controlled trials | ||
| Rao et al.129 | Modest but significant improvements in social functioning and emotional role functioning in individuals 1 year after parathyroidectomy compared with medical management (SF-36) | Modest but significant improvements in anxiety and phobia in individuals 1 year after parathyroidectomy compared with medical management (SCL-90-R) |
| Ambrogini et al.130 | Modest but significant beneficial effects on bodily pain, general health perception, vitality and mental health in individuals 1 year after parathyroidectomy compared with medical management (SF-36) | No between-group differences 1 year after parathyroidectomy (SCL-90-R) |
| Bollerslev et al.131 | Modest but significant improvements in mental health and the mental component summary scores 1 year, but not two years, after parathyroidectomy compared with medical management (SF-36) | No between-group differences (Comprehensive Psychopathological Rating Scale) |
PHPT, primary hyperparathyroidism; SCL-90-R, Symptom Checklist-90-Revised scale; SF-36, 36-Item Short-Form Health Survey.