Intensive calcium monitoring improves outcomes on hungry bone syndrome in hyperparathyroidism

Hungry bone syndrome (HBS) is a severe and underdiagnosed complication of parathyroidectomy in the treatment of primary hyperparathyroidism (PHP) and secondary hyper-parathyroidism to chronic kidney disease (SHP-CKD). A longitudinal study was conducted to compare the postoperative outcomes of patien...

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Bibliographic Details
Published in:Endocrine regulations (Bratislava) 2021-01, Vol.55 (1), p.30-41
Main Authors: Ferreira, Joana Lima, de Brito Marques, Francisca, Freire, Ligia, Soares, Virginia, Guerreiro, Luisa, Silva, Sandra, Guedes, Carolina
Format: Article
Language:English
Subjects:
bone
calcium
hungry bone syndrome
hyperparathyroidism
hypocalcemia
parathyroidectomy
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Summary:Hungry bone syndrome (HBS) is a severe and underdiagnosed complication of parathyroidectomy in the treatment of primary hyperparathyroidism (PHP) and secondary hyper-parathyroidism to chronic kidney disease (SHP-CKD). A longitudinal study was conducted to compare the postoperative outcomes of patients who developed HBS in two different time frames: before and after implementing a protocol with an intensive electrolytic monitoring and an algorithm regarding electrolytic supplementation. Overall, 77 parathyroidectomies were included. In PHP, a protocol implementation led to an increased admission of patients in the Intermediate Care Unit for intensive electrolytic monitoring (p
ISSN:1336-0329
1336-0329
DOI:10.2478/enr-2021-0005