Would scan, but which scan? A cost-utility analysis to optimize preoperative imaging for primary hyperparathyroidism

Abstract

BACKGROUND: Minimally invasive parathyroidectomy for primary hyperparathyroidism depends on accurate preoperative localization. This study examines the cost-utility of sestamibi in combination with single photon emission computed tomography (sestamibi-SPECT); ultrasound; and 4-dimensional computed tomography (4D-CT). METHODS: A decision tree was constructed for patients undergoing initial parathyroidectomy. Patients were randomized to 1 of 5 …

Authors

Wang TS; Cheung K; Farrokhyar F; Roman SA; Sosa JA

Journal

Surgery, Vol. 150, No. 6, pp. 1286–1294

Publisher

Elsevier

Publication Date

December 2011

DOI

10.1016/j.surg.2011.09.016

ISSN

0039-6060

Associated Experts

Forough Farrokhyar

Professor (Part-Time), Faculty of Health Sciences

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