Surgical Approach for Primary Hyperparathyroidism in the Elderly
NCT ID: NCT01484379
Last Updated: 2017-08-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2011-12-31
2015-11-30
Brief Summary
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This study will include patients over the age of 65, diagnosed with primary hyperaprathyroidism, referred for surgery and suspected to have a single adenoma according to preoperative imaging. Surgery will begin with a focal parathyroid exploration as suspected followed by an exploration of the other gland at the same time. Data will be analysed to determine the frequency of multigland disease in this population.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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unilateral neck exploration
unilateral neck exploration of elderly with primary hyperparathyroidism
unilateral neck exploration
All elderly patients with primary hyperparathyroidism suspected to have a single gland disease will have a unilateral neck exploration following the index gland identification.
Interventions
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unilateral neck exploration
All elderly patients with primary hyperparathyroidism suspected to have a single gland disease will have a unilateral neck exploration following the index gland identification.
Eligibility Criteria
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Inclusion Criteria
* patients with an indication for surgery.
* Suspected adenoma on preop images.
* minimum age of 65.
Exclusion Criteria
* cases where imaging didn't locate any adenoma.
* patients who did not consent to participate in the study.
65 Years
ALL
No
Sponsors
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Rambam Health Care Campus
OTHER
Responsible Party
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Principal Investigators
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Michal Mekel, M.D
Role: PRINCIPAL_INVESTIGATOR
Rambam health care campus Haifa Israel
Locations
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Rambam Health Care Campus
Haifa, , Israel
Countries
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References
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Kebebew E, Duh QY, Clark OH. Parathyroidectomy for primary hyperparathyroidism in octogenarians and nonagenarians: a plea for early surgical referral. Arch Surg. 2003 Aug;138(8):867-71. doi: 10.1001/archsurg.138.8.867.
Shin SH, Holmes H, Bao R, Jimenez C, Kee SS, Potylchansky E, Lee JE, Evans DB, Perrier ND. Outpatient minimally invasive parathyroidectomy is safe for elderly patients. J Am Coll Surg. 2009 Jun;208(6):1071-6. doi: 10.1016/j.jamcollsurg.2009.01.048. Epub 2009 Apr 17.
Uden P, Chan A, Duh QY, Siperstein A, Clark OH. Primary hyperparathyroidism in younger and older patients: symptoms and outcome of surgery. World J Surg. 1992 Jul-Aug;16(4):791-7; discussion 798. doi: 10.1007/BF02067389.
Other Identifiers
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parathyroid409-11-RMBCTIL
Identifier Type: -
Identifier Source: org_study_id
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