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논문 기본 정보

자료유형
학술저널
저자정보
Jong-kyu Kim (Ewha Womans University School of Medicine) Young Jun Chai (Seoul National University Boramae Medical Center) Jung Kee Chung (Seoul National University Boramae Medical Center) Ki-Tae Hwang (Seoul National University Boramae Medical Center) Seung Chul Heo (Seoul National University Boramae Medical Center) Su-Jin Kim (Seoul National University College of Medicine) June Young Choi (Seoul National University College of Medicine) Ka Hee Yi (Seoul National University Boramae Medical Center) Sang Wan Kim (Seoul National University Boramae Medical Center) Sung Yong Cho (Seoul National University Boramae Medical Center) Kyu Eun Lee (Seoul National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.5
발행연도
2018.5
수록면
235 - 239 (5page)

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Purpose: Because primary hyperparathyroidism (PHPT) is difficult to recognize, it has a high likelihood of being underdiagnosed. In this study, we estimated the incidence of PHPT and evaluated PHPT diagnosis in Korea.
Methods: To calculate the prevalence of PHPT, we examined the medical records of patients that were hospitalized for urolithiasis between 2013 and 2016 at a single institute, and then identified those who were diagnosed with PHPT from the same group. A Korea-wide insurance claim database was used to ascertain the number of urolithiasis patients and the number of parathyroidectomies performed in Korea. The incidence of PHPT in the Korean population was estimated using the ratio of patients who presented with urolithiasis as the initial symptom of PHPT.
Results: During the 4-year study period, 4 patients from the 925 urolithiasis patients enrolled in this study (0.4%) were diagnosed with PHPT. During this same period, there were 85,267 patients with urolithiasis in Korea, and the estimated number of PHPT patients was 341, which was 0.4% of 85,267. Considering that 12% to 23% of patients with PHPT are initially diagnosed with urolithiasis, the total number of PHPT patients was estimated to range from 1,483 to 2,842. The number of patients who underwent parathyroidectomy due to PHPT was 1,935 during the study period.
Conclusion: The number of patients we estimated to have PHPT corresponded closely with the number of patients undergoing parathyroidectomy during the study period. Considering the number of nonsymptomatic PHPT patients, PHPT may be properly diagnosed in Korea.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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