The impact of COVID-19 and socio-economic crisis on primary hyperparathyroidism patients in Lebanon: A trend to operate more acute and advanced-stage cases

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-07-22 DOI:10.1016/j.amjoto.2025.104713

Bassam Abboud , Christopher Abboud

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引用次数: 0

Abstract

Backgrounds

Evaluate contribution of COVID-19 pandemic, the socio-economic crisis, and explosion of Beirut port to a concerning trend of operating on more advanced-stage in primary hyperparathyroism (PHPT).

Methods

We included all patients operated for PHPT between 1997 and 2024. Two groups were established: Group 1 between 1997 and 2018, and Group 2 after 2018.

Results

Asymptomatic PHPT was statistically significantly more frequent in group 1. The rates of systemic manifestations were comparable but with a more advanced stage for some system in group 2. The rates of acute pancreatitis and acute hypercalcemia were significantly higher in group 2. The rate of parathyroid carcinoma was significantly higher in group 1. The hospital stay was statistically significantly longer in the group 2.

Conclusion

COVID-19 pandemic and economic crisis has affected early intervention and comprehensive treatment for PHPT patients, resulting in a concerning rise in late-stage and acute cases requiring surgical intervention.

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2019冠状病毒病和社会经济危机对黎巴嫩原发性甲状旁腺功能亢进症患者的影响：手术治疗更多急性和晚期病例的趋势

评估2019冠状病毒病大流行、社会经济危机和贝鲁特港爆炸对原发性甲状旁腺功能亢进（PHPT）晚期手术趋势的影响。方法纳入1997 - 2024年间所有接受PHPT手术的患者。分为两组：第一组在1997年至2018年之间，第二组在2018年之后。结果1组无症状PHPT发生率明显高于对照组。全身性表现的发生率与对照组相当，但在第二组中，某些系统的进展更为严重。急性胰腺炎和急性高钙血症发生率明显高于对照组。甲状旁腺癌发生率明显高于对照组。2组住院时间明显延长。结论新冠肺炎大流行和经济危机影响了PHPT患者的早期干预和综合治疗，导致晚期和急性期需要手术干预的病例增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.