ArticleAnnals of the Royal College of Surgeons of England2014
Incidence and predictors of post-thyroidectomy hypocalcaemia in a tertiary endocrine surgical unit.
Article in Annals of the Royal College of Surgeons of England, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Huge variations in definition and reported incidence of postsurgical hypoparathyroidism: a systematic review.Endocrine · 2019Pooled it
- A blood-draw timing- and season-adjusted PTH-calcium model for predicting post-endoscopic/robotic thyroidectomy hypocalcemia.Endocrine connections · 2026Article
- Predictors of postoperative complications following thyroidectomy: A systematic review.Surgery in practice and science · 2024Review
- Article
- Postoperative parathyroid hormone (PTH) is equivalent to perioperative PTH drop in predicting postsurgical hypoparathyroidism.Annals of the Royal College of Surgeons of England · 2024Article
- A Study of Incidence and Management of Postoperative Hypocalcemia in Patients Undergoing Near-Total and Total Thyroidectomy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Development of a tool to calculate the probability of hypocalcemia after total thyroidectomy: a prospective study.Langenbeck's archives of surgery · 2024Article
- Incidence and risk factors of hypoparathyroidism and hypocalcemia after hemithyroidectomy.Langenbeck's archives of surgery · 2023Observational
- Indocyanine green (ICG) angiography-guided thyroidectomy: description of surgical technique.Frontiers in surgery · 2023Article
- Intact Parathyroid Hormone Levels in Predicting Postoperative Hypocalcaemia After Total Thyroidectomy in South Indian Population: Cross Sectional Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- PTH after Thyroidectomy as a Predictor of Post-Operative Hypocalcemia.Diagnostics (Basel, Switzerland) · 2021Article
- Determination of calcium and parathyroid hormone levels following hemithyroidectomy.Thyroid research · 2021Article
- Post-Operative Permanent Hypoparathyroidism and Preoperative Vitamin D Prophylaxis.Journal of clinical medicine · 2021Article
- Factors contributing to unintentional parathyroidectomy during thyroid surgery.Proceedings (Baylor University. Medical Center) · 2020Article
- The incidence of post-thyroidectomy hypocalcaemia: a retrospective single-centre audit.Annals of the Royal College of Surgeons of England · 2019Observational
- Modification, validation and implementation of a protocol for post-thyroidectomy hypocalcaemia.Annals of the Royal College of Surgeons of England · 2018Article
- Article
- One-hour PTH after thyroidectomy predicts symptomatic hypocalcemia.The Journal of surgical research · 2016Article
- Frequency of Hypocalcaemia following Total Thyroidectomy.Pakistan journal of medical sciencesArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-thyroidectomy hypocalcaemia is a common complication with significant short and long term morbidity. The aim of this study was to determine the incidence and predictors of post-thyroidectomy hypocalcaemia (as defined by a corrected calcium <2.1 mmol/l) in a tertiary endocrine surgical unit.
methodsA total of 238 consecutive patients who underwent completion or bilateral thyroid surgery between 2008 and 2011 were included in this retrospective study. Clinical and biochemical data were obtained from electronic and hard copy medical records.
resultsThe incidence of post-thyroidectomy hypocalcaemia on first postoperative day (POD1) was 29.0%. There was variation in the incidence of hypocalcaemia depending on the timing of measurement on the first postoperative day. At six months following surgery, 5.5% of patients were on calcium and/or vitamin D supplementation. Factors associated with post-thyroidectomy hypocalcaemia were lower preoperative corrected calcium (p=0.005) and parathyroid gland (PTG) auto-transplant (p=0.001). Other clinical factors such as central lymph node dissection, inadvertent PTG excision, ethnicity, preoperative diagnosis and Lugol's iodine were not associated with post-thyroidectomy hypocalcaemia.
conclusionThe incidence of post-thyroidectomy hypocalcaemia was underestimated by 6% when only POD1 measurements were considered. The timing of measurement on POD1 has an impact on the incidence of post-thyroidectomy hypocalcaemia. Auto-transplantation and lower preoperative calcium were associated with post-thyroidectomy hypocalcaemia.
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