Guidelines for parathyroid surgery in patients with asymptomatic PHPT
| MEASUREMENT | RECOMMENDATION |
|---|---|
| Serum calcium (above upper limit of normal) | 0.25 mmol/L |
| 24-h urinary calcium | Not indicated |
| Creatinine clearance (calculated) | Reduced to < 60 mL/min |
| Bone mineral density | T score less than −2.5 at any site or previous fragility fracture |
| Age, y | < 50 |
PHPT—primary hyperparathyroidism.
Data from Bilezikian et al.29