Italian guidelines for the management of adult individuals with post-surgical hypoparathyroidism.
These guidelines (GLs) aim to improve and standardize the management of post-surgical hypoparathyroidism (hypoPTH) and to ensure that all patients receive the best possible care nationwide.
Adults with post-surgical hypoPTH.
The GLs do not address individuals under 18 years of age or those with familial, genetic, or autoimmune forms of hypoPTH. Patients with advanced renal failure are also excluded.
Direct costs and resource utilization were evaluated over time to implement appropriate management within the National Health Service. Recommendations were formulated based on an analysis of literature evidence according to the GRADE methodology. Patient preferences were collected and verified through targeted bibliographic research and the active participation of two patients within the GLs' development group.
The present GLs provide four formal graded recommendations and 34 ungraded good clinical practice indications. A high level of agreement was consistently achieved among panel members.
These GLs provide operational recommendations-based on the best available evidence -for the treatment of adult patients with post-surgical hypoPTH. The expected benefits of disseminating and implementing these GLs include improved quality of care, national standardization, and the rationalization of healthcare expenditure, while respecting patient preferences.
Adults with post-surgical hypoPTH.
The GLs do not address individuals under 18 years of age or those with familial, genetic, or autoimmune forms of hypoPTH. Patients with advanced renal failure are also excluded.
Direct costs and resource utilization were evaluated over time to implement appropriate management within the National Health Service. Recommendations were formulated based on an analysis of literature evidence according to the GRADE methodology. Patient preferences were collected and verified through targeted bibliographic research and the active participation of two patients within the GLs' development group.
The present GLs provide four formal graded recommendations and 34 ungraded good clinical practice indications. A high level of agreement was consistently achieved among panel members.
These GLs provide operational recommendations-based on the best available evidence -for the treatment of adult patients with post-surgical hypoPTH. The expected benefits of disseminating and implementing these GLs include improved quality of care, national standardization, and the rationalization of healthcare expenditure, while respecting patient preferences.
Authors
Vescini Vescini, Brandi Brandi, Chiodini Chiodini, Mantovani Mantovani, Sorrenti Sorrenti, Biamonte Biamonte, Cianferotti Cianferotti, D'Aurizio D'Aurizio, Eller-Vainicher Eller-Vainicher, Galassi Galassi, Giusti Giusti, Manganaro Manganaro, Montagnani Montagnani, Naciu Naciu, Paoletti Paoletti, Pigoni Pigoni, Pizzini Pizzini, Raffaelli Raffaelli, Strigini Strigini, Bertossi Bertossi, Camozzi Camozzi, Cecconi Cecconi, Cetani Cetani, Cipriani Cipriani, Docimo Docimo, Medea Medea, Randelli Randelli, Santonati Santonati, Vitillo Vitillo, Basile Basile, Valentini Valentini, Saulle Saulle, Mitrova Mitrova, Scoppola Scoppola, Novizio Novizio, Paoletta Paoletta, Persichetti Persichetti, Samperi Samperi, Attanasio Attanasio, Palermo Palermo
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