AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons

Brendan C. Stack; Neil S. Tolley; Twyla B. Bartel; John P. Bilezikian; Donald Bodenner; Pauline Camacho; Jeremy P.D.T. Cox; Henning Dralle; James E. Jackson; John C. Morris; Lisa Ann Orloff; Fausto Palazzo; John A. Ridge; David Scott-Coombes; David L. Steward; David J Terris; Geoffrey Thompson; Gregory W. Randolph

doi:10.1002/hed.25023

AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons

Brendan C. Stack, Neil S. Tolley, Twyla B. Bartel, John P. Bilezikian, Donald Bodenner, Pauline Camacho, Jeremy P.D.T. Cox, Henning Dralle, James E. Jackson, John C. Morris, Lisa Ann Orloff, Fausto Palazzo, John A. Ridge, David Scott-Coombes, David L. Steward, David J Terris, Geoffrey Thompson, Gregory W. Randolph

Otolaryngology

Research output: Contribution to journal › Review article › peer-review

42 Scopus citations

Abstract

Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness. Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed. Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach.

Original language	English (US)
Pages (from-to)	1617-1629
Number of pages	13
Journal	Head and Neck
Volume	40
Issue number	8
DOIs	https://doi.org/10.1002/hed.25023
State	Published - Aug 2018

Keywords

consensus
guidelines
parathyroid
reoperative
surgery

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.25023

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Stack, B. C., Tolley, N. S., Bartel, T. B., Bilezikian, J. P., Bodenner, D., Camacho, P., Cox, J. P. D. T., Dralle, H., Jackson, J. E., Morris, J. C., Orloff, L. A., Palazzo, F., Ridge, J. A., Scott-Coombes, D., Steward, D. L., Terris, D. J., Thompson, G., & Randolph, G. W. (2018). AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons. Head and Neck, 40(8), 1617-1629. https://doi.org/10.1002/hed.25023

AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons. / Stack, Brendan C.; Tolley, Neil S.; Bartel, Twyla B. et al.
In: Head and Neck, Vol. 40, No. 8, 08.2018, p. 1617-1629.

Research output: Contribution to journal › Review article › peer-review

Stack, BC, Tolley, NS, Bartel, TB, Bilezikian, JP, Bodenner, D, Camacho, P, Cox, JPDT, Dralle, H, Jackson, JE, Morris, JC, Orloff, LA, Palazzo, F, Ridge, JA, Scott-Coombes, D, Steward, DL, Terris, DJ, Thompson, G & Randolph, GW 2018, 'AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons', Head and Neck, vol. 40, no. 8, pp. 1617-1629. https://doi.org/10.1002/hed.25023

Stack BC, Tolley NS, Bartel TB, Bilezikian JP, Bodenner D, Camacho P et al. AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons. Head and Neck. 2018 Aug;40(8):1617-1629. doi: 10.1002/hed.25023

Stack, Brendan C. ; Tolley, Neil S. ; Bartel, Twyla B. et al. / AHNS Series : Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons. In: Head and Neck. 2018 ; Vol. 40, No. 8. pp. 1617-1629.

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abstract = "Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness. Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed. Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach.",

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author = "Stack, {Brendan C.} and Tolley, {Neil S.} and Bartel, {Twyla B.} and Bilezikian, {John P.} and Donald Bodenner and Pauline Camacho and Cox, {Jeremy P.D.T.} and Henning Dralle and Jackson, {James E.} and Morris, {John C.} and Orloff, {Lisa Ann} and Fausto Palazzo and Ridge, {John A.} and David Scott-Coombes and Steward, {David L.} and Terris, {David J} and Geoffrey Thompson and Randolph, {Gregory W.}",

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AU - Tolley, Neil S.

AU - Bartel, Twyla B.

AU - Bilezikian, John P.

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AU - Dralle, Henning

AU - Jackson, James E.

AU - Morris, John C.

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AU - Palazzo, Fausto

AU - Ridge, John A.

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AU - Steward, David L.

AU - Terris, David J

AU - Thompson, Geoffrey

AU - Randolph, Gregory W.

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N2 - Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness. Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed. Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach.

AB - Background: Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. Methods: A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this topic with the purpose of making recommendations based on current best evidence. The literature was also reviewed on May 12, 2017. PubMed (1946-2017), Cochrane SR (2005-2017), CT databases (1997-2017), and Web of Science (1945-2017) were searched with the following strategy: revision and reoperative parathyroidectomy to ensure completeness. Results: Guideline recommendations were made in 3 domains: preoperative evaluation, surgical management, and alternatives to surgery. Eleven guideline recommendations are proposed. Conclusion: Reoperative parathyroid surgery is best avoided if possible. Our literature search and subsequent recommendations found that these cases are best managed by experienced surgeons using precision preoperative localization, intraoperative parathyroid hormone (PTH), and the team approach.

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AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons

Abstract

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