This meta-analysis identifies key biochemical and clinical predictors of hypocalcaemia following thyroidectomy, which may assist in risk stratification and perioperative management.
Supports risk stratification and targeted monitoring after thyroidectomy; confirms predictors across pooled studies.
Perioperative PTH, preoperative vitamin D and postoperative changes in calcium are biochemical predictors of post-thyroidectomy hypocalcaemia. Clinical predictors include female sex, Graves' disease, need for parathyroid autotransplantation and inadvertent excision of PTGs.
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Edafe et al. (2014) studied this question.
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