Preventative and management strategies of hypocalcemia after thyroidectomy among surgeons: An international survey study

To determine international surgeon practice patterns for transient postoperative hypocalcemia in patients undergoing total thyroidectomy. All member surgeons of the American Thyroid Association and the International Association of Thyroid Surgeons were contacted via email to complete a 20-question s...

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Veröffentlicht in:American journal of otolaryngology 2020-05, Vol.41 (3), p.102394-102394, Article 102394
Hauptverfasser: Sulibhavi, Anita, Rubin, Samuel J., Park, Jong, Hashemi, Sean, DePietro, Joseph D., Noordzij, J. Pieter
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Sprache:eng
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Zusammenfassung:To determine international surgeon practice patterns for transient postoperative hypocalcemia in patients undergoing total thyroidectomy. All member surgeons of the American Thyroid Association and the International Association of Thyroid Surgeons were contacted via email to complete a 20-question survey which included both questions about demographic information and preventing and managing postoperative hypocalcemia after thyroidectomy. Univariate analysis was performed to determine whether providers check preoperative vitamin D levels, postoperative calcium trends and/or PTH to assess for postoperative hypocalcemia. A total of 332 surgeons responded to the survey with 72.26% in practice for >10 years and 82.18% performing >50 total thyroidectomies per year. 13.29% of surgeon's surveyed reported that they routinely check preoperative vitamin D levels. Surgeon case volume, type of practice (academic vs non-academic practice), and geographic location in the US were significant predictors of whether surgeons check preoperative Vitamin D levels. International surgeons were significantly more likely to check both postoperative serum Ca and PTH compared to US based surgeons (p 
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2020.102394