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with primary hyperparathyroidism, a preoperative LMR lower than 4.85 and a tumor larger than 28 mm in diameter may indicate PC. This is the first study to investigate the accuracy of inflammatory markers in the preoperative prediction of PC. It is a
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albumin. Adjusted calcium = 0.02 (40 g/L − serum albumin (g/L)) + measured total serum calcium (mmol/L). All patients underwent preoperative thyroid and parathyroid ultrasound imaging. Surgical options were appropriately chosen according to the 2015
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Medical Brain Function and Restoration and Neural Regeneration, Fudan University, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Medical Brain Function and Restoration and Neural Regeneration, Fudan University, Shanghai, China
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). Correct prediction of postoperative hypernatremia can alert the postoperative nursing team to initiate preventive procedures (such as providing adequate hydration and frequent monitoring) and potentially reduce the risk of hypernatremia. In recent years
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techniques, the mortality has dropped markedly to an acceptable range of 0–3%, but the risk of cardiovascular complications during the perioperative period remains high ( 12 , 13 ). Preoperative medical treatment with alpha-blockers is currently recommended
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Department of Neurosurgery, 900th Hospital, Fuzhou, China
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surgery, in addition to close monitoring and timely treatment, are crucial. Previous studies reported old age, low sodium concentration on postoperative days 1–2, long operation duration, low BMI, younger age, and lower preoperative serum sodium as
Parathyroid Unit – LIM-28, Laboratório de Cirurgia de Cabeça e Pescoço, Division of Head and Neck Surgery, Department of Surgery, Hospital das Clinicas (HCFMUSP), University of São Paulo School of Medicine (FMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
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Endocrine Oncology Division, Institute of Cancer of the State of São Paulo (ICESP), University of São Paulo School of Medicine (FMUSP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, São Paulo, Brazil
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Endocrine Oncology Division, Institute of Cancer of the State of São Paulo (ICESP), University of São Paulo School of Medicine (FMUSP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, São Paulo, Brazil
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volume from fragments used. QoL questionnaire During the preoperative hospitalization and every 6 months after surgery, a psychologist (KCR, blinded about surgical method planned) applied the Short Form 36 Health Survey Questionnaire (SF-36) ( 42
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rates, precise prediction of MGD would be helpful in planning for the least invasive operation and guiding patients through the risks and advantages of PHPT surgery. The definition, pathogenesis, etiology, and epidemiology of MGD are the main topics of
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pheochromocytomas, surgery is associated with a high risk of perioperative morbidity ( 4 ). It has been reported that mortality can be as high as 50%. However, due to widespread improvements in preoperative medical preparation, anesthesia, and surgical techniques
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indicated by preoperative ultrasound could not be used as a prediction for malignancy, a final surgical strategy should be based on pathological results such as frozen section. This suggests that preoperative ultrasound is insufficient to evaluate the foci
College of Medicine, Chang Gung University, Taoyuan, Taiwan
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Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
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Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
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Department of Nephrology, China Medical University Hospital, Taichung, Taiwan
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Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
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Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
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Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
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higher scores of activities of daily living ( 9 ). Therefore, judicious preoperative evaluation, postoperative surveillance, and accurate prediction of the occurrence and the outcome of HBS in this patient group are particularly critical from the societal