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Management of primary hyperparathyroidism has evolved over the past two decades, yet impaired renal function has consistently been a surgical indication. This recommendation has been based upon the historical association between primary hyperparathyroidism and renal impairment, and a review of the literature is needed to determine whether such a recommendation is warranted.

Renal Impairment as a Surgical Indication in Primary Hyperparathyroidism: Do the Data Support This Recommendation?