Broader Surgical Indications in Primary Hyperparathyroidism: Lower Biochemical Severity and Excellent Cure Rates

Modern trends in primary hyperparathyroidism reveal patients presenting with lower parathyroid hormone and calcium levels. Parathyroidectomy, now more common for borderline cases with osteopenia and modest calciuria, yields a 93.7% cure rate, regardless of guideline concordance. This suggests a role for broader surgical indications, given excellent cure rates and rare postoperative hypocalcemia.