Applicability Of Immediate, Late Or Serial Intact Parathyroid Hormone Measurement Following Total Thyroidectomy

dc.creatorGraciano A.J.
dc.creatorChone C.T.
dc.creatorFischer C.A.
dc.date2012
dc.date2015-06-25T20:24:31Z
dc.date2015-11-26T15:20:05Z
dc.date2015-06-25T20:24:31Z
dc.date2015-11-26T15:20:05Z
dc.date.accessioned2018-03-28T22:29:35Z
dc.date.available2018-03-28T22:29:35Z
dc.identifier
dc.identifierBrazilian Journal Of Otorhinolaryngology. , v. 78, n. 5, p. 78 - 82, 2012.
dc.identifier18088694
dc.identifier10.5935/1808-8694.20120012
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84869029118&partnerID=40&md5=dd3e93c754f2d2ff210a2f680b15d5bb
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/90246
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/90246
dc.identifier2-s2.0-84869029118
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1259894
dc.descriptionHypocalcemia is the most common complication after total thyroidectomy. Intact parathyroid hormone (i-PTH) testing is a proven effective method to detect patients at risk for postoperative symptomatic hypocalcemia. However, there is still uncertainty as to the timing of i-PTH testing in a clinical setting. Objective: This study looked into the correlation between serum i-PTH levels measured at different times after total thyroidectomy and the risk of symptomatic hypocalcemia. Methods: This retrospective case series studied a group of 110 consecutive for hypocalcemia and intact parathyroid hormone (PTHi) levels four and twelve hours following total thyroidectomy. Statistical analysis was used to evaluate the performance of isolated and serial i-PTH measurements to determine the likelihood of symptomatic hypocalcemia. Results: I-PTH is highly sensitive (90.3%-96.8%) and specific (77.2%-87.3%) for symptomatic hypocalcemia. There was no significant difference in the sensitivity levels of the tests done four and twelve hours after surgery or in a serial fashion. However, the 12-hour i-PTH level was more specific (p < 0.0007). Conclusion: Single i-PTH testing done 12 hours after total thyroidectomy may be used as a screening test to detect patients at risk for symptomatic hypocalcemia.
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dc.languageen
dc.publisher
dc.relationBrazilian Journal of Otorhinolaryngology
dc.rightsaberto
dc.sourceScopus
dc.titleApplicability Of Immediate, Late Or Serial Intact Parathyroid Hormone Measurement Following Total Thyroidectomy
dc.typeArtículos de revistas


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