Time to parathyroid function recovery in patients with protracted hypoparathyroidism after total thyroidectomy

Abstract

Permanent hypoparathyroidism should not be diagnosed in patients requiring replacement therapy for more than six months, especially if the four parathyroid glands were preserved.

Influencing factors and predictors of short-term normal parathyroid function after thyroidectomy: a case control study

“…Hypoparathyroidism is one of the most common complications after total thyroidectomy. Some studies have found that calcium and calcitriol supplementation can aid the recovery of parathyroid function in patients with hypoparathyroidism [7,[12][13][14]. In agreement with previous ndings [13,15], in the present study, parathyroid function in most patients returned to normal within 1 month (87.39%) after the operation, and intraoperative PGRIS scores was an independent in uencing factor for the return of normal PTH after surgery.…”

“…The predictive effect of rapid biochemical indicators on parathyroid function will be helpful for clinicians to diagnose and better manage the dosage of calcium tablets and calcitriol in patients. In addition, many scholars have explored the predictive effect of short-term PTH after thyroid surgery [6][7][8][9]. However, many junior hospitals do not have the equipment to detect PTH, or the test is too time-consuming.…”

“…A PTH concentration of <10 pg/mL on the rst day after thyroid surgery has good sensitivity and speci city for predicting postoperative hypocalcemia. Calcium supplementation and calcitriol can effectively prevent the occurrence of hypocalcemia and promote the recovery of parathyroid function [6][7][8][9]. However, these treatments can cause gastrointestinal discomforts such as constipation in the short term and increase the risk of kidney stones, gout, hypercalcemia, hypercalciuria, and hyperphosphatemia [10].…”

Parathyroid autotransplantation in thyroid surgery

“…It also implies that the possibility of parathyroid gland revascularization after the wound is closed is not considered. This is not consistent with the fact that recovery of the parathyroid function is a dynamic, long-standing process [40]. In addition, interpretation of the parathyroid function data in this study is hampered because four glands were identified in only 4/36 patients and all subjects received routine calcium and vitamin D supplementation after thyroidectomy.…”

Patient satisfaction after thyroid RFA versus surgery for benign thyroid nodules: a telephone survey

“…For this cross-sectional survey, patients were selected from our database. Although RFA and surgery had been carried out at different times before the survey, we made sure that all patients had been treated at least one year prior to it, as postsurgical complications might need one year to recover [38]. Certainly, in some patients survey point was far from initial surgery, which should be taken into account when looking at our data.…”