Accepted for Publication: July 16, 2012.
Published Online: October 15, 2012. doi:10.1001/2013.jamasurg.316
Author Contributions:Study concept and design: Weber, Nies, Henne-Bruns, and Keller. Acquisition of data: Weber, Eberle, Messelhäuser, Schiffmann, Nies, Schabram, Zielke, and Holzer. Analysis and interpretation of data: Weber, Messelhäuser, Schiffmann, Zielke, Holzer, Rottler, Keller, and Wietersheim. Drafting of the manuscript: Weber, Messelhäuser, Schiffmann, and Rottler. Critical revision of the manuscript for important intellectual content: Weber, Eberle, Schiffmann, Nies, Schabram, Zielke, Holzer, Rottler, Henne-Bruns, Keller, and Wietersheim. Statistical analysis: Weber, Messelhäuser, Rottler, and Wietersheim. Obtained funding: Weber. Administrative, technical, and material support: Weber, Eberle, Schabram, and Henne-Bruns. Study supervision: Zielke, Holzer, Henne-Bruns, and Keller.
Members of the Prospective Multicenter Study: Theresia Weber, MD, Julia Eberle, MD, Ursula Messelhäuser, MD, Doris Henne-Bruns, MD, University of Ulm; Leif Schiffmann, MD, and Ernst Klar, MD, University of Rostock; Christoph Nies, MD, Marienhospital Osnabrück; Akan Gül, MD, and Jochen Schabram, MD, St. Josefskrankenhaus Gießen; Beate Knaur, MD, and Andreas Zielke, MD, Städtisches Klinikum, Offenbach; Katharina Holzer, MD, University Hospital Frankfurt; Nadja Lehwald, MD, University Hospital Düsseldorf; Dietmar Simon, MD, Evangelisches Krankenhaus Bethesda, Duisburg; Monika Keller, MD, University Hospital Heidelberg; Edit Rottler and Joern von Wietersheim, MD, University Hospital Ulm.
Conflict of Interest Disclosures: None reported.
Funding/Support: This study was funded by B. Braun–Stiftung, Germany.
Previous Presentation: This study was presented in part at the meeting of the German Surgical Society; April 24, 2012; Berlin, Germany.
Additional Contributions: We thank Robert J. Marlowe for carefully editing the manuscript. Our special thanks go to our patients who participated in the study and helped us learn about psychologic symptoms in primary hyperparathyroidism.