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Guidelines for the Management of Asymptomatic Primary Hyperparathyroidism: Summary Statement from the Third International Workshop

Columbia University College of Physicians & Surgeons (J.P.B.), New York, New York 10032; McMaster University (A.A.K.), Hamilton, Canada L8S 4L8; and Massachusetts General Hospital (J.T.P.), Boston, Massachusetts 02114

Address all correspondence and requests for reprints to: John P. Bilezikian, Columbia University, Department of Medicine/Division of Endocrinology, 630 West 168th Street, MB 92, New York, New York 10032. E-mail: jpb2{at}columbia.edu.

Objective: Asymptomatic primary hyperparathyroidism (PHPT) is a common clinical problem. The purpose of this report is to guide the use of diagnostics and management for this condition in clinical practice.

Participants: Interested professional societies selected representatives for the consensus committee and provided funding for a one-day meeting. A subgroup of this committee set the program and developed key questions for review. Consensus was established at a closed meeting that followed and at subsequent discussions.

Evidence: Each question was addressed by a relevant literature search (on PubMed), and the data were presented for discussion at the group meeting.

Consensus Process: Consensus was achieved by a group meeting. Statements were prepared and reviewed by all authors who represented the Planning Committee and the participating professional societies.

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