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Invited Commentary
May 4, 2022

Surgeon Volume and Outcomes in Primary Hyperparathyroidism—What Is Old Is New Again

Author Affiliations
  • 1University of California, San Francisco, San Francisco
  • 2Department of Surgery, University of California, San Francisco, San Francisco
JAMA Surg. 2022;157(7):589. doi:10.1001/jamasurg.2022.1359

Parathyroidectomy is the only curative option for patients with primary hyperparathyroidism.1 In the US, parathyroidectomy is often performed as an outpatient procedure, with a relatively low risk of complications. However, preoperative localization for culprit pathology can be challenging, and recurrence of primary hyperparathyroidism has been estimated to be as high as 10% to 15% 10 years later.2 Thus, there may be substantial benefits for patients being treated by surgeons with extensive experience in managing this disease.

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