Risk factors for severe hypocalcemia after parathyroidectomy in prevalent dialysis patients with secondary hyperparathyroidism

Tsai, Wan‐Chuan; Peng, Yu‐Sen; Chiu, Yen‐Ling; Wu, Hon-Yen; Pai, Mei‐Fen; Hsu, Shih‐Ping; Yang, Ju‐Yeh; Tung, Kuei-Ting; Chen, Hung‐Yuan

doi:10.1007/s11255-015-1016-y

Cited by 37 publications

(40 citation statements)

References 13 publications

(15 reference statements)

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“…Some studies estimate PTX as efficient and safe [4,18]. Other authors consider that the adverse events risk is too high and recommend medication as preferable [9,21,22]. In our study, mineral metabolism markers did not decrease after medication.…”

Section: Discussioncontrasting

confidence: 42%

Survival after parathyroidectomy in chronic hemodialysis patients with severe secondary hyperparathyroidism

Moldovan

Racasan²,

Kacsó

et al. 2015

Int Urol Nephrol

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Section: Discussioncontrasting

confidence: 42%

Survival after parathyroidectomy in chronic hemodialysis patients with severe secondary hyperparathyroidism

Moldovan

Racasan²,

Kacsó

et al. 2015

Int Urol Nephrol

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“…The study design does not allow for comparison to other protocols for the perioperative management of patients with rHPT. Although others have attempted to define risk factors for hypocalcemia and hungry bone syndrome, the current study represents a comprehensive risk identification and management strategy with a robust multidisciplinary approach …”

Section: Discussionmentioning

confidence: 99%

Protocol driven outcomes in renal parathyroid surgery

et al. 2019

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Background Patients who require surgery for renal hyperparathyroidism represent a special population that is at high risk for postoperative complications. To optimize their treatment, we developed a multidisciplinary approach to the perioperative management of these patients undergoing parathyroidectomy. Methods The Augusta University endocrine surgery parathyroid database was interrogated to identify dialysis‐dependent patients undergoing parathyroidectomy from 2005 to 2015. Numerous clinical parameters were quantified. Patients were stratified into protocol patients and nonprotocol patients. Results A total of 42 patients undergoing renal parathyroidectomy who met the inclusion criteria were identified. Serious adverse events were nearly twice as common in the patients not treated on protocol. The length of stay was nearly 2 days shorter in the protocol group. Lowest calcium level and ionized calcium was higher in the protocol cohort despite a lower postoperative parathyroid hormone. The protocol group had fewer laboratory draws. Conclusion Implementation of a multidisciplinary renal hyperparathyroidism protocol has resulted in improved perioperative outcomes.

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“…Fizik muayenede Chvostek ve Trousseau bulgularına rastlanabilir. Bir çalışmada postoperatif dönemdeki ağır hipokalseminin belirleyicisi olarak preoperatif düşük kalsiyum ve yüksek PTH düzeyleri sorumlu tutulmuştur (25,26). Hastalarda operasyon sonrası ilk 24 saatte 4-6 defa sonraki 24 saatte en az iki defa kalsiyum izlemi yapılması ve düzeye göre replasman yapılması önerilmektedir.…”

Section: Operasyon Ve Tipleriunclassified

Parathyroidectomy in Hemodialysis Patients

Güngör¹,

Altunören²,

Güngör³

et al. 2016

Turk Neph Dial Transpl

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ÖZHemodiyaliz hastalarında sekonder hiperparatiroidizm tedavisi önemli bir sorundur. İlaç tedavisi çoğu zaman bu hastalarda yetersiz kalmaktadır. Paratiroid cerrahisi uygun hastalarda mutlaka akla getirilmelidir. Bu derlemede, paratiroid cerrahi teknikleri, özellikleri, sonuçları ve komplikasyonları irdelenmiştir.ANAhTAR sÖZcÜkLER: Diyaliz, Sekonder hiperparatiroidi, Paratiroidektomi AbsTRAcTTreatment of secondary hyperparathyroidism is a major problem in hemodialysis patients. Medical treatment is commonly inadequate in these patients. Parathyroid surgery should be considered in appropriate patients. In this review, we evaluate the techniques, features, results and complications of parathyroid surgery procedures.

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Risk factors for severe hypocalcemia after parathyroidectomy in prevalent dialysis patients with secondary hyperparathyroidism

Abstract: The readily obtainable preoperative laboratory parameters including Ca, iPTH, P, and ALP will allow identification of a subgroup of patients who are at greater risk for the development of SH following PTX.

Cited by 37 publications

References 13 publications

Survival after parathyroidectomy in chronic hemodialysis patients with severe secondary hyperparathyroidism

Survival after parathyroidectomy in chronic hemodialysis patients with severe secondary hyperparathyroidism

Protocol driven outcomes in renal parathyroid surgery

Parathyroidectomy in Hemodialysis Patients

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