Postoperative Parathyroid Hormone Level as a Predictor of Post-thyroidectomy Hypocalcemia

Postoperative PTH Measurement as a Predictor of Hypocalcaemia after Thyroidectomy

“…PAYENE et al published results of PTH measurements at 6, 12 and 20 hours after thyroidectomy, concluding that PTH and calcium levels at 6 h accurately identified patients at risk of developing hypocalcaemia (18). Therefore, it seems crucial to set optimal timing for the measurement of PTH levels after a surgical procedure (19). Other studies compared PTH levels assessed 1-12 h postoperatively with those at 24 h, finding that early results are equally accurate.…”

Perioperative Parathyroid Hormone Assay for Diagnosis and Management of Postthyroidectomy Hypocalcemia

“…Finding an accurate and cost‐effective predictor of hypocalcemia after thyroid surgery could expedite calcium supplementation and the discharge of many patients. Previous attempts have been made to determine which patients would experience postoperative hypocalcemia 1–15 …”

Parathyroid hormone and serum calcium levels measurements as predictors of postoperative hypocalcemia in total thyroidectomy

“…Payne et al tested PTH levels at 6, 12, and 20 h after their surgery: merging PTH and serum calcium measurement at 6 h would fairly establish subjects not at risk for hypocalcemia (18)(19)(20)(21)(22). Such arrangement was 100% specific, identified 68% of normocalcemic patients enduring for secure early discharge, determining a reduced hospital stay and budget.…”

“…Accompanying process, for instance vitamin D insufficiency, calcitonin realizes, "hungry bone syndrome" definitely conduce to this state (2,4). Authors have analyzed simple, reliable and sensitive instruments that may predict postoperative hypocalcemia (2,(5)(6)(7)(8)(9)(10). Serial measures of parathyroid hormone (PTH)…”

“…Original Article Parathyroid hormone and serum calcium levels measurements as predictors of postoperative hypocalcemia in total thyroidectomy and blood serum-corrected calcium levels following surgery have since been verified and allowed for earlier supplementation with calcium and vitamin D (5)(6)(7)(8). Furthermore, these predictors have also facilitated thyroid surgeons to carefully opt subjects who may warily undergo early discharge (11).…”