Talk:Osteitis fibrosa cystica/GA2

GA Review
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I am reviewing this article. Diderot&#39;s dreams (talk) 19:52, 10 March 2009 (UTC)

GA Review

I am sorry, but I am going to have to Fail this article. There is a big problem with the references.


 * Several specific citations use Reference 1 falsely-- the information verified is NOT in the source. Here they are:


 * The cysts may be lined by osteoclasts, filled with fibrous stroma (supportive tissue) and sometimes blood ("brown tumors").[1]  Not in Source. ✅


 * PTH causes the release of calcium from the bones into the blood, as well as the reabsorption of calcium in the kidney. Thus, excess PTH in hyperparathyroidism causes elevated blood calcium levels, or hypercalcemia.[1]   Not in Source. ✅


 * Fingertips are commonly sensitive to applied pressure.[1]  Not in Source. ✅...deleted.  I can't find the source.


 * The edits were made by the principal editor of the article on two separate occasions.  I don't think the incorrectly sourced pieces of information are false, I think they're very likely true. I don't know whether the misapplied references were caused by just sloppy work or if they were caused by being lazy and faking it.  I have checked out a few more references, they jibe with the information they source, so this is not everywhere the place. Nevertheless, the article needs to have its references checked.  I don't feel under the circumstances that I should put it on hold.

Here are some other things which need improvement for GA, after the references are gone through.


 * The prevention section has several problems. OFC is usually a result of severe hyperparathroidism, and I have serious doubts that the prevention methods discussed would prevent it. The article cited is talking about preventing complications of parathyroidism in mild cases.  This doesn't say that it can help prevent OFC.  Also, as used for OFC, you would want to put it in its own section.  The whole thing is muddled. ✅...unsatisfactorily, will be revisited


 * Generally, in patients who are younger (below 50 years old), parathyroidectomy (removal of the parathyroid) is a commonly suggested route of treatment.[21] Generally and commonly are repetitive. ✅


 * X-rays may indicate thin bones, fractures, bowing, and cysts. The cysts may be lined by osteoclasts, filled with fibrous stroma (supportive tissue) and sometimes blood ("brown tumors").[1] This doesn't belong in the Symptoms section, but the Diagnosis section.


 * The term Pathophysiology is overcomplicated. 'Pathology' is a simpler word and sufficiently descriptive and precise. ✅


 * Prose: A statement is made about 'Primary hyperparathyroidism', without definining it. It's one of the three types you presented, yes?  It should be stated in the text on the three types.✅


 * Prose: In order to treat OFC, it is necessary to treat its underlying causes. Because OFC is an advanced form of hypercalcemia, intravenous fluids are generally the initial therapy used... The first sentence says you have to treat causes, and then the next sentence describes treating symptoms-- something else.  Treating symptoms and treating causes should be distinguished, and the paragraph organized.  But the first sentence is a critical point, so don't lose it.✅...it really wasn't a point supported in any literature that I read

Once these concerns are met, further improvements beyond GA would include information on what happens after surgical removal of the parathyroid glands. Do people need hormone therapy to reproduce normal levels of hormone(s)? Also the pictures and infobox could be bigger since there is plenty of room in the article.

Diderot&#39;s dreams (talk) 18:25, 13 March 2009 (UTC)