Forearm DXA Increases the Rate of Patients With Asymptomatic Primary Hyperparathyroidism Meeting Surgical Criteria
Author(s) -
Elena Castellano,
Roberto Attanasio,
Laura Gianotti,
Flora Cesario,
F. Tassone,
Giorgio Borretta
Publication year - 2016
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2016-1513
Subject(s) - medicine , forearm , asymptomatic , primary hyperparathyroidism , osteoporosis , cohort , prospective cohort study , bone mineral , surgery
A reduction in bone mineral density (BMD) is common in primary hyperparathyroidism (PHPT), above all at cortical sites. Guidelines for the management of asymptomatic PHPT (aPHPT) recommend a BMD evaluation at the lumbar spine, hip, and forearm. Surgery is recommended for patients with a T-score less than or equal to -2.5 at any of these sites. However, a BMD evaluation at the forearm is not routinely performed.
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