Preoperative vitamin D level as predictor of post‐thyroidectomy hypocalcemia in patients sustaining transient parathyroid injury. Issue 7 (29th March 2017)

• Record Type: Journal Article
• Authors: Danan, Deepa; Shonka, David C.
• Is Part Of: Head & neck. Volume 39:Issue 7(2017)
• Page Start: 1378
• Page End: 1381
• Publication Date: 2017-03-29
• Subjects: hypocalcemia -- parathyroid -- parathyroid injury -- thyroidectomy -- vitamin D; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24775
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Several studies have sought to identify predictors of postoperative hypocalcemia after total thyroidectomy; however, there have been conflicting results regarding the impact of preoperative vitamin D deficiency. Methods: The medical records of patients undergoing total thyroidectomy were retrospectively reviewed. The number of parathyroid glands identified or reimplanted at the time of surgery was used as a marker of transient parathyroid gland damage. Results: Sixty‐seven patients were included in the study. Vitamin D deficiency was a significant predictor of hypocalcemia in patients in whom ≥3 parathyroid glands were identified, but not in patients in whom 0‐2 parathyroid glands were identified intraoperatively (odds ratio [OR] 5.8; P = .036). Conclusion: Vitamin D deficiency is a significant predictor of postoperative hypocalcemia in patients in whom ≥3 parathyroid glands are identified intraoperatively, but not in patients who sustain minimal transient damage to the parathyroid glands.