Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2022) 81 EP139 | DOI: 10.1530/endoabs.81.EP139

ECE2022 Eposter Presentations Calcium and Bone (114 abstracts)

«Physician to physician» telemedicine consultations in parathyroid pathology: experience of quaternary endocrinological medical center

Anna Gorbacheva , Maria Fadeyeva , Anna Eremkina & Natalia Mokrysheva


Endocrinology Research Center, Parathyroid disorders, Moscow, Russian Federation.


Introducton: Telemedicine consultations (TMC) are a useful tool for ensuring communication between medical specialists, especially in a large country and in the era of COVID-19. It is important to study the needs and possibilities of TMC for various diseases, in particular, for the pathology of the parathyroid glands.

Materials and methods: TMC between regional health specialists and Endocrinology Research Centre (Moscow, Russian Federation) were conducted in 2019–2021 via All-Russian Center for Disaster Medicine «Zashchita».

Results: In 2019 1221 TMC were held in our center, 859 (70%) – for adult patients. In 2020 there were 1248 TMC, in 2021 – 3005 TMC, among them there were 1077 (86%) and 1622 (54%) TMC for adults, respectively. A high prevalence of parathyroid disorders in TMC was noticed (Table 1).

Table 1 Parathyroid disorders in nosological structure of “physician to physician” (P2P) TMC.
201920202021
Total TMC count122112483005
Number of TMC for adults85910771622
Number of TMC for parathyroid disorders/% regarding the number of consultations for adults100 (11,6%)121 (11,2%)187 (11,5%)
Among them (according to ICD-10):
E89.2 (Postprocedural hypoparathyroidism)9926
E21.0 (Primary hyperparathyroidism)5675111
E21.1 (Secondary hyperparathyroidism)201318
E21.2 (Other hyperparathyroidism)318
E21.3 (Hyperparathyroidism, unspecified)122118
E21.4 (Other specified disorders of parathyroid gland)003
E21.5 (Disorder of parathyroid gland, unspecified)023
Hospitalization recommended/% regarding the number of consultations for parathyroid disorders43 (43%)61 (50,4%)121 (64,7%)

Conclusion: The relatively high proportion of parathyroid gland pathology in the structure of P2P TMC may indicate a relatively low awareness of doctors in the regions of Russian Federation about these diseases. At the same time, a high percentage of recommended hospitalizations indicates that such patients need high-tech treatment in a specialized center, which leads to their referral to a fourth-level facility. Further analysis is needed to determine the role of P2P TMC in routing of patients with parathyroid disorders.

Volume 81

European Congress of Endocrinology 2022

Milan, Italy
21 May 2022 - 24 May 2022

European Society of Endocrinology 

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