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Invited Critique
July 2002

Outcome Study of Psychological Distress and Nonspecific Symptoms in Patients With Mild Primary Hyperparathyroidism—Invited Critique

Arch Surg. 2002;137(7):784. doi:10.1001/archsurg.137.7.784

It is generally accepted among endocrine surgeons that many, if not most, patients with primary hyperparathyroidism have a wide spectrum of physical and mental impairments, and that the severity of these impairments improves after correction of the condition by parathyroidectomy. To try to shed light on this phenomenon, Okamoto and colleagues from Japan report on the results of psychological testing, using the General Health Questionnaire, of 26 patients with primary hyperparathyroidism before and after curative operation.