Are Preoperative Serum Calcium, Parathyroid Hormone, and Adenoma Weight Predictive of Postoperative Hypocalcemia?
The objective of this study is to determine whether preoperative serum calcium, parathyroid hormone, or adenoma weight is predictive of postoperative hypocalcemia after removal of a parathyroid adenoma. A retrospective chart review was performed for consecutive parathyroidectomy patients over a 6-ye...
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| Veröffentlicht in: | The American surgeon 2002-12, Vol.68 (12), p.1080-1082 |
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| creator | Strickland, Pamela L. Recabaren, James |
| description | The objective of this study is to determine whether preoperative serum calcium, parathyroid hormone, or adenoma weight is predictive of postoperative hypocalcemia after removal of a parathyroid adenoma. A retrospective chart review was performed for consecutive parathyroidectomy patients over a 6-year period at a community-based teaching institution. Patients with renal failure (serum creatinine >1.7), hyperplastic disease, and parathyroid carcinoma were excluded. The outcome measures were postoperative serum calcium and the presence of signs or symptoms such as paresthesias, anxiety, or Chvostek's sign. One hundred forty-one patients underwent parathyroidectomy during the study period. Fifty-four patients were excluded as a result of hyperplastic disease, renal failure, carcinoma, or unavailable records. Of the remaining 87 patients 25 (28.7%) developed hypocalcemia (serum calcium |
| doi_str_mv | 10.1177/000313480206801211 |
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A retrospective chart review was performed for consecutive parathyroidectomy patients over a 6-year period at a community-based teaching institution. Patients with renal failure (serum creatinine >1.7), hyperplastic disease, and parathyroid carcinoma were excluded. The outcome measures were postoperative serum calcium and the presence of signs or symptoms such as paresthesias, anxiety, or Chvostek's sign. One hundred forty-one patients underwent parathyroidectomy during the study period. Fifty-four patients were excluded as a result of hyperplastic disease, renal failure, carcinoma, or unavailable records. Of the remaining 87 patients 25 (28.7%) developed hypocalcemia (serum calcium <8.0), and ten patients (11.5%) developed symptoms. The mean preoperative calcium levels for the normocalcemic and hypocalcemic groups were 10.9 and 10.6, respectively (P < 0.217). The mean preoperative parathyroid hormone levels (normal 10–54) were 214 and 139, respectively (P < 0.305), and the mean adenoma weights were 1.059 and 1.337 g respectively (P < 0.343). This study demonstrates no statistically significant difference in the mean preoperative serum calcium levels, parathyroid hormone levels, or adenoma weight between normocalcemic and hypocalcemic patients postoperatively.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313480206801211</identifier><identifier>PMID: 12516813</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adenoma - blood ; Adenoma - pathology ; Adenoma - surgery ; Biological and medical sciences ; Calcium ; Calcium - blood ; Endocrinopathies ; Female ; Hormones ; Humans ; Hypocalcemia - blood ; Hypocalcemia - etiology ; Male ; Medical Records ; Medical sciences ; Middle Aged ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Organ Size ; Parathyroid Hormone - blood ; Parathyroid Neoplasms - blood ; Parathyroid Neoplasms - pathology ; Parathyroid Neoplasms - surgery ; Parathyroidectomy - adverse effects ; Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases) ; Predictive Value of Tests ; Preoperative Care ; Retrospective Studies ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of endocrine glands</subject><ispartof>The American surgeon, 2002-12, Vol.68 (12), p.1080-1082</ispartof><rights>2002 Southeastern Surgical Congress</rights><rights>2003 INIST-CNRS</rights><rights>Copyright The Southeastern Surgical Congress Dec 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-7676d4310868369c3fe642236597ae8e4f8c7e5a900f00ea918219761f22d2cb3</citedby><cites>FETCH-LOGICAL-c396t-7676d4310868369c3fe642236597ae8e4f8c7e5a900f00ea918219761f22d2cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313480206801211$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313480206801211$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,21819,23930,23931,25140,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14424363$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12516813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strickland, Pamela L.</creatorcontrib><creatorcontrib>Recabaren, James</creatorcontrib><title>Are Preoperative Serum Calcium, Parathyroid Hormone, and Adenoma Weight Predictive of Postoperative Hypocalcemia?</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>The objective of this study is to determine whether preoperative serum calcium, parathyroid hormone, or adenoma weight is predictive of postoperative hypocalcemia after removal of a parathyroid adenoma. A retrospective chart review was performed for consecutive parathyroidectomy patients over a 6-year period at a community-based teaching institution. Patients with renal failure (serum creatinine >1.7), hyperplastic disease, and parathyroid carcinoma were excluded. The outcome measures were postoperative serum calcium and the presence of signs or symptoms such as paresthesias, anxiety, or Chvostek's sign. One hundred forty-one patients underwent parathyroidectomy during the study period. Fifty-four patients were excluded as a result of hyperplastic disease, renal failure, carcinoma, or unavailable records. Of the remaining 87 patients 25 (28.7%) developed hypocalcemia (serum calcium <8.0), and ten patients (11.5%) developed symptoms. The mean preoperative calcium levels for the normocalcemic and hypocalcemic groups were 10.9 and 10.6, respectively (P < 0.217). The mean preoperative parathyroid hormone levels (normal 10–54) were 214 and 139, respectively (P < 0.305), and the mean adenoma weights were 1.059 and 1.337 g respectively (P < 0.343). This study demonstrates no statistically significant difference in the mean preoperative serum calcium levels, parathyroid hormone levels, or adenoma weight between normocalcemic and hypocalcemic patients postoperatively.</description><subject>Adenoma - blood</subject><subject>Adenoma - pathology</subject><subject>Adenoma - surgery</subject><subject>Biological and medical sciences</subject><subject>Calcium</subject><subject>Calcium - blood</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hypocalcemia - blood</subject><subject>Hypocalcemia - etiology</subject><subject>Male</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Organ Size</subject><subject>Parathyroid Hormone - blood</subject><subject>Parathyroid Neoplasms - blood</subject><subject>Parathyroid Neoplasms - pathology</subject><subject>Parathyroid Neoplasms - surgery</subject><subject>Parathyroidectomy - adverse effects</subject><subject>Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases)</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Target tissue resistance. Benign neoplasms</topic><topic>Organ Size</topic><topic>Parathyroid Hormone - blood</topic><topic>Parathyroid Neoplasms - blood</topic><topic>Parathyroid Neoplasms - pathology</topic><topic>Parathyroid Neoplasms - surgery</topic><topic>Parathyroidectomy - adverse effects</topic><topic>Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases)</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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A retrospective chart review was performed for consecutive parathyroidectomy patients over a 6-year period at a community-based teaching institution. Patients with renal failure (serum creatinine >1.7), hyperplastic disease, and parathyroid carcinoma were excluded. The outcome measures were postoperative serum calcium and the presence of signs or symptoms such as paresthesias, anxiety, or Chvostek's sign. One hundred forty-one patients underwent parathyroidectomy during the study period. Fifty-four patients were excluded as a result of hyperplastic disease, renal failure, carcinoma, or unavailable records. Of the remaining 87 patients 25 (28.7%) developed hypocalcemia (serum calcium <8.0), and ten patients (11.5%) developed symptoms. The mean preoperative calcium levels for the normocalcemic and hypocalcemic groups were 10.9 and 10.6, respectively (P < 0.217). The mean preoperative parathyroid hormone levels (normal 10–54) were 214 and 139, respectively (P < 0.305), and the mean adenoma weights were 1.059 and 1.337 g respectively (P < 0.343). This study demonstrates no statistically significant difference in the mean preoperative serum calcium levels, parathyroid hormone levels, or adenoma weight between normocalcemic and hypocalcemic patients postoperatively.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>12516813</pmid><doi>10.1177/000313480206801211</doi><tpages>3</tpages></addata></record> |
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| ispartof | The American surgeon, 2002-12, Vol.68 (12), p.1080-1082 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adenoma - blood Adenoma - pathology Adenoma - surgery Biological and medical sciences Calcium Calcium - blood Endocrinopathies Female Hormones Humans Hypocalcemia - blood Hypocalcemia - etiology Male Medical Records Medical sciences Middle Aged Non tumoral diseases. Target tissue resistance. Benign neoplasms Organ Size Parathyroid Hormone - blood Parathyroid Neoplasms - blood Parathyroid Neoplasms - pathology Parathyroid Neoplasms - surgery Parathyroidectomy - adverse effects Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases) Predictive Value of Tests Preoperative Care Retrospective Studies Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of endocrine glands |
| title | Are Preoperative Serum Calcium, Parathyroid Hormone, and Adenoma Weight Predictive of Postoperative Hypocalcemia? |
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