{"id":"https://openalex.org/W7204274331","doi":"https://doi.org/10.21037/gs-2026-0326","title":"Evolution of parathyroid pathology identification during concomitant thyroid surgery","display_name":"Evolution of parathyroid pathology identification during concomitant thyroid surgery","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7204274331","doi":"https://doi.org/10.21037/gs-2026-0326","pmid":"https://pubmed.ncbi.nlm.nih.gov/42725007","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13561604"},"language":"en","primary_location":{"id":"doi:10.21037/gs-2026-0326","doi":"https://doi.org/10.21037/gs-2026-0326","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-2026-0326","pdf_url":null,"source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21037/gs-2026-0326","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045023750","display_name":"Tucker Bettis","orcid":"https://orcid.org/0009-0005-4869-3402","observed_orcids":["https://orcid.org/0009-0005-4869-3402"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Tucker Bettis","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066760563","display_name":"Logan D. Glosser","orcid":"https://orcid.org/0000-0003-0978-7930","observed_orcids":["https://orcid.org/0000-0003-0978-7930"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Logan D. Glosser","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054243071","display_name":"Neil Saunders","orcid":"https://orcid.org/0000-0002-5192-0945","observed_orcids":["https://orcid.org/0000-0002-5192-0945"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neil Saunders","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148303382","display_name":"Thomas Yamashita","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Yamashita","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028269321","display_name":"Loreski Collado","orcid":"https://orcid.org/0009-0004-8183-1080","observed_orcids":["https://orcid.org/0009-0004-8183-1080"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Loreski Collado","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143607806","display_name":"Quynh Tran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Quynh Tran","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111231498","display_name":"Anee Sophia Jackson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anee Jackson","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148404526","display_name":"Collin Weber","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Collin Weber","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109335069","display_name":"Jyotirmay Sharma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jyotirmay Sharma","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5143633325","display_name":"Snehal G. Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Snehal G. Patel","raw_affiliation_strings":["Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA","institution_ids":["https://openalex.org/I150468666"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5045023750"],"corresponding_institution_ids":["https://openalex.org/I150468666"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62243267,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"8","first_page":"219","last_page":"219"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/parathyroid-pathology","display_name":"parathyroid pathology","score":0.906000018119812},{"id":"https://openalex.org/keywords/primary-hyperparathyroidism","display_name":"primary hyperparathyroidism","score":0.8579999804496765},{"id":"https://openalex.org/keywords/thyroid-cancer","display_name":"thyroid cancer","score":0.6010000109672546},{"id":"https://openalex.org/keywords/papillary-thyroid-carcinoma","display_name":"papillary thyroid carcinoma","score":0.9909999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9422000050544739},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.6723999977111816},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.6485000252723694},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.5989000201225281},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.5860000252723694},{"id":"https://openalex.org/C2777074255","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Thyroidectomy","level":3,"score":0.34869998693466187},{"id":"https://openalex.org/C2778248654","wikidata":"https://www.wikidata.org/wiki/Q650401","display_name":"Parathyroid gland","level":4,"score":0.3190999925136566},{"id":"https://openalex.org/C60644358","wikidata":"https://www.wikidata.org/wiki/Q128570","display_name":"Bioinformatics","level":1,"score":0.31790000200271606},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.30550000071525574},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3003999888896942},{"id":"https://openalex.org/C2775945674","wikidata":"https://www.wikidata.org/wiki/Q1344835","display_name":"Hyperparathyroidism","level":2,"score":0.2937999963760376},{"id":"https://openalex.org/C2781208988","wikidata":"https://www.wikidata.org/wiki/Q202476","display_name":"Parathyroid hormone","level":3,"score":0.28999999165534973},{"id":"https://openalex.org/C194495517","wikidata":"https://www.wikidata.org/wiki/Q7646222","display_name":"Surgical pathology","level":2,"score":0.28439998626708984},{"id":"https://openalex.org/C549673821","wikidata":"https://www.wikidata.org/wiki/Q683455","display_name":"Anatomical pathology","level":3,"score":0.2522999942302704}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.21037/gs-2026-0326","doi":"https://doi.org/10.21037/gs-2026-0326","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-2026-0326","pdf_url":null,"source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13561604","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13561604/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13561604/pdf/gs-15-08-219.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surg","raw_type":"Text"},{"id":"pmid:42725007","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42725007","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.21037/gs-2026-0326","doi":"https://doi.org/10.21037/gs-2026-0326","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-2026-0326","pdf_url":null,"source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204274331.pdf","grobid_xml":"https://content.openalex.org/works/W7204274331.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W7125631941"],"related_works":["https://openalex.org/W4395960344","https://openalex.org/W1990496936","https://openalex.org/W2093197136","https://openalex.org/W2960466913","https://openalex.org/W2139276520","https://openalex.org/W2075628257","https://openalex.org/W60426006","https://openalex.org/W2399353097","https://openalex.org/W2520189609","https://openalex.org/W2215982861"],"abstract_inverted_index":{"Background:":[0],"Concomitant":[1],"thyroid":[2,31,55,201,216,220,246],"and":[3,18,85,123,158,232,278],"parathyroid":[4,26,71,241],"disease":[5],"is":[6,28],"well":[7],"described,":[8],"but":[9],"published":[10],"series":[11],"usually":[12],"report":[13],"a":[14,41,48,102,259,274],"single":[15,42],"combined":[16],"prevalence":[17],"do":[19],"not":[20,280],"separate":[21],"the":[22,35,75,88,133,145],"mode":[23],"by":[24,80],"which":[25],"pathology":[27,72,112,160,242],"detected":[29,243],"at":[30,40,57,74],"surgery.":[32],"We":[33,46],"describe":[34],"evolution":[36],"of":[37,52,171,179,192,197,207,211,215],"these":[38],"patterns":[39],"academic":[43],"center.":[44],"Methods:":[45],"conducted":[47],"retrospective":[49],"cohort":[50,277],"study":[51],"patients":[53,94,138,209],"undergoing":[54],"surgery":[56,247],"Emory":[58],"University":[59],"from":[60,169,190,249],"January":[61],"1999":[62],"to":[63,177,195,283],"December":[64],"2025":[65],"(parent":[66],"cohort,":[67],"n=10,871).":[68],"Patients":[69],"with":[70,124],"found":[73],"same":[76],"operation":[77],"were":[78,120,218,235,265],"identified":[79],"manual":[81],"chart":[82],"review":[83],"(n=128)":[84],"reconciled":[86],"against":[87],"institutional":[89],"research":[90],"dataset,":[91],"yielding":[92],"125":[93,137,208],"after":[95],"exclusions.":[96],"Each":[97],"patient":[98],"was":[99,148,203,225],"classified":[100],"into":[101],"surgical-intent":[103,146],"pathway:":[104],"planned":[105,149,166,255],"preoperative":[106,256],"diagnosis,":[107],"intraoperative":[108,153,185,250],"discovery,":[109],"or":[110,186,251],"incidental":[111,159,187,252],"finding.":[113],"Differences":[114],"in":[115,132,150,155,162,175,182,205],"pathway":[116,147,167],"distribution":[117],"across":[118],"eras":[119],"evaluated":[121],"descriptively":[122],"Pearson":[125],"chi-square":[126],"testing.":[127],"Exploratory":[128],"analyses":[129],"are":[130],"reported":[131],"supplement.":[134],"Results:":[135],"Among":[136],"(76%":[139],"female;":[140],"median":[141,222],"age":[142],"60":[143],"years),":[144],"96":[151],"(76.8%),":[152],"discovery":[154,253],"22":[156],"(17.6%),":[157],"finding":[161],"7":[163],"(5.6%).":[164],"The":[165,270],"rose":[168],"29":[170],"45":[172,193],"cases":[173],"(64%)":[174],"1999-2009":[176],"31":[178,213],"32":[180,198],"(97%)":[181],"2020-2025,":[183],"while":[184],"findings":[188],"decreased":[189],"16":[191],"(36%)":[194],"1":[196],"(3%).":[199],"Coexisting":[200],"malignancy":[202],"present":[204],"35":[206],"(28%);":[210],"these,":[212],"(89%":[214],"neoplasms)":[217],"papillary":[219,268],"carcinoma,":[221],"tumor":[223],"size":[224],"0.8":[226],"[interquartile":[227],"range":[228],"(IQR),":[229],"0.4-1.1]":[230],"cm,":[231],"19":[233],"(54%)":[234],"T1a.":[236],"Conclusions:":[237],"At":[238],"this":[239],"institution,":[240],"during":[244],"concomitant":[245],"shifted":[248],"toward":[254],"identification":[257],"over":[258],"27-year":[260],"period.":[261],"Most":[262],"coexisting":[263],"malignancies":[264],"small,":[266],"low-stage":[267],"carcinomas.":[269],"28%":[271],"rate":[272],"reflects":[273],"selected":[275],"combined-operation":[276],"should":[279],"be":[281],"generalized":[282],"all":[284],"primary":[285],"hyperparathyroidism":[286],"patients.":[287]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-27T00:00:00"}