Abstract
Parathyroidectomy has been the mainstay of treatment of severe hyperparathyroidism in patients with kidney failure until the introduction of calcimimetic. Several large observational studies demonstrated an improvement in patient outcomes after parathyroidectomy. Vascular calcification is highly prevalent among patients with kidney failure due to the disturbed mineral and bone metabolism especially an increase in calcium and phosphate load. Parathyroidectomy results in a retrieval of bone minerals back into the bone with subsequent decline in serum calcium and phosphate.
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