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Results of a novel intervention to increase rates of diagnosis and treatment of primary hyperparathyroidism.
Lunardi, Nicole; Meier, Jennie; Stevens, Audrey; Milburn, Joseph; Oo, Yin; Hathiramani, Sumitha; Soe, Kyaw; Balentine, Courtney.
  • Lunardi N; Department of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
  • Meier J; Department of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
  • Stevens A; Department of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
  • Milburn J; Department of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
  • Oo Y; Department of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
  • Hathiramani S; Department of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
  • Soe K; Department of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA; Department of Internal Medicine, North Texas VA Health Care System, Dallas, TX, USA.
  • Balentine C; University of Wisconsin-Madison, Department of Surgery, USA; Wisconsin Surgical Outcomes Research Program, Madison, WI, USA; William S. Middleton VA, Madison, WI, USA. Electronic address: cbalentine@wisc.edu.
Am J Surg ; 234: 156-161, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38755025
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 â€‹% were men. Compared to the pre-intervention period, the intervention doubled the proportion of Veterans who were appropriately evaluated for hyperparathyroidism (absolute difference 25 â€‹%, 95 â€‹% CI 11 â€‹%-38 â€‹%, p â€‹< â€‹0.001) and increased referrals for treatment by 27 â€‹% (95 â€‹% CI 7 â€‹%-47 â€‹%, p â€‹< â€‹0.012).

CONCLUSION:

Our pilot study suggests it is feasible to address the underdiagnosis and undertreatment of primary hyperparathyroidism among Veterans.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Hiperparatiroidismo Primario Límite: Aged / Female / Humans / Male / Middle aged País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Search on Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Hiperparatiroidismo Primario Límite: Aged / Female / Humans / Male / Middle aged País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article