IOPTH Widely Used, Variation Persists
Most surgeons reported using intraoperative parathyroid hormone monitoring, but approaches to imaging and intraoperative criteria varied, particularly in secondary and tertiary disease
By
Kathryn Wighton
April 13, 2026
1
A survey of 523 North American surgeons revealed 88% use intraoperative parathyroid hormone monitoring during parathyroid surgery.
2
Use of IOPTH was highest among US surgeons at 98%, compared to 69% in Canada and 67% in other regions.
3
Surgeons treating primary hyperparathyroidism frequently used Miami criteria and obtained multiple postexcision hormone measurements.
4
Operational challenges included prolonged operative time due to IOPTH, with 87% of surgeons reporting turnaround times of 16 to 30 minutes.
5
The study highlighted practice heterogeneity in imaging and intraoperative technologies, particularly in renal hyperparathyroidism.
