Use of Parathyroid Hormone Assay After Thyroidectomy: A Survey of US and European Surgeons

Overview

Journal Clin Med Insights Endocrinol Diabetes

Publisher Sage Publications

Specialty Endocrinology

Date 2013 Nov 1

PMID 24174886

Citations 3

Authors

Daniel J Stein

J Pieter Noordzij

Jessica Kepchar

Ian K McLeod

Scott Brietzke

Pietro Giorgio Calo

Affiliations

Soon will be listed here.

Abstract

Introduction: Hypocalcemia after thyroidectomy results in prolongation of hospitalization and patient discomfort but can be predicted by PTH assays. However, there is considerable variation in their use.

Methods: This study was undertaken to document current US and European practice patterns regarding the use of this assay. Anonymous surveys were collected in 2009-2011 from members of the American Academies of Otolaryngology-Head and Neck Surgery and Endocrine Surgery and the European, Italian, French, Spanish and British Societies of Endocrine Surgery.

Results: There were 356 American (3% response) and 61 European (10% response) respondents. 105 (29.8%) American and 25 (41%) European respondents reported routine PTH assay use. Fellowship trained surgeons reported increased use of the PTH assay (P = 0.004). Shorter reported average post-operative hospital stay was associated with American physicians (P = 0.0001), community practice location (P = 0.0002) and routine calcium supplementation (P = 0.0015).

Conclusions: Surgical training was associated with routine use of the PTH assay. Average reported hospital stay was lower for American and community practice physicians and correlated with post-operative oral calcium use.

Citing Articles

The predictive role of intraoperative parathyroid hormone measurement on postoperative parathyroid function in patients undergoing total thyroidectomy.

Zhang Y, Zhao Y, Tang H, Zou H, Li Y, Bian X Sci Rep. 2024; 14(1):29310.

PMID: 39592848 PMC: 11599767. DOI: 10.1038/s41598-024-81012-x.

Correlation between iPTH Levels on the First Postoperative Day After Total Thyroidectomy and Permanent Hypoparathyroidism: Our Experience.

Canu G, Medas F, Longheu A, Boi F, Docimo G, Erdas E Open Med (Wars). 2019; 14:437-442.

PMID: 31231683 PMC: 6572408. DOI: 10.1515/med-2019-0047.

Changing Trends in Thyroid and Parathyroid Surgery Over the Decade: Is Same Day Discharge Feasible in the United Kingdom?: Reply.

Parameswaran R, Sutaria R, Abdel-Aziz T, Sadler G, Mihai R World J Surg. 2015; 39(8):2104.

PMID: 25809061 DOI: 10.1007/s00268-015-3037-1.

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