The influence of surgery on the risk of death in patients with primary hyperparathyroidism.

Abstract:

:The previous finding of an increased risk of premature death in a consecutive series of 896 patients operated on for primary hyperparathyroidism between 1953 and 1982 [1] raised the question of the role that surgery plays in relation to the risk of death. In the present study, undertaken to examine that issue, 3 factors--age, calendar year of surgery, and time passed after surgery--have been found to be significantly related to the risk of death (p less than 0.001), each factor contributing independently. A correlation was found between a late calendar year of surgery and a low degree of hyperparathyroidism as evaluated by serum calcium and creatinine levels. There was an increased risk of premature death in all age groups. The risk was less among patients operated on in later years. The observed normalization of the increased risk of death with time after surgery also took place sooner in patients operated on in later years. Our findings of improved survival following surgical intervention contrasts favorably with the findings of others in studies of subjects with untreated mild hyperparathyroidism. We have also found that preoperative serum calcium levels affect the risk of death, and that there is an additional factor related to the calendar year of surgery affecting the risk of death. Circumstantial evidence indicates that the duration of hyperparathyroidism contributes to this factor. Our results also show that early surgery decreases the risk of premature death in mild cases of the disease.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Hedbäck G,Odén A,Tisell LE

doi

10.1007/BF01658740

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

399-405; discussion 406-7

issue

3

eissn

0364-2313

issn

1432-2323

journal_volume

15

pub_type

杂志文章
  • Clinical features of hepatocellular carcinoma developing extrahepatic recurrences after curative resection.

    abstract:BACKGROUND:Few details of the clinical features of hepatocellular carcinoma (HCC) developing extrahepatic recurrence after a curative resection have been published. The purpose of this study was to clarify the clinicopathologic findings of patients with HCC who experienced extrahepatic metastases. METHODS:Clinicopatho...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9613-x

    authors: Tanaka K,Shimada H,Matsuo K,Takeda K,Nagano Y,Togo S

    更新日期:2008-08-01 00:00:00

  • Diagnosis and surgical treatment of "H-type" tracheoesophageal fistulas.

    abstract::Four cases of H-type tracheoesophageal fistula are reported. The patients all had chronic aspiration from the esophagus. Although serious symptoms were present in all, definitive diagnoses were not made until the patients had reached 1, 6, 12, and 50 years of age, because ordinary radiologic methods failed to establis...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01654780

    authors: Lam CR

    更新日期:1979-09-20 00:00:00

  • Clinicoanatomical study on the infraportal bile ducts of segment 3.

    abstract::In some patients, bile ducts of segments 2 and 3 (B2 and B3) run caudally to the umbilical portion of the left portal vein (UP)--an infraportal course. We aimed to evaluate the frequency and clinical implications of this variation. Between January 1992 and October 2000, 108 patients underwent resection for hilar chola...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-002-6544-9

    authors: Ozden I,Kamiya J,Nagino M,Uesaka K,Sano T,Nimura Y

    更新日期:2002-12-01 00:00:00

  • Catheter tract recurrence after percutaneous biliary drainage for hilar cholangiocarcinoma.

    abstract:BACKGROUND:Despite its wide use, catheter tract recurrence after percutaneous biliary drainage (PBD) is rarely reported. However, one recent large-scale study reported a catheter tract recurrence rate as high as 5.2 % in patients with perihilar or distal bile duct cancer. We report on our 20 years of experience with ca...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-012-1844-1

    authors: Kang MJ,Choi YS,Jang JY,Han IW,Kim SW

    更新日期:2013-02-01 00:00:00

  • Factors of failure for nonoperative management of blunt liver and splenic injuries.

    abstract::A review of the literature describing the management of hepatic and splenic injuries indicates that as many as 67% of exploratory celiotomies for blunt trauma are reported as nontherapeutic. Avoiding unnecessary surgery through nonoperative management offers an attractive alternative. Nonetheless, nonoperative managem...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-001-0138-9

    authors: Ochsner MG

    更新日期:2001-11-01 00:00:00

  • Indications for staging laparoscopy in clinical T4M0 gastric cancer.

    abstract:BACKGROUND:This study was undertaken to determine the efficacy of the clinical indications for performing staging laparoscopy for locally advanced gastric cancer to detect peritoneal metastasis or positive cytology findings. METHODS:The study included 231 patients with T4 gastric cancer without hematogenous or clinica...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-011-1290-5

    authors: Tsuchida K,Yoshikawa T,Tsuburaya A,Cho H,Kobayashi O

    更新日期:2011-12-01 00:00:00

  • Total thyroidectomy for amiodarone-associated thyrotoxicosis in patients with severe cardiac disease.

    abstract:BACKGROUND:Surgical treatment of amiodarone-associated thyrotoxicosis (AAT) is effective although fewer than 100 cases have been reported world wide. MATERIALS AND METHODS:We reviewed 14 patients treated with total thyroidectomy by a single surgeon from 1998 to 2005. RESULTS:There were 11 male and 3 female patients w...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-005-0673-x

    authors: Gough J,Gough IR

    更新日期:2006-11-01 00:00:00

  • Preoperative Albumin-Bilirubin Grade Predicts Recurrences After Radical Gastrectomy in Patients with pT2-4 Gastric Cancer.

    abstract:BACKGROUND:The albumin-bilirubin (ALBI) score was initially developed for assessing liver dysfunction severity and was suggested to have prognostic value in patients with hepatocellular carcinoma. We aimed to evaluate the prognostic impact of ALBI grade in patients with advanced gastric cancer (GC) after radical gastre...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4234-x

    authors: Kanda M,Tanaka C,Kobayashi D,Uda H,Inaoka K,Tanaka Y,Hayashi M,Iwata N,Yamada S,Fujii T,Sugimoto H,Murotani K,Fujiwara M,Kodera Y

    更新日期:2018-03-01 00:00:00

  • Ethical issues in surgical innovation.

    abstract::Innovation is responsible for most advances in the field of surgery. Innovative approaches to solving clinical problems have significantly decreased morbidity and mortality for many surgical procedures, and have led to improved patient outcomes. While innovation is motivated by the surgeon's expectation that the new a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2568-1

    authors: Miller ME,Siegler M,Angelos P

    更新日期:2014-07-01 00:00:00

  • Clinical and radiologic evaluation of foramen of Morgagni hernias and the transthoracic approach.

    abstract::The limited number of publications on repair of the foramen of Morgagni hernia concentrates mainly on the laparotomy approach. We present our experience with the transthoracic approach. Patients who were diagnosed as having a foramen of Morgagni hernia and were operated on via the transthoracic approach between Decemb...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0055-4

    authors: Sirmali M,Türüt H,Gezer S,Findik G,Kaya S,Tastepe Y,Cetin G

    更新日期:2005-11-01 00:00:00

  • Electrorectography in chronic constipation.

    abstract::The rectal electrical activity recorded by electrorectogram (ERG) was studied in 22 chronically constipated subjects and 16 healthy volunteers. The latter had a mean (+/- SD) age of 42.6 +/- 8.5 years; 10 were men and 6 women. Of the 22 constipated patients, 14 had inertia-type constipation (IC; age 44.6 +/- 10.2 year...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF00295930

    authors: Shafik A

    更新日期:1995-09-01 00:00:00

  • Utilization of Percutaneous Needle Biopsy for Breast Diagnosis in a Comprehensive Breast Center: Implications for Development of Quality Indicators.

    abstract:INTRODUCTION:Percutaneous needle biopsy (PNB) is the standard of care for diagnosis of breast lesions. Rates of excisional biopsy for breast diagnosis in North America have been reported at approximately 35 %, although significant regional variation exists. A target rate of PNB for diagnosis of breast abnormalities is ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3293-0

    authors: Holloway CM,Al-Riyees L,Saskin R

    更新日期:2016-07-01 00:00:00

  • Muscle Steatosis is an Independent Predictor of Postoperative Complications in Patients with Hepatocellular Carcinoma.

    abstract:BACKGROUND:Skeletal muscle depletion, referred to as sarcopenia, has been shown to be an independent predictor of lower disease-free and overall survivals in various kinds of diseases. The quality of skeletal muscle has recently attracted much attention as a new parameter of sarcopenia, but its impact on surgical compl...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3504-3

    authors: Hamaguchi Y,Kaido T,Okumura S,Kobayashi A,Fujimoto Y,Ogawa K,Mori A,Hammad A,Hatano E,Uemoto S

    更新日期:2016-08-01 00:00:00

  • Effect of radiofrequency ablation of the liver on cell-mediated immunity in rats.

    abstract::We investigated the effect of radiofrequency ablation (RFA) of the liver on cell-mediated immunity in rats. Sprague-Dawley rats were divided into five groups: control group that did not have any procedure, a sham-operation group that underwent laparotomy, a lobectomy group that had left lateral lobectomy of the liver,...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-7728-x

    authors: Yu HC,Moon JI,Jin ZW,Lee DY,Kim CY,Song CH,Cho BH

    更新日期:2005-06-01 00:00:00

  • Analysis of Surgical Adverse Events at a Major University Hospital in South Africa.

    abstract:BACKGROUND:Surgical 'never events' have serious adverse outcomes for patients. A never event can be defined as a serious, avoidable patient safety incident that would not occur if necessary preventative measures are implemented. The literature from South Africa on this topic is limited. This study aims to understand th...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05008-9

    authors: Wain H,Kong V,Bruce J,Laing G,Clarke D

    更新日期:2019-09-01 00:00:00

  • Enhanced recovery after surgery pathway in patients undergoing pancreaticoduodenectomy.

    abstract:BACKGROUND:Enhanced recovery after surgery (ERAS(®)) pathways have reduced morbidity and length of hospital stay (LOS) in orthopedics, bariatric, and colorectal surgery. New perioperative care protocols have been tested in patients undergoing pancreaticoduodenectomy (PD), with controversial results on morbidity. Incomp...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2653-5

    authors: Braga M,Pecorelli N,Ariotti R,Capretti G,Greco M,Balzano G,Castoldi R,Beretta L

    更新日期:2014-11-01 00:00:00

  • Percutaneous radiofrequency ablation versus partial hepatectomy for multicentric small hepatocellular carcinomas: a nonrandomized comparative study.

    abstract:BACKGROUND:The aim of this study was to compare the results of percutaneous radiofrequency ablation (RFA) with those of partial hepatectomy (PH) in the treatment of multicentric small hepatocellular carcinomas (HCCs). With advances in RFA, it is not known whether the minimally invasive approach with percutaneous RFA co...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00268-010-0732-9

    authors: Guo WX,Zhai B,Lai EC,Li N,Shi J,Lau WY,Wu MC,Cheng SQ

    更新日期:2010-11-01 00:00:00

  • Pancreatoduodenectomy for tumors of Vater's ampulla: report on 94 consecutive patients.

    abstract::Evaluation of prognostic factors of adenocarcinoma of Vater's ampulla is still a matter of debate. The aim of this study was to evaluate retrospectively factors that influence early and long-term outcomes in a 20-year single-institution experience on ampullary carcinoma. A total of 94 consecutive patients with ampulla...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-004-7498-x

    authors: Di Giorgio A,Alfieri S,Rotondi F,Prete F,Di Miceli D,Ridolfini MP,Rosa F,Covino M,Doglietto GB

    更新日期:2005-04-01 00:00:00

  • Long-Term Results After Stapled Hemorrhoidopexy: A 15-Year Follow-Up.

    abstract:BACKGROUND:The stapled hemorrhoidopexy is reported to have a low recurrence while treating the major hemorrhoidal symptoms of bleeding and prolapse. The aim of this study is to obtain long-term results on the outcome of the stapled hemorrhoidopexy. METHODS:All patients with a hemorrhoidal disease grade III, who underw...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05065-0

    authors: Schneider R,Jäger P,Ommer A

    更新日期:2019-10-01 00:00:00

  • Identification of risk factors for perioperative mortality in acute mesenteric ischemia.

    abstract:INTRODUCTION:Acute intestinal ischemia is in most cases a lethal condition with a low survival rate. Risk factors of perioperative mortality are poorly defined. The aim of this study was to define risk factors that predict an adverse outcome of acute mesenteric ischemia (AMI). METHODS:A total of 132 consecutive patien...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0560-5

    authors: Acosta-Merida MA,Marchena-Gomez J,Hemmersbach-Miller M,Roque-Castellano C,Hernandez-Romero JM

    更新日期:2006-08-01 00:00:00

  • Endoscopic sphincterotomy: 7-year experience.

    abstract::The present study documents the indications and results of endoscopic sphincterotomy (ES) performed over 7 years in a surgical endoscopy unit. Potential improvement of results over this time period was analyzed. ES was associated with rare but undesirable morbidity and mortality. Specific improvement of results over t...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900195

    authors: Lo CY,Lai EC,Lo CM,Mok FP,Chu KM,Liu CL,Fan ST

    更新日期:1997-01-01 00:00:00

  • Long-Term Survival is not Impaired After the Complete Resection of Neuroendocrine Tumors of the Appendix.

    abstract:BACKGROUND:Appendiceal neuroendocrine tumors (aNET) are a common entity in routine medical care, with a rate per appendectomy as high as 0.3-0.9 %. Considering the relatively young age at diagnosis for these patients, exact information about the long-term prognosis of aNET is required. Survival rates vary substantially...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3164-8

    authors: Steffen T,Ebinger SM,Warschkow R,Lüthi C,Schmied BM,Clerici T

    更新日期:2015-11-01 00:00:00

  • Modification of the Trauma and Injury Severity Score (TRISS) method provides better survival prediction in Asian blunt trauma victims.

    abstract:BACKGROUND:The objective of the present study was to identify logistic regression models with better survival prediction than the Trauma and Injury Severity Score (TRISS) method in assessing blunt trauma (BT) victims in Japan and Thailand. An additional aim was to demonstrate the feasibility of probability of survival ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-012-1498-z

    authors: Kimura A,Chadbunchachai W,Nakahara S

    更新日期:2012-04-01 00:00:00

  • Perioperative Optimization of Senior Health (POSH): A Descriptive Analysis of Cancelled Surgery.

    abstract:BACKGROUND:Geriatric collaborative care models improve postoperative outcomes for older adults. However, there are limited data exploring how preoperative geriatric assessment may affect surgical cancellations. METHODS:This is a single-center retrospective cohort analysis. Patients enrolled in the Perioperative Optimi...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05772-z

    authors: Zietlow KE,Wong S,McDonald SR,Colón-Emeric C,Cassas C,Lagoo-Deenadayalan S,Heflin MT

    更新日期:2021-01-01 00:00:00

  • Laparoscopic Versus Open Cholecystectomy: A Cost-Effectiveness Analysis at Rwanda Military Hospital.

    abstract:BACKGROUND:Laparoscopic cholecystectomy is first-line treatment for uncomplicated gallstone disease in high-income countries due to benefits such as shorter hospital stays, reduced morbidity, more rapid return to work, and lower mortality as well-being considered cost-effective. However, there persists a lack of uptake...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3851-0

    authors: Silverstein A,Costas-Chavarri A,Gakwaya MR,Lule J,Mukhopadhyay S,Meara JG,Shrime MG

    更新日期:2017-05-01 00:00:00

  • Aberrant loss of dickkopf-3 in gastric cancer: can it predict lymph node metastasis preoperatively?

    abstract:BACKGROUND:Dickkopf-3 (DKK3) may act as a tumor suppressor as it is down-regulated in various types of cancer. This study assessed the DKK3 protein expression in gastric cancer and its potential value as a prognostic marker. METHODS:DKK3 expression was evaluated by immunohistochemistry in 158 gastric cancer samples fr...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2886-3

    authors: Park JM,Kim MK,Chi KC,Kim JH,Lee SH,Lee EJ

    更新日期:2015-04-01 00:00:00

  • Risk factors for infection after 46,113 intramedullary nail operations in low- and middle-income countries.

    abstract:BACKGROUND:The fields of surgery and trauma care have largely been neglected in the global health discussion. As a result the idea that surgery is not safe or cost effective in resource-limited settings has gone unchallenged. The SIGN Online Surgical Database (SOSD) is now one of the largest databases on trauma surgery...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-012-1817-4

    authors: Young S,Lie SA,Hallan G,Zirkle LG,Engesæter LB,Havelin LI

    更新日期:2013-02-01 00:00:00

  • Acute biliary pancreatitis: diagnosis and management.

    abstract::Acute biliary pancreatitis is a serious complication of biliary calculous disease and is associated with significant morbidity and mortality. The role of endoscopic retrograde cholangiopancreatography (ERCP) in the management of acute biliary pancreatitis has been the focus of discussion in recent years. In addition, ...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s002689900207

    authors: Liu CL,Lo CM,Fan ST

    更新日期:1997-02-01 00:00:00

  • Excising the reexcision: stereotactic core-needle biopsy decreases need for reexcision of breast cancer.

    abstract::There is debate regarding use of the stereotactic core-needle biopsy (SCNB) for highly suspicious mammographic lesions. This study compares a serial group of mammography-detected breast cancer patients treated before and after the use of SCNB. We studied 113 consecutive nonpalpable breast cancers between 1994 and 1996...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900510

    authors: Kaufman CS,Delbecq R,Jacobson L

    更新日期:1998-10-01 00:00:00

  • Outcomes of Curative-Intent Surgery and Adjuvant Treatment for Pulmonary Large Cell Neuroendocrine Carcinoma.

    abstract:BACKGROUND:Pulmonary large cell neuroendocrine carcinoma (LCNEC) is pathologically classified as non-small-cell lung cancer (NSCLC), but its clinical behavior is more aggressive than other types of NSCLC. Accordingly, the optimal treatment strategy for LCNEC, including the indication of adjuvant treatment, remains cont...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-3908-8

    authors: Kim KW,Kim HK,Kim J,Shim YM,Ahn MJ,Choi YL

    更新日期:2017-07-01 00:00:00