Guidelines for Medical Monitoring in Patients With Asymptomatic Primary Hyperparathyroidism Managed Conservatively
| Parameter . | Frequency of Evaluation . |
|---|---|
| Serum calcium | Annually |
| Skeletal | Three-site DXA every 1-2 years |
| Imaging of spine to access vertebral fracture if clinically suspected (e.g., height loss, back pain) | |
| Renal | Serum creatinine and eGFR annually |
| If renal stones are clinically suspected: 24-hour biochemical stone profile, abdominal imaging by X-ray, ultrasonography, or CT |
| Parameter . | Frequency of Evaluation . |
|---|---|
| Serum calcium | Annually |
| Skeletal | Three-site DXA every 1-2 years |
| Imaging of spine to access vertebral fracture if clinically suspected (e.g., height loss, back pain) | |
| Renal | Serum creatinine and eGFR annually |
| If renal stones are clinically suspected: 24-hour biochemical stone profile, abdominal imaging by X-ray, ultrasonography, or CT |
[Adapted with permission from Bilezikian JP, Brandi ML, Eastell R, et al. Consensus Statement: Guidelines for the management of asymptomatic primary hyperparathyroidism: Summary Statement from the Fourth International Workshop. J Clin Endocrinol Metab 2014; 99:3561–3569.]
Abbreviation: eGFR, estimated glomerular filtration rate.
Guidelines for Medical Monitoring in Patients With Asymptomatic Primary Hyperparathyroidism Managed Conservatively
| Parameter . | Frequency of Evaluation . |
|---|---|
| Serum calcium | Annually |
| Skeletal | Three-site DXA every 1-2 years |
| Imaging of spine to access vertebral fracture if clinically suspected (e.g., height loss, back pain) | |
| Renal | Serum creatinine and eGFR annually |
| If renal stones are clinically suspected: 24-hour biochemical stone profile, abdominal imaging by X-ray, ultrasonography, or CT |
| Parameter . | Frequency of Evaluation . |
|---|---|
| Serum calcium | Annually |
| Skeletal | Three-site DXA every 1-2 years |
| Imaging of spine to access vertebral fracture if clinically suspected (e.g., height loss, back pain) | |
| Renal | Serum creatinine and eGFR annually |
| If renal stones are clinically suspected: 24-hour biochemical stone profile, abdominal imaging by X-ray, ultrasonography, or CT |
[Adapted with permission from Bilezikian JP, Brandi ML, Eastell R, et al. Consensus Statement: Guidelines for the management of asymptomatic primary hyperparathyroidism: Summary Statement from the Fourth International Workshop. J Clin Endocrinol Metab 2014; 99:3561–3569.]
Abbreviation: eGFR, estimated glomerular filtration rate.
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