Serum calcium slope predicts hypocalcaemia following thyroid surgery

Walsh, Stewart R.; Kumar, Belindra; Coveney, Eamonn

doi:10.1016/j.ijsu.2006.03.006

Cited by 31 publications

(18 citation statements)

References 8 publications

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“…As previously reported by Edafe et al, we found no difference between preoperative serum calcium levels in PoSH patients compared to controls. Furthermore, our results showed that PoSH patients had a sharper fall in serum calcium levels than controls after operation, which is in accordance with the results published by Walsh et al (20). Regarding preoperative PTH levels, correlative to the results of Brophy et al, we found no difference between patients with PoSH and controls (21).…”

Section: Discussionsupporting

confidence: 93%

Postoperative Hypoparathyroidism in Patients After Total Thyroidectomy - Experience of a Tertiary Center in Romania

Martin¹,

Parfeni²,

Mustata³

et al. 2019

chr

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şimedia declinului calciului serica fost semnificativ mai marela pacienţii cu disecţie centrală a gâtului şi limfadenectomie (1.94±0.59 vs. 1.68±0.56 mg/dl, p=0.033). Concluzii: Datele noastre indică o prevalenţă mare a PoSH, care este posibil să crească avand in vedere creşterea numărului de tiroidectomii efectuate.Cercetări suplimentare sunt necesare pentru a defini mai bine boala şi a stabili tratamentul şi măsurile preventive adecvate.

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Section: Discussionsupporting

confidence: 93%

Postoperative Hypoparathyroidism in Patients After Total Thyroidectomy - Experience of a Tertiary Center in Romania

Martin¹,

Parfeni²,

Mustata³

et al. 2019

chr

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show abstract

“…Su mayor vascularización es una dificultad añadida para la localización y preservación de las paratiroides 4,13 , si bien no todas las series son coincidentes con estos hallazgos 14 . Esta mayor incidencia de hipocalcemia postoperatoria en pacientes con Graves-Basedow, sobre todo en las mujeres, puede ser debida a la influencia de las hormonas tiroideas sobre el metabolismo del calcio y el hueso, ya que actúan acelerando la creación y la remodelación ósea 11 .…”

Section: Discussionunclassified

Hipocalcemia postiroidectomía total: incidencia, control y tratamiento

González‐Botas

Piedrahita

2013

Acta Otorrinolaringológica Española

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“…Autotransplantation of parathyroid tissue after frozen-section confirmation is utilized if there is any concern of devitalization, and it is associated with a decreased risk of permanent hypoparathyroidism (192,193). Postoperatively, several approaches can predict which patients are at an increased risk of developing hypocalcemia, including serial measurements of serum calcium (194) as well as measurement of a peri-operative intact parathyroid hormone (iPTH) level. The utility of postoperative iPTH is fairly well established with a level of <10-15 pg/mL correlating with an increased risk to develop clinically significant hypocalcemia (195,196).…”

Section: Recommendation Rating: a And Recommendation 12(d)mentioning

confidence: 99%

Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer

Francis

Waguespack

Bauer

et al. 2015

Thyroid

1,011

1,365

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Background: Previous guidelines for the management of thyroid nodules and cancers were geared toward adults. Compared with thyroid neoplasms in adults, however, those in the pediatric population exhibit differences in pathophysiology, clinical presentation, and long-term outcomes. Furthermore, therapy that may be recommended for an adult may not be appropriate for a child who is at low risk for death but at higher risk for long-term harm from overly aggressive treatment. For these reasons, unique guidelines for children and adolescents with thyroid tumors are needed. Methods: A task force commissioned by the American Thyroid Association (ATA) developed a series of clinically relevant questions pertaining to the management of children with thyroid nodules and differentiated thyroid cancer (DTC). Using an extensive literature search, primarily focused on studies that included subjects £ 18 years of age, the task force identified and reviewed relevant articles through April 2014. Recommendations were made based upon scientific evidence and expert opinion and were graded using a modified schema from the United States Preventive Services Task Force. Results: These inaugural guidelines provide recommendations for the evaluation and management of thyroid nodules in children and adolescents, including the role and interpretation of ultrasound, fine-needle aspiration cytology, and the management of benign nodules. Recommendations for the evaluation, treatment, and follow-up of children and adolescents with DTC are outlined and include preoperative staging, surgical management, postoperative staging, the role of radioactive iodine therapy, and goals for thyrotropin suppression. Management algorithms are proposed and separate recommendations for papillary and follicular thyroid cancers are provided.

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Serum calcium slope predicts hypocalcaemia following thyroid surgery

Abstract: Serum calcium slope may be useful in identifying patients suitable for early discharge following thyroid surgery.

Cited by 31 publications

References 8 publications

Postoperative Hypoparathyroidism in Patients After Total Thyroidectomy - Experience of a Tertiary Center in Romania

Postoperative Hypoparathyroidism in Patients After Total Thyroidectomy - Experience of a Tertiary Center in Romania

Hipocalcemia postiroidectomía total: incidencia, control y tratamiento

Management Guidelines for Children with Thyroid Nodules and Differentiated Thyroid Cancer

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