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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

  • 3 min

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  • 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.

Original Source(s)

IOPTH Widely Used, Variation Persists

  • by Kathryn Wighton

  • April 13, 2026

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