Trial reportJournal of general internal medicine1998
Risks of complication following thyroidectomy.
Trial report in Journal of general internal medicine, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Anaplastic Thyroid Carcinoma, Version 2.2015.Journal of the National Comprehensive Cancer Network : JNCCN · 2015Guideline
- Risk factors of hypocalcemia after total thyroidectomy. A high volume center experience.Frontiers in endocrinology · 2025Article
- Can preoperative 25-hydroxyvitamin D levels predict transient hypocalcemia after total thyroidectomy?Updates in surgery · 2022Article
- Preoperative vitamin D deficiency is associated with increased risk of postoperative hypocalcemia after total thyroidectomy.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021Article
- Detecting the Near Infrared Autofluorescence of the Human Parathyroid: Hype or Opportunity?Annals of surgery · 2020Review
- Population-Based Assessment of Complications Following Surgery for Thyroid Cancer.The Journal of clinical endocrinology and metabolism · 2017Article
- DOES PRE-OPERATIVE VITAMIN D DEFICIENCY PREDICT POSTOPERATIVE HYPOCALCEMIA AFTER THYROIDECTOMY?Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2017Article
- Factors affecting postoperative hypocalcemia after thyroid surgery: Importance of incidental parathyroidectomy.Northern clinics of Istanbul · 2016Article
- The Benefits and Risks of Prophylactic Central Neck Dissection for Papillary Thyroid Carcinoma: Prospective Cohort Study.International journal of endocrinology · 2015Article
- Early predictors of hypocalcemia after total thyroidectomy: an analysis of 304 patients using a short-stay monitoring protocol.JAMA otolaryngology-- head & neck surgery · 2014Article
- Total thyroidectomy is associated with increased prevalence of permanent hypoparathyroidism.Medical science monitor : international medical journal of experimental and clinical research · 2014Article
- Report from the OECI Oncology Days 2014.Ecancermedicalscience · 2014Article
- Minimally invasive video-assisted thyroidectomy 2.0: expanded indications in a tertiary care cancer center.Head & neck · 2011Article
- Supervised surgical trainees perform thyroid surgery for Graves' disease safely.Langenbeck's archives of surgery · 2006Article
- The importance of surgeon experience for clinical and economic outcomes from thyroidectomy.Annals of surgery · 1998Article
- The risks of thyroidectomy: words of caution for referring physicians.Journal of general internal medicine · 1998Article
- Know thy surgeon: the importance of surgeon-specific information.Journal of general internal medicine · 1998Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveBecause hypoparathyroidism is a serious complication of thyroidectomy, we attempted to elucidate factors determining the risk of this postoperative outcome.
settingFour tertiary care hospitals in Albuquerque, New Mexico. PATIENTS: A retrospective study of 142 patients who underwent total or subtotal thyroidectomy between 1988 and 1995. MEASUREMENTS AND MAIN
resultsPermanent hypoparathyroidism was defined as hypocalcemic symptoms plus a requirement for oral vitamin D or calcium 6 months after thyroidectomy. Factors analyzed to determine their contribution to the risk of persistent postoperative hypoparathyroidism were the indication for thyroidectomy, performance of a preoperative thyroid needle biopsy, type of surgery, postoperative pathology, presence and stage of thyroid carcinoma, resident surgeon involvement, and specialty of the surgeon performing the procedure. Surgical specialty and stage of thyroid carcinoma were independent risk factors for persistent postoperative hypoparathyroidism by multivariate analysis. Nine (29%) of 31 patients who had thyroidectomy by otolaryngologists met criteria for permanent hypoparathyroidism, and 6 (5%) of 111 patients who had thyroidectomy by general surgeons met the same criteria (p < .001). Adjustment for the effect of stage did not eliminate the effect of specialty (p = .006), and adjustment for the effect of specialty did not eliminate the effect of stage (p = .02), on the occurrence of postoperative hypoparathyroidism.
conclusionsWe conclude from our data that patients undergoing thyroidectomy by an otolaryngologist may be at a higher risk of permanent postoperative hypoparathyroidism than patients who undergo thyroidectomy by a general surgeon. This may reflect differences in case selection or surgical approach or both.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.