Finnis W A, Cohanim M, Yendt E R
Can Med Assoc J. 1981 Sep 15;125(6):561-4.
Physicians usually fail to recognize an abnormal serum calcium level and often do not arrive at a definite conclusion about its cause. Yet hypercalcemia, even when minimal, indicates potentially serious underlying disease. This review of the records of about 12 000 adults in hospital showed a prevalence of unsuspected hypercalcemia of 1.4%, a 24% rate of recognition of the abnormal serum level and a 71% rate of correct diagnosis (though often presumptive) of the underlying cause by the attending physician, and a possible prevalence of unsuspected hyperparathyroidism of 0.3%. Because of other considerations, however, the prevalence estimates are probably for too low.
医生通常未能识别血清钙水平异常，且往往无法对其病因得出明确结论。然而，高钙血症即使程度轻微，也表明可能存在严重的潜在疾病。对约12000名住院成年人的病历审查显示，未被怀疑的高钙血症患病率为1.4%，血清异常水平的识别率为24%，主治医生对潜在病因的正确诊断率（尽管通常是推测性的）为71%，未被怀疑的甲状旁腺功能亢进症的可能患病率为0.3%。然而，由于其他因素，患病率估计可能过低。
