[Postoperative hypoparathyroidism: risk factors and out-patient management following thyroid resections].
BACKGROUND
Postoperative hypoparathryroidism is the most common complication following thyroid resection. Currently the data about the quality of out-patient management is inadequate.


METHODS
Between 2003 and 2006 a total of 1,966 resections were performed and retrospectively analyzed.


RESULTS
Of the patients 14% developed temporary hypoparathyroidism and permanent hypoparathyroidism was seen in 0.37%. The extent of resection and female sex were significant risk factors. The recommendation to wean calcium substitution was only performed in 18% of affected patients.


CONCLUSIONS
The results demonstrated that the quality of out-patient management in cases of postoperative hypoparathyroidism after thyroid resection is insufficient.
Franzke
T
T
Abteilung für Allgemein- und Visceralchirurgie, Schwerpunkt endokrine und onkologische Chirurgie, Diakoniekrankenhaus Henriettenstiftung Hannover gGmbH, Marienstraße 72-90, 30171, Hannover, Deutschland.
Frömke
C
C
Jähne
J
J
D000553:Ambulatory Care / Q000592:standards; D002118:Calcium / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007011:Hypoparathyroidism / Q000209:etiology*; D007431:Intraoperative Complications / Q000453:epidemiology / Q000473:pathology; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D011446:Prospective Studies; D012189:Retrospective Studies; D012727:Sex Characteristics; D013965:Thyroidectomy / Q000009:adverse effects* / Q000706:statistics & numerical data
D002118:Calcium
Am J Surg. 2009 Apr;197(4):439-46
19324110
J Laryngol Otol. 2007 Mar;121(3):237-41
17054818
World J Surg. 2005 May;29(5):629-31
15827848
Head Neck. 2008 Sep;30(9):1148-54; discussion 1154-5
18446819
Surg Today. 2008;38(10):879-85
18820861
World J Surg. 2008 Jul;32(7):1313-24
18449595
J Cell Biochem. 1999 Apr 1;73(1):106-13
10088729
Am J Surg. 1998 Jul;176(1):71-5
9683138
G Chir. 2005 Oct;26(10):357-61
16371185
Am J Surg. 2006 Nov;192(5):675-8
17071205
Acta Otorrinolaringol Esp. 2008 Aug-Sep;59(7):321-4
18817713
Am J Surg. 2005 Sep;190(3):424-9
16105530
Zentralbl Chir. 2005 Oct;130(5):440-8
16220441
Transplant Proc. 2007 Jan-Feb;39(1):225-30
17275510
ANZ J Surg. 2006 Dec;76(12):1081-4
17199694
Zentralbl Chir. 2002 May;127(5):439-42
12058305
Br J Surg. 1965 Jul;52:497-503
14318522
Can J Surg. 2009 Feb;52(1):39-44
19234650
World J Surg. 1998 Jul;22(7):718-24
9606288
World J Surg. 2000 Aug;24(8):971-5
10865043
Chirurg. 2003 May;74(5):437-43
12748792
Endocr J. 2005 Apr;52(2):199-205
15863948
Arch Surg. 1999 Dec;134(12):1389-93
10593340
Langenbecks Arch Surg. 2007 Jul;392(4):423-6
17131155
Surgery. 2003 Feb;133(2):180-5
12605179
Chirurg. 2001 Dec;72(12):1453-7
11824031