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.

Learning objectives
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.

Faculty presenter
Kevin Heath, MD, MHL, FACP
Medical Director, Clinical Performance
OptumCare
Lawrence, KS

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.

Planners
Sarah Chart, RN
Senior Director
OptumHealth Education
Eden Prairie, MN

Rebecca Gleason, RN, CCM
Activity Manager
OptumHealth Education
Eden Prairie, MN

Tania M. Miedico, MD
Medical Director
Clinical Performance, OptumCare
Eden Prairie, MN

Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial Support^SM, 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 of participation
There are no fees for participating in or receiving credit for this activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

• Completing the entire activity.
• Completing the pre- and post-activity assessments, activity evaluation, and application for certificate of credit forms.

You must be logged into your account to participate in this activity. Get started by clicking “Begin” and viewing the “CE Info”; then follow the prompts at the bottom of the screen. At the end of the activity, you will be able to view, save or print your certificate of participation. The Area of Practice you indicated in your profile corresponds with your certificate type. A complete listing of all of your activities can be found under “My Account”, “My Activities.”

Method for calculating CE credit
CE credit was calculated by the complexity of content.

Accreditation Statement
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
Nurse Practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Physicians
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.

American Academy of Family Physicians
This Enduring Material activity, Understanding Secondary Hyperparathyroidism, has been reviewed and is acceptable for up to 1.00 Elective credit(s) by the American Academy of Family Physicians. AAFP certification begins April 14, 2018. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PAs
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

AAPC-Certified Coders
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.

Attendance
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.

Provided By
This activity is provided by OptumHealth Education.

Commercial Support
This activity is supported by OptumCare.

Hardware/Software Requirements
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