Use and disparities in parathyroidectomy for symptomatic primary hyperparathyroidism in the Medicare population.

ABSTRACT:

Background

Few studies assess use of parathyroidectomy among older adults with symptomatic primary hyperparathyroidism. Our objective was to determine national usage and disparities in parathyroidectomy for symptomatic primary hyperparathyroidism among insured older adults.

Methods

We identified older adult patients with symptomatic primary hyperparathyroidism using Medicare claims (2006-2017). Primary study variables were race/ethnicity, rurality, and zip-code socioeconomic status. We calculated cumulative incidence of parathyroidectomy and used multivariable Cox proportional hazards regression models to assess the adjusted association of our study variables with parathyroidectomy.

Results

We included 94,803 patients. The median age at primary hyperparathyroidism dia

SUBMITTER: Herb J 

PROVIDER: S-EPMC8550999 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature