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Diagnostic, therapeutic and healthcare management protocols in parathyroid surgery: II Consensus Conference of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB)

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Abstract

Aim

To update the Diagnostic-Therapeutic-Healthcare Protocol (Protocollo Diagnostico-Terapeutico-Assistenziale, PDTA) created by the U.E.C. CLUB (Association of the Italian Endocrine Surgery Units) during the I Consensus Conference in 2008.

Methods

In the preliminary phase, the II Consensus involved a selected group of experts; the elaboration phase was conducted via e-mail among all members; the conclusion phase took place during the X National Congress of the U.E.C. CLUB. The following were examined: diagnostic pathway and clinical evaluation; mode of admission and waiting time; therapeutic pathway (patient preparation for surgery, surgical treatment, postoperative management, management of major complications); hospital discharge and patient information; outpatient care and follow-up.

Conclusions

The PDTA for parathyroid surgery approved by the II Consensus Conference (June 2013) is the official PDTA of the U.E.C. CLUB.

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Abbreviations

Club delle U.E.C.:

Italian Association of Endocrine Surgery Units

PDTA:

Diagnostic-Therapeutic-Healthcare Protocol

HPT:

Hyperparathyroidism

PTH:

Parathyroid hormone

HPT I:

Primary hyperparathyroidism

NIH:

National Institute of health

SIN:

Italian Society of nephrology

HPT II:

Secondary HPT

AACE:

American Association of clinical endocrinologists

AAES:

American Association of endocrine surgeons

ESES:

European Society of endocrine surgeons

AME:

Association of clinical endocrinologists

JSDT:

Japanese Society for dialysis therapy

MEN:

Multiple endocrine neoplasia

SPECT:

Single photon emission computed tomography

PET:

Positron emission tomography

CBM:

Computerized bone mineralometry

FNAB:

Fine needle aspiration biopsy

PTx:

Parathyroidectomy

OMIP:

Open minimally invasive parathyroidectomy

MIRP:

Minimally invasive radioguided parathyroidectomy

MIVAP:

Minimally invasive video-assisted parathyroidectomy

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Conflict of interest

The authors L. Rosato, M. Raffaelli, R. Bellantone, A. Pontecorvi, N. Avenia, M. Boniardi, M.L. Brandi, F. Cetani, M.G. Chiofalo, G. Conzo, M. De Palma, G. Gasparri, A. Giordano, N. Innaro, E. Leopaldi, G. Mariani, C. Marcocci, P. Marini, P. Miccoli, P. Nasi, F. Pacini, R. Paragliola, M.R. Pelizzo, M. Testini, and G. De Toma declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Surgery, ASL TO/4 Ivrea Hospital (TO), Piazza della Credenza, 2, 10015, IVREA, TO, Italy

    L. Rosato

  2. Department of Surgery, Endocrine and Metabolic Surgery, Catholic University, Rome, Italy

    M. Raffaelli & R. Bellantone

  3. Department of Endocrinology, Catholic University, Rome, Italy

    A. Pontecorvi & R. Paragliola

  4. Department of Surgery, “S. Maria” Terni Hospital, Perugia University, Perugia, Italy

    N. Avenia

  5. Department of Surgery, Niguarda Hospital, Milan, Italy

    M. Boniardi

  6. Clinical Unit on Metabolic Bone Disorders, University Hospital of Florence, Florence, Italy

    M. L. Brandi

  7. Endocrinology Unit, Pisa University, Pisa, Italy

    F. Cetani & C. Marcocci

  8. Department of Surgery, Thyroid Surgery, I.N.T. “Pascale” of Naples, Naples, Italy

    M. G. Chiofalo

  9. Department of Surgery, Naples University, Naples, Italy

    G. Conzo

  10. Department of Surgery, A.O.R.N. “Cardarelli” Hospital, Naples, Italy

    M. De Palma

  11. Department of Surgery, Turin University, Turin, Italy

    G. Gasparri

  12. Nuclear Medicine Institute, Catholic University, Rome, Italy

    A. Giordano

  13. Department of Surgery, “Mater Domini” Hospital, Catanzaro, Italy

    N. Innaro

  14. Endocrine Surgical Unit, Department of Surgery, “Sacco” Hospital, Milan, Italy

    E. Leopaldi

  15. Nuclear Medicine Institute, Pisa University, Pisa, Italy

    G. Mariani

  16. Department of Surgery, Endocrine Surgery, “S. Camillo-Forlanini” Hospital, Rome, Italy

    P. Marini

  17. Department of Surgery, Endocrine Surgery, Pisa University, Pisa, Italy

    P. Miccoli

  18. Thyroid Disease and Endocrine Surgery, “Sedes Sapientiae” Private Hospital, Turin, Italy

    P. Nasi

  19. Department of Internal Medicine, Endocrinology and Metabolism, University of Siena, Siena, Italy

    F. Pacini

  20. Department of Surgery, Endocrine Surgery, Padua University, Padua, Italy

    M. R. Pelizzo

  21. Unit of Endocrine, Digestive, and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, Bari University, Bari, Italy

    M. Testini

  22. Department of Surgery “P. Valdoni”-Endocrine Surgery, “La Sapienza” University, Rome, Italy

    G. De Toma

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  1. L. Rosato
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  2. M. Raffaelli
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  3. R. Bellantone
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  4. A. Pontecorvi
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  6. M. Boniardi
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  7. M. L. Brandi
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  8. F. Cetani
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  9. M. G. Chiofalo
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  10. G. Conzo
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  11. M. De Palma
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  14. N. Innaro
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  15. E. Leopaldi
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  16. G. Mariani
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  17. C. Marcocci
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  18. P. Marini
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  19. P. Miccoli
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  20. P. Nasi
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  21. F. Pacini
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  22. R. Paragliola
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  23. M. R. Pelizzo
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  24. M. Testini
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  25. G. De Toma
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Correspondence to L. Rosato.

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Rosato, L., Raffaelli, M., Bellantone, R. et al. Diagnostic, therapeutic and healthcare management protocols in parathyroid surgery: II Consensus Conference of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB). J Endocrinol Invest 37, 149–165 (2014). https://doi.org/10.1007/s40618-013-0022-0

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