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[PMID]:28740581
[Au] Autor:Brown SJ; Ruppe MD; Tabatabai LS
[Ad] Endereço:Houston Methodist Hospital, Houston Texas.
[Ti] Título:The Parathyroid Gland and Heart Disease.
[So] Source:Methodist Debakey Cardiovasc J;13(2):49-54, 2017 Apr-Jun.
[Is] ISSN:1947-6108
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The parathyroid glands are critical to maintaining calcium homeostasis through actions of parathyroid hormone (PTH). Recent clinical and molecular research has shown that direct and indirect actions of PTH also affect the heart and vasculature through downstream actions of G protein-coupled receptors in the myocardium and endothelial cells. Patients with disorders of the parathyroid gland have higher incidences of hypertension, arrhythmias, left ventricular hypertrophy, heart failure, and calcific disease which translate into increased cardiac morbidity and mortality. Importantly, clinical research also suggests that early treatment of parathyroid disorders through medical or surgical management may reverse cardiovascular remodeling and mitigate cardiac risk factors.
[Mh] Termos MeSH primário: Cardiopatias/fisiopatologia
Coração/fisiopatologia
Doenças das Paratireoides/fisiopatologia
Glândulas Paratireoides/fisiopatologia
[Mh] Termos MeSH secundário: Cardiopatias/diagnóstico
Cardiopatias/epidemiologia
Cardiopatias/prevenção & controle
Seres Humanos
Doenças das Paratireoides/diagnóstico
Doenças das Paratireoides/epidemiologia
Doenças das Paratireoides/terapia
Prognóstico
Medição de Risco
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.14797/mdcj-13-2-49


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[PMID]:28818283
[Au] Autor:Collier K; Sataloff J; Wirtalla C; Kuo L; Karakousis GC; Kelz RR
[Ad] Endereço:Hospital of the University of Pennsylvania, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA. Electronic address: collier.karole@gmail.com.
[Ti] Título:Understanding readmissions following operations of the thyroid and parathyroid glands.
[So] Source:Am J Surg;214(3):501-508, 2017 Sep.
[Is] ISSN:1879-1883
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In anticipation of bundled-payment models for thyroid and parathyroid disease, a better understanding of resource utilization following surgery is required. We sought to characterize the use of hospital services following such operations using an analysis of readmissions. METHODS: Patients age 18+years who underwent a thyroid or parathyroid operation in CA or NY (2008-2011) were classified by procedure type. Primary outcome was readmission within 90 days. Univariate and multivariable logistic regression were used to determine factors associated with readmission. Subset analysis was performed for thyroid cancer patients. RESULTS: Among 59,427 patients, 34.2% had thyroid cancer. Eleven percent (n = 6462) were readmitted within 90 days, with 27% readmitted to a different hospital than the index. 66.2% of thyroid cancer patients were readmitted for a related condition. CONCLUSION: Eleven percent of patients are admitted to the hospital within 90 days of an operation in the thyroid or parathyroid glands. Patient factors and diseases necessitate the use of hospital services. Bundled payments must consider the patients' needs for hospital-based services in calculating costs for surgically treated endocrine disorders.
[Mh] Termos MeSH primário: Doenças das Paratireoides/cirurgia
Readmissão do Paciente/estatística & dados numéricos
Doenças da Glândula Tireoide/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE


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[PMID]:28425617
[Au] Autor:Cho I; Jo MG; Choi SW; Jang JY; Wang SG; Cha W
[Ad] Endereço:Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
[Ti] Título:Some posterior branches of extralaryngeal recurrent laryngeal nerves have motor fibers.
[So] Source:Laryngoscope;127(11):2678-2685, 2017 Nov.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: Anatomical variations of the recurrent laryngeal nerve (RLN), such as extralaryngeal branching, are a well-known risk factor for RLN injury during thyroid surgery. This study aimed to analyze the surgical anatomy and to investigate the existence of posterior branch motor fibers of extralaryngeal RLNs. STUDY DESIGN: Prospective consecutive observational study. METHODS: This was a prospective cohort study of 366 patients between January 2014 and February 2016. Operative data included the type of operation, incidence of nerve bifurcation, the distances among anatomical landmarks. The motor fibers were evaluated using neurostimulation with laryngeal palpation. RESULTS: A total of 667 RLNs at risk were analyzed in this study, and of these 103 (14.5%) nerves were bifurcated or trifurcated before the laryngeal entry point (LEP). More extralaryngeal branched RLNs were observed on the right side than on the left (17.5% vs. 13.3%, P = .294). The mean distance of the LEP point of division was longer on the left side (16.2 ± 6.7 mm) than on the right (14.7 ± 5.9 mm, P = .132). All branched RLNs had a palpable laryngeal twitch when stimulating anterior branches. When stimulating posterior branches, 28.2%(29/103) of branched RLNs showed palpable laryngeal twitch. Overall incidence of posterior motor branch in total RLNs was 4.3% (29/667). CONCLUSIONS: The motor fibers of the RLN are all located in the anterior branch, whereas some posterior branches have motor function. Identification of all of the branches of the RLN may be mandatory to decrease the risk of postoperative nerve injury. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2678-2685, 2017.
[Mh] Termos MeSH primário: Músculos Laríngeos/inervação
Neurônios Motores
Nervo Laríngeo Recorrente/anatomia & histologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Pontos de Referência Anatômicos
Feminino
Seres Humanos
Masculino
Meia-Idade
Esvaziamento Cervical
Doenças das Paratireoides/cirurgia
Estudos Prospectivos
Traumatismos do Nervo Laríngeo Recorrente/fisiopatologia
Traumatismos do Nervo Laríngeo Recorrente/prevenção & controle
Doenças da Glândula Tireoide/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26595


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[PMID]:28196195
[Au] Autor:Smith A; Braden L; Wan J; Sebelik M
[Ad] Endereço:Department of Otolaryngology-Head & Neck Surgery, University of Tennessee Health Science Center, Memphis.
[Ti] Título:Association of Otolaryngology Resident Duty Hour Restrictions With Procedure-Specific Outcomes in Head and Neck Endocrine Surgery.
[So] Source:JAMA Otolaryngol Head Neck Surg;143(6):549-554, 2017 Jun 01.
[Is] ISSN:2168-619X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Graduate medical education has undergone a transformation from traditional long work hours to a restricted plan to allow adequate rest for residents. The initial goal of this restriction is to improve patient outcomes. Objective: To determine whether duty hour restrictions had any impact on surgery-specific outcomes by analyzing complications following thyroid and parathyroid procedures performed before and after duty hour reform. Design, Setting, and Participants: Retrospective cross-sectional analysis of the National Inpatient Sample (NIS).The NIS was queried for procedure codes associated with thyroid and parathyroid procedures for the years 2000 to 2002 and 2006 to 2008. Hospitals were divided based on teaching status into 3 groups: nonteaching hospitals (NTHs), teaching hospitals without otolaryngology programs (THs), and teaching hospitals with otolaryngology programs (THs-OTO). Main Outcomes and Measures: Procedure-specific complication rates, length of stay, and mortality rates were collected. SAS statistical software (version 9.4) was used for analysis with adjustment using Charlson comorbidity index. Results: Total numbers of head and neck endocrine procedures were 34 685 and 39 770 (a 14.7% increase), for 2000 to 2002 and 2006 to 2008, respectively. THs-OTO contributed a greater share of procedures in 2006 to 2008 (from 18% to 25%). With the earlier period serving as the reference, length of stay remained constant (2.1 days); however, total hospital charges increased (from $12 978 to $23 708; P < .001). Rates of postoperative hematoma (odds ratio [OR], 1.21; 95% CI, 1.06-1.38), hypoparathyroidism (OR, 1.27; 95% CI, 1.06-1.52), and unintentional vessel lacerations (OR, 1.36; 95% CI, 1.02-1.83) increased overall with NTHs (OR, 1.26; 95% CI, 1.04-1.52), THs (OR, 1.65; 95% CI, 1.15-2.37), and THs-OTO (OR, 1.98; 95% CI, 1.09-3.61) accounting for these differences, respectively. Overall mortality decreased (OR, 0.66; 95% CI, 0.47-0.94) following a decrease in the TH-OTO mortality rate (OR, 0.34; 95% CI, 0.12-0.93). Conclusions and Relevance: While recurrent laryngeal nerve injury, hematoma formation, and hypoparathyroidism did not change, length of stay and mortality improved within THs-OTO following head and neck endocrine procedures after implementation of duty hour regulations. This finding refutes the concern that duty hour restrictions result in poorer overall outcomes. Less time available to develop technical competence may play a factor in some outcomes in lieu of recurrent laryngeal nerve injury increasing within THs and accidental injury to vessels, organs, or nerves and hypocalcemia increasing within THs-OTO. Furthermore, head and neck endocrine cases increased at THs with otolaryngology programs.
[Mh] Termos MeSH primário: Educação de Pós-Graduação em Medicina
Otolaringologia/educação
Doenças das Paratireoides/cirurgia
Admissão e Escalonamento de Pessoal
Melhoria de Qualidade
Doenças da Glândula Tireoide/cirurgia
Carga de Trabalho
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Estudos Transversais
Feminino
Preços Hospitalares
Mortalidade Hospitalar
Seres Humanos
Internato e Residência
Tempo de Internação/estatística & dados numéricos
Masculino
Doenças das Paratireoides/mortalidade
Complicações Pós-Operatórias
Estudos Retrospectivos
Doenças da Glândula Tireoide/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1001/jamaoto.2016.4182


  5 / 1312 MEDLINE  
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[PMID]:28145779
[Au] Autor:Shapey IM; Jabbar S; Khan Z; Nicholson JE; Watson RJ
[Ad] Endereço:Department of General Surgery, East Lancashire Hospitals NHS Trust, Royal Blackburn Hospital , Blackburn , UK.
[Ti] Título:Scan-directed mini-incision focused parathyroidectomy: how accurate is accurate enough?
[So] Source:Ann R Coll Surg Engl;99(2):123-128, 2017 Feb.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION Mini-incision focused parathyroidectomy (MI-FP) is advocated as an alternative to bilateral neck exploration (BNE), owing to its reduced morbidity. The site and side of the affected gland is identified preoperatively using a combination of ultrasound and sestamibi scans. However, the acceptable degree of inter-scan concordance required to prompt MI-FP without compromising accuracy is undetermined. METHODS Accuracy of preoperative imaging was determined both individually and in combination for all parathyroidectomies (2007-2014). A grading system (excellent, good, poor) was devised to describe the interscan concordance, which was validated by the operative and histological findings. RESULTS Eighty-nine patients (17 male, 68 female) underwent parathyroidectomy (MI-FP 44, BNE 45). The accuracy of scans interpreted individually was 53% for ultrasound and 60% for sestamibi, with no difference according to surgical technique (P = 0.43, P = 1, respectively). The proportion of interscan concordance was: excellent - 35%, good - 40%, poor 25%. Combined accuracy was 100% for both excellent and good grades but only 13% for those graded poor. Similar rates of normocalcaemia were observed for MI-FP and BNE, while postoperative hypocalcaemia was five times higher in those undergoing BNE. CONCLUSIONS Reduction in the inter-scan concordance from excellent to good does not compromise accuracy. MI-FP could be successfully performed in up to 75% of patients - 25% higher than recommended in national guidelines. Focused parathyroidectomy does not compromise surgical and endocrinological outcomes but boasts a far superior complication rate.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Minimamente Invasivos
Paratireoidectomia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Procedimentos Cirúrgicos Minimamente Invasivos/estatística & dados numéricos
Doenças das Paratireoides/cirurgia
Glândulas Paratireoides/cirurgia
Paratireoidectomia/efeitos adversos
Paratireoidectomia/métodos
Paratireoidectomia/estatística & dados numéricos
Complicações Pós-Operatórias
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0271


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[PMID]:28121013
[Au] Autor:Lin YS; Hsueh C; Wu HY; Yu MC; Chao TC
[Ad] Endereço:Department of Surgery, Chang Gung Memorial Hospital Linkou Branch, Chang Gung University, Taoyuan, Taiwan.
[Ti] Título:Incidental parathyroidectomy during thyroidectomy increases the risk of postoperative hypocalcemia.
[So] Source:Laryngoscope;127(9):2194-2200, 2017 Sep.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: The correlation between incidental parathyroidectomy (IP) during thyroidectomy and postoperative hypocalcemia remains controversial. Our aim was to investigate the incidence of IP, risk factors, and impact on patient outcomes. STUDY DESIGN: Retrospective cohort study. METHODS: This was a retrospective observational study including 3,186 consecutive patients who underwent thyroidectomy between January 2007 and December 2014. The patients were divided into two groups: the IP group and the non-IP. Numerous clinical parameters were collected and analyzed. RESULTS: The overall incidence of incidentally excised parathyroid glands during thyroidectomy was 6.4%. Patients with IP had significantly higher incidences of postoperative hypocalcemia and hypoparathyroidism than those without IP (P < 0.001). Intrathyroidal parathyroid glands presented only 2.2% of all removed parathyroid glands. Total thyroidectomy, central compartment lymph node dissection, and reoperation were independent risk factors for IP. CONCLUSION: Incidental parathyroidectomy during thyroidectomy is associated with the increased likelihood of postoperative hypocalcemia. All independent risk factors examined in the study for IP are surgery-related. Surgeons should perform meticulous dissection with the intention of avoiding IP and resultant hypocalcemia. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2194-2200, 2017.
[Mh] Termos MeSH primário: Hipocalcemia/etiologia
Doenças das Paratireoides/cirurgia
Paratireoidectomia/efeitos adversos
Complicações Pós-Operatórias/etiologia
Tireoidectomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Hipocalcemia/epidemiologia
Hipoparatireoidismo/epidemiologia
Hipoparatireoidismo/etiologia
Incidência
Achados Incidentais
Masculino
Meia-Idade
Doenças das Paratireoides/diagnóstico
Paratireoidectomia/métodos
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Fatores de Risco
Tireoidectomia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26448


  7 / 1312 MEDLINE  
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[PMID]:27760899
[Au] Autor:Fustar Preradovic L; Danic D; Dzodic R
[Ad] Endereço:Department of Pathology and Cytology, Dr. Josip Bencevic General Hospital, Slavonski Brod, Croatia.
[Ti] Título:Small nonfunctional parathyroid cysts: single institution experience.
[So] Source:Endocr J;64(2):151-156, 2017 Feb 27.
[Is] ISSN:1348-4540
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Parathyroid cysts (PCs) account for less than 1% of all parathyroid lesions and are most commonly located along thyroid lobes, rarely at ectopic sites. PCs are important because they can pose a differential diagnostic challenge against other cystic formations of the neck. PCs can be functional (elevated serum parathyroid hormone level) and nonfunctional. Four cases of nonfunctional PCs are presented. All four female patients underwent physical examination and ultrasonography of the neck with ultrasound-guided fine-needle aspiration biopsy (UG-FNA). The material thus obtained was stained by the standard May-Grünwald-Giemsa method. Parathyroid hormone level was determined in aspirate and serum, along with serum levels of total calcium, inorganic phosphates. In two asymptomatic patients, remission occurred after initial aspiration biopsy; one patient had compression syndrome with vocal cord paresis that required surgical treatment; and one patient had cyst recurrence that was surgically removed. Cystic neck masses can pose a major differential diagnostic problem considering different approach, treatment method, and preoperative and postoperative follow up. Surgical treatment is necessary in case of functional and large nonfunctional PCs (due to compression syndrome), whereas individualized therapeutic approach is used in case of small nonfunctional PCs. Ultrasonography with UG-FNA, cytologic analysis of the material obtained, and determination of parathyroid hormone level in aspirate and serum are crucial for making an accurate diagnosis.
[Mh] Termos MeSH primário: Cistos
Doenças das Paratireoides
[Mh] Termos MeSH secundário: Adulto
Idoso
Biópsia por Agulha Fina
Cistos/diagnóstico
Cistos/patologia
Cistos/terapia
Diagnóstico Diferencial
Feminino
Seres Humanos
Meia-Idade
Doenças das Paratireoides/diagnóstico
Doenças das Paratireoides/patologia
Doenças das Paratireoides/terapia
Glândulas Paratireoides/diagnóstico por imagem
Glândulas Paratireoides/patologia
Estudos Retrospectivos
Glândula Tireoide/diagnóstico por imagem
Glândula Tireoide/patologia
Ultrassonografia de Intervenção/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170802
[Lr] Data última revisão:
170802
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1507/endocrj.EJ16-0398


  8 / 1312 MEDLINE  
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[PMID]:26353995
[Au] Autor:Go P; Watson J; Lu Z; Carlin A; Hammoud Z
[Ad] Endereço:Department of Surgery, Henry Ford Hospital, Detroit, MI, USA.
[Ti] Título:Robotic resection of a mediastinal parathyroid cyst.
[So] Source:Gen Thorac Cardiovasc Surg;65(1):52-55, 2017 Jan.
[Is] ISSN:1863-6713
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Mediastinal parathyroid cysts (PC) are rare, benign lesions, reported in fewer than 150 cases worldwide. Although most are asymptomatic and discovered incidentally on imaging, symptoms of dyspnea, dysphagia, hoarseness, palpitations, hypercalcemia, and innominate or jugular venous thrombosis have been reported. Sternotomy or thoracotomy has traditionally been the approach used to resect mediastinal PCs. We describe the first reported case of a robot-assisted resection of a mediastinal PC.
[Mh] Termos MeSH primário: Cisto Mediastínico/cirurgia
Doenças das Paratireoides/cirurgia
Procedimentos Cirúrgicos Robóticos/métodos
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Dispneia/etiologia
Seres Humanos
Imagem por Ressonância Magnética/métodos
Masculino
Cisto Mediastínico/complicações
Cisto Mediastínico/diagnóstico por imagem
Meia-Idade
Doenças das Paratireoides/complicações
Doenças das Paratireoides/diagnóstico por imagem
Toracotomia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150911
[St] Status:MEDLINE
[do] DOI:10.1007/s11748-015-0587-y


  9 / 1312 MEDLINE  
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[PMID]:27909107
[Au] Autor:Markowitz ME; Underland L; Gensure R
[Ad] Endereço:Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY.
[Ti] Título:Parathyroid Disorders.
[So] Source:Pediatr Rev;37(12):524-535, 2016 Dec.
[Is] ISSN:1526-3347
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças das Paratireoides/diagnóstico
Doenças das Paratireoides/etiologia
[Mh] Termos MeSH secundário: Seres Humanos
Doenças das Paratireoides/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161203
[St] Status:MEDLINE


  10 / 1312 MEDLINE  
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[PMID]:27574124
[Ti] Título:AIUM Practice Parameter for the Performance of a Thyroid and Parathyroid Ultrasound Examination.
[So] Source:J Ultrasound Med;35(9):1-11, 2016 Sep.
[Is] ISSN:1550-9613
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças das Paratireoides/diagnóstico por imagem
Glândulas Paratireoides/diagnóstico por imagem
Doenças da Glândula Tireoide/diagnóstico por imagem
Glândula Tireoide/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160831
[St] Status:MEDLINE
[do] DOI:10.7863/ultra.35.9.1-c



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