A systematic review of minimally invasive parathyroidectomy: update and re-appraisal
Scott N A, Reeve T S, Parkyn R F, Serpell J W, Delbridge L W, Devitt P G, et al
Record ID 32002000011
English
Authors' objectives:
The aim of this review was to compare the safety and efficacy of less or minimally invasive parathyroidectomy techniques against the current benchmark treatment, bilateral neck exploration (BNE).
Authors' results and conclusions:
The small sample size, poor evidence quality and limited methodological rigour of many studies meant that no definitive conclusion could be made as to the safety and efficacy of scan-directed unilateral exploration, video-endoscopic parathyroidectomy or minimally invasive radio-guided parathyroidectomy in comparison to BNE. Nonetheless, the current limited evidence suggested that the less or minimally invasive parathyroidectomy procedures were likely to approach BNE in terms of safety and efficacy.
Authors' recommendations:
The ASERNIP-S Review Group concluded that the updated evidence base for less or minimally invasive parathyroidectomy techniques was still inadequate for establishing their safety and efficacy. The original ASERNIP-S safety and efficacy classification of '2' (the safety and efficacy of the procedure cannot be determined at the present time due to an incomplete and poor quality evidencebase), with a recommendation for a controlled clinical trial of less or minimally invasive parathyroidectomy techniques, was upheld.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.surgeons.org/asernip-s/
Year Published:
2001
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Parathyroidectomy
Contact
Organisation Name:
Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address:
ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name:
racs.asernip@surgeons.org
Contact Email:
racs.asernip@surgeons.org
Copyright:
Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.