Results of a novel intervention to increase rates of diagnosis and treatment of primary hyperparathyroidism
- PMID: 38755025
- DOI: 10.1016/j.amjsurg.2024.04.029
Results of a novel intervention to increase rates of diagnosis and treatment of primary hyperparathyroidism
Abstract
Background: Veterans with primary hyperparathyroidism are under diagnosed and undertreated. We report the results of a pilot study to address this problem.
Methods: We implemented a stakeholder-driven, multi-component intervention to increase rates of diagnosis and treatment for primary hyperparathyroidism at a single VA hospital. Intervention effects were evaluated using an interrupted time series analysis.
Results: The mean age of Veterans affected by the intervention was 67 years (SD 12.1) and 84 % were men. Compared to the pre-intervention period, the intervention doubled the proportion of Veterans who were appropriately evaluated for hyperparathyroidism (absolute difference 25 %, 95 % CI 11 %-38 %, p < 0.001) and increased referrals for treatment by 27 % (95 % CI 7 %-47 %, p < 0.012).
Conclusion: Our pilot study suggests it is feasible to address the underdiagnosis and undertreatment of primary hyperparathyroidism among Veterans.
Keywords: Diagnosis; Hypercalcemia; Primary hyperparathyroidism; Referral; Veteran.
Published by Elsevier Inc.
Similar articles
-
Lithium-associated primary hyperparathyroidism:: An evaluation of screening and referral patterns in a southeastern veteran population.Surgery. 2024 Jan;175(1):187-192. doi: 10.1016/j.surg.2023.04.069. Epub 2023 Nov 3. Surgery. 2024. PMID: 37925259
-
Diagnosis and Management of Primary Hyperparathyroidism Across the Veterans Affairs Health Care System.JAMA Intern Med. 2019 Sep 1;179(9):1220-1227. doi: 10.1001/jamainternmed.2019.1747. JAMA Intern Med. 2019. PMID: 31305864 Free PMC article.
-
Variation in surgical management of primary hyperparathyroidism in the US Department of Veterans Affairs healthcare system: A 15-year observational study.Surgery. 2020 Nov;168(5):838-844. doi: 10.1016/j.surg.2020.05.018. Epub 2020 Jul 19. Surgery. 2020. PMID: 32665141
-
Primary hyperparathyroidism and familial hypocalciuric hypercalcemia: relationships and clinical implications.Endocr Pract. 2012 May-Jun;18(3):412-7. doi: 10.4158/EP11272.RA. Endocr Pract. 2012. PMID: 22232026 Review.
-
Diagnosis and Management of Primary Hyperparathyroidism.JAMA. 2020 Mar 24;323(12):1186-1187. doi: 10.1001/jama.2020.0538. JAMA. 2020. PMID: 32031566 Review. No abstract available.
MeSH terms
LinkOut - more resources
Full Text Sources
