PTH and chronic kidney disease: 4Additionally, parathyroidectomy cannot be universally performed on patients withsevere disease or be categorized as a risk-free, perfect solution for all cases.5 The census survey published by theBrazilian Society of Nephrology in 2011 found that approximately 11% of the patientswith CKD had severe SHPT (PTH > 1000 pg/mL), indicating that a significantportion of the patients prescribed traditional drug therapy might requireparathyroidectomy for being clinically untreatable. 6