title: [Postoperative hypoparathyroidism: risk factors and out-patient management following thyroid resections].
abstract: 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.
authors.affiliation: Abteilung für Allgemein- und Visceralchirurgie, Schwerpunkt endokrine und onkologische Chirurgie, Diakoniekrankenhaus Henriettenstiftung Hannover gGmbH, Marienstraße 72-90, 30171, Hannover, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Franzke
authors.forename: C
authors.initials: C
authors.lastname: Frömke
authors.forename: J
authors.initials: J
authors.lastname: Jähne
mesh_terms: 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
chemical_list: D002118:Calcium
references.citation: Am J Surg. 2009 Apr;197(4):439-46
references.pmid: 19324110
references.citation: J Laryngol Otol. 2007 Mar;121(3):237-41
references.pmid: 17054818
references.citation: World J Surg. 2005 May;29(5):629-31
references.pmid: 15827848
references.citation: Head Neck. 2008 Sep;30(9):1148-54; discussion 1154-5
references.pmid: 18446819
references.citation: Surg Today. 2008;38(10):879-85
references.pmid: 18820861
references.citation: World J Surg. 2008 Jul;32(7):1313-24
references.pmid: 18449595
references.citation: J Cell Biochem. 1999 Apr 1;73(1):106-13
references.pmid: 10088729
references.citation: Am J Surg. 1998 Jul;176(1):71-5
references.pmid: 9683138
references.citation: G Chir. 2005 Oct;26(10):357-61
references.pmid: 16371185
references.citation: Am J Surg. 2006 Nov;192(5):675-8
references.pmid: 17071205
references.citation: Acta Otorrinolaringol Esp. 2008 Aug-Sep;59(7):321-4
references.pmid: 18817713
references.citation: Am J Surg. 2005 Sep;190(3):424-9
references.pmid: 16105530
references.citation: Zentralbl Chir. 2005 Oct;130(5):440-8
references.pmid: 16220441
references.citation: Transplant Proc. 2007 Jan-Feb;39(1):225-30
references.pmid: 17275510
references.citation: ANZ J Surg. 2006 Dec;76(12):1081-4
references.pmid: 17199694
references.citation: Zentralbl Chir. 2002 May;127(5):439-42
references.pmid: 12058305
references.citation: Br J Surg. 1965 Jul;52:497-503
references.pmid: 14318522
references.citation: Can J Surg. 2009 Feb;52(1):39-44
references.pmid: 19234650
references.citation: World J Surg. 1998 Jul;22(7):718-24
references.pmid: 9606288
references.citation: World J Surg. 2000 Aug;24(8):971-5
references.pmid: 10865043
references.citation: Chirurg. 2003 May;74(5):437-43
references.pmid: 12748792
references.citation: Endocr J. 2005 Apr;52(2):199-205
references.pmid: 15863948
references.citation: Arch Surg. 1999 Dec;134(12):1389-93
references.pmid: 10593340
references.citation: Langenbecks Arch Surg. 2007 Jul;392(4):423-6
references.pmid: 17131155
references.citation: Surgery. 2003 Feb;133(2):180-5
references.pmid: 12605179
references.citation: Chirurg. 2001 Dec;72(12):1453-7
references.pmid: 11824031