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The rate of rPTH increased from 1991 to 2012 in hospitals and in private ORL office settings alike. There was a significantly higher rate of rPTH in the age group of 20-40 years and a significant geographical difference in rPTH. The highest risk of rPTH was observed on the day of surgery and on day six. The Danish Data Protection Agency (record number 2012-41-0158) approved this study. The Olga Bryde Nielsen Foundation and H. Skouby E. Skouby's Foundation supported this study financially. The Olga Bryde Nielsen Foundation and H. S