We performed a retrospective cohort study on 38 patients, from January 2002 to February 2013, at the General Surgery of the Hospital of Brescia with SHPT in haemodialysis regimen submitted to total parathyroidectomy (tPTX) with parathyroid tissue autotransplantation (AT) in the intramuscular (Group 1) or subcutaneous (Group 2) site of the upper nondominant forearm.
Low levels of active vitamin D3 result in a marked decrease in the absorption of dietary calcium, resulting in intermittent hypocalcaemia and sHPT. Prevention of sHPT should start early, when the eGFR is [less than or equal to] 60 mL/min.
reported that combined application of ultrasound and SPECT/CT has incremental value in detecting parathyroid tissue in SHPT patients; the sensitivity, specificity, and accuracy of combined application of ultrasound and [sup.99m]Tc-sestamibi SPECT/CT were higher than those of either ultrasound or [sup.99m]Tc-sestamibi SPECT/CT .
For the next stage of policy implementation, CMS is considering the inclusion of oral-only drugs (FIFIS 2010,2013), which are used to treat a common sequela of kidney failure called secondary hyperparathyroidism (sHPT) (de Francisco 2004).