Endocrine Abstracts

There have always been conversations between clinicians about management and potential referral of patients, predominately from primary care to specialists. This has been called variously ‘advice and guidance (A&G)’, ‘specialist advice’ or ‘advice and refer’ by NHS England (NHSE). In the last few years, A&G has become increasingly relevant with escalating clinic pressures and is now part of the NHSE/GIRFT ‘elective care recovery and t...

Primary hyperparathyroidism is a common endocrine disorder. Diagnosis is more frequently made where calcium testing forms part of routine screening bloods. The clinical profile has shifted from a symptomatic disorder with hypercalcaemic symptoms, kidney stones and overt bone disease towards a more asymptomatic state. The National Institutes of Health (NIH) have produced guidelines on diagnosis and management of primary hyperparathyroidism but no UK guidelines are in existence....