Literature DB >> 19691027

Postoperative hypocalcemia--the difference a definition makes.

Hisham M Mehanna1, Anurag Jain, Harpal Randeva, John Watkinson, Ashok Shaha.   

Abstract

BACKGROUND: Review of the literature reveals considerable variability in the definitions and criteria used for reporting postoperative hypocalcemia. The lack of standardization prevents a meaningful comparison of results and performance locally with the national standard. It also prevents the pooling of data when performing meta-analysis, and may affect the comparison of research results.
METHODS: A literature review was performed to identify the different definitions used to define hypocalcemia in post-thyroidectomy patients. We analyzed the incidence of hypocalcemia in the same cohort of 202 post thyroidectomy patients using these definitions.
RESULTS: The reported hypocalcemia rates varied from 0% to 46% for the same cohort depending on the definition of hypocalcemia used. Only one-third of biochemically hypocalcemic patients requested calcium supplementation.
CONCLUSION: This study demonstrates the need for more uniformity and standardization in the definitions used for reporting hypocalcemia rates.

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Year:  2010        PMID: 19691027     DOI: 10.1002/hed.21175

Source DB:  PubMed          Journal:  Head Neck        ISSN: 1043-3074            Impact factor:   3.147


  34 in total

Review 1.  ENERgized vessel sealing systems versus CONventional hemostasis techniques in thyroid surgery--the ENERCON systematic review and network meta-analysis.

Authors:  Pietro Contin; Käthe Gooßen; Kathrin Grummich; Katrin Jensen; Hubertus Schmitz-Winnenthal; Markus W Büchler; Markus K Diener
Journal:  Langenbecks Arch Surg       Date:  2013-11-16       Impact factor: 3.445

2.  Huge variations in definition and reported incidence of postsurgical hypoparathyroidism: a systematic review.

Authors:  Torben Harsløf; Lars Rolighed; Lars Rejnmark
Journal:  Endocrine       Date:  2019-02-20       Impact factor: 3.633

3.  Iatrogenic/post-surgical hypoparathyroidism: where do we go from here?

Authors:  Saba P Balasubramanian
Journal:  Endocrine       Date:  2014-08-23       Impact factor: 3.633

4.  Re-operative thyroid surgery: a 20-year prospective cohort study at a tertiary referral centre.

Authors:  John C Hardman; J A Smith; P Nankivell; N Sharma; J C Watkinson
Journal:  Eur Arch Otorhinolaryngol       Date:  2014-05-11       Impact factor: 2.503

5.  Incidence and predictors of post-thyroidectomy hypocalcaemia in a tertiary endocrine surgical unit.

Authors:  O Edafe; P Prasad; B J Harrison; S P Balasubramanian
Journal:  Ann R Coll Surg Engl       Date:  2014-04       Impact factor: 1.891

Review 6.  The use of ICG enhanced fluorescence for the evaluation of parathyroid gland preservation.

Authors:  Pornpeera Jitpratoom; Angkoon Anuwong
Journal:  Gland Surg       Date:  2017-10

7.  The Association of Discolored Parathyroid Glands and Hypoparathyroidism Following Total Thyroidectomy.

Authors:  Brian Hung-Hin Lang; Diane T Y Chan; Felix Che-Lok Chow; Kai Pun Wong; Rita Y K Chang
Journal:  World J Surg       Date:  2016-07       Impact factor: 3.352

8.  Visualizing fewer parathyroid glands may be associated with lower hypoparathyroidism following total thyroidectomy.

Authors:  Brian Hung-Hin Lang; Diane T Y Chan; Felix Che-Lok Chow
Journal:  Langenbecks Arch Surg       Date:  2016-02-19       Impact factor: 3.445

9.  [Intraoperative parathyroid hormone measurement is the best predictor of postoperative symptomatic hypocalcemia].

Authors:  S Bähler; W Müller; T Linder; A Frotzler; S Fischli; B Aqtashi; F Elmas; A Nader
Journal:  HNO       Date:  2017-12       Impact factor: 1.284

10.  The incidence of post-thyroidectomy hypocalcaemia: a retrospective single-centre audit.

Authors:  S Arman; A Vijendren; G Mochloulis
Journal:  Ann R Coll Surg Engl       Date:  2019-01-15       Impact factor: 1.891

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