Predictors of Surgical Success in Parathyroidectomy: A Retrospective Study of Patients Receiving Renal Replacement Therapy with Secondary Hyperparathyroidism.

12 reported a high incidence of HBS among PD patients after parathyroidectomy (PTX) (71.2%), suggesting a possible trend worth further investigation.

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Although this difference did not reach statistical significance, it highlights an important clinical observation: compared to HD patients, those on PD may be at increased risk of developing hungry bone syndrome following parathyroidectomy, potentially due to differences in bone metabolism and calcium-phosphate handling. 11 PD has been associated with more continuous but lower-efficiency phosphate and calcium removal, which may lead to higher baseline bone turnover and impaired skeletal responsiveness to parathyroid hormone.

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Total parathyroidectomy showed a trend toward fewer failures than subtotal parathyroidectomy.

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