Understanding Secondary Hyperparathyroidism
Hyperparathyroidism is an excess of parathyroid hormone in an individual’s bloodstream. There are three types of hyperparathyroidism. In primary hyperparathyroidism, one or more of the parathyroid glands produce the hormone in excess. This typically results in high levels of calcium in the blood (hypercalcemia). In secondary hyperparathyroidism, parathyroid hormone (PTH) levels are elevated due to a condition outside of the parathyroid glands. These external conditions are related to or cause hypocalcemia, hyperphosphatemia, or low vitamin D levels. Each of these conditions stimulates production of parathyroid hormone. Tertiary hyperparathyroidism is typically seen in end-stage renal disease. This activity will review and define the key differences between primary and secondary hyperparathyroidism. It will also explore the diagnosis and management of secondary hyperparathyroidism as well as provide guidance about when to consult a specialist.
This activity is provided by OptumHealth Education.
This activity is supported by OptumCare.
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This activity is designed to meet the educational needs of physicians, coders and other health care professionals interested in improving the care of individuals with secondary hyperparathyroidism.
At the end of this educational activity, participants should be able to:
- Explain the difference between primary and secondary hyperparathyroidism.
- Verify a previously diagnosed condition of hyperparathyroidism.
- Determine the appropriate workup needed to diagnosis secondary hyperparathyroidism.
- Define the management of secondary hyperparathyroidism.
- List when it is appropriate to consult a specialist.
Kevin Heath, MD, MHL, FACP
Medical Director, Clinical Performance
About the presenter
Dr. Heath is board certified in nephrology and internal medicine. He completed medical school and internal medicine residency at Creighton University in Omaha, Nebraska, followed by a nephrology fellowship at Stanford University in Palo Alto, California. He subsequently entered private practice in nephrology in Dallas/Fort Worth, Texas.
Sarah Chart, RN
Eden Prairie, MN
Rebecca Gleason, RN, CCM
Eden Prairie, MN
Tania M. Miedico, MD
Clinical Performance, OptumCare
Eden Prairie, MN
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education (OHE) requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest. OHE ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
The remaining activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
Credit Designation Statements
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
This program meets AAPC guidelines for 1.0 CEU. Can be used for Core A, CANPC and CHONC with successful completion of post-test for continuing education units.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
- 1.00 AAPC - Coders
- 1.00 AMA - Physicians
- 1.00 Attendance - General Attendance
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