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Expert consensus on multidisciplinary approach to the diagnosis and treatment of primary hyperparathyroidism in pregnancy in China

  • Position statement/Guideline
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Abstract

Primary hyperparathyroidism in pregnancy is a rare disease that can have detrimental effects on both maternal and fetal/neonatal outcomes. The physiological changes that occur during pregnancy can complicate the diagnosis, imaging examinations, and treatment of this disorder. To enhance our understanding and management of primary hyperparathyroidism in pregnancy, experts from various fields, including endocrinology, obstetrics, surgery, ultrasonography, nuclear medicine, pediatrics, nephrology, and general practice in China, collaborated to develop a consensus addressing the critical aspects of the diagnosis and treatment of primary hyperparathyroidism in pregnancy with a multidisciplinary team approach. This consensus provides valuable guidance for healthcare professionals in managing this condition, ultimately improving outcomes for both mothers and their babies.

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Acknowledgements

We thank the consensus review committee for their thorough discussion and critical comments on this consensus. This consensus has already been published in Chinese Journal of Endocrinology and Metabolism 2022,39(1):1–12. https://doi.org/10.3760/cma.j.cn311282-20220930-00563. The Chinese Medical Association takes no responsibility for the accuracy of the translation from the published Chinese original and is not liable for any errors that may occur. No responsibility is assumed, and responsibility is hereby disclaimed, by the Chinese Medical Association for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of methods, products, instructions or ideas presented in this translation. Independent verification of diagnosis and drug dosages should be made. Discussions, views, and recommendations as to medical procedures, choice of drugs and drug dosages are the responsibility of the authors.

Consensus developing committee

Xi Chen4, Ya Hu2, Shan Jian5, Hai-ning Jiao1, Quan Liao2, Jian-min Liu3, Xing-hui Liu6, Hong-wei Ma6, Li-hao Sun3, Ou Wang7, Yu-ying Yang3, Ling-Qing Yuan8, Yi-fan Zhang9, Hui-ping Zhong1, Jian-qiao Zhou10, Min-ting Zhu11

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Huiping Zhong, Hai-ning Jiao & Hui-ping Zhong

  2. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China

    Quan Liao & Ya Hu

  3. Department of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Jianmin Liu, Jian-min Liu, Li-hao Sun & Yu-ying Yang

  4. Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Xi Chen

  5. Department of Pediatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China

    Shan Jian

  6. Department of Obstetrics & Gynecology, West China Second University Hospital, Sichuan University, Chengdu, 610041, China

    Xing-hui Liu & Hong-wei Ma

  7. Department of Endocrinology, Key Laboratory of Endocrinology, National Health Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China

    Ou Wang

  8. National Clinical Research Center for Metabolic Disease, Department of Metabolism and Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China

    Ling-Qing Yuan

  9. Department of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Yi-fan Zhang

  10. Department of Ultrasonography, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Jian-qiao Zhou

  11. Department of General Practice, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China

    Min-ting Zhu

Authors
  1. Huiping Zhong
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  2. Quan Liao
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  3. Jianmin Liu
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Consortia

On behalf of the Society of Parathyroid and Metabolic Bone Diseases, Chinese Research Hospital Association; Chinese Society of Perinatal Medicine; Chinese Society of Osteoporosis and Bone Mineral Research

  • Xi Chen
  • , Ya Hu
  • , Shan Jian
  • , Hai-ning Jiao
  • , Quan Liao
  • , Jian-min Liu
  • , Xing-hui Liu
  • , Hong-wei Ma
  • , Li-hao Sun
  • , Ou Wang
  • , Yu-ying Yang
  • , Ling-Qing Yuan
  • , Yi-fan Zhang
  • , Hui-ping Zhong
  • , Jian-qiao Zhou
  •  & Min-ting Zhu

Corresponding authors

Correspondence to Huiping Zhong, Quan Liao or Jianmin Liu.

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Conflict of interest

The authors declare no competing interests.

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Consensus developing committee (listed according to the order of the Chinese family names) are listed below Acknowledgements.

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Zhong, H., Liao, Q., Liu, J. et al. Expert consensus on multidisciplinary approach to the diagnosis and treatment of primary hyperparathyroidism in pregnancy in China. Endocrine 82, 282–295 (2023). https://doi.org/10.1007/s12020-023-03392-w

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