Intraoperative parathyroid hormone measurement facilitates outpatient thyroidectomy in children

We hypothesize that intraoperative parathyroid hormone (ioPTH) measurement after a total thyroidectomy predicts children at risk for hypoparathyroidism and allow for outpatient procedure. Between 2015 and 2019, we reviewed all patients under the age of 21 undergoing a thyroidectomy (total or lobecto...

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Bibliographic Details
Published in:The American journal of surgery 2021-04, Vol.221 (4), p.683-686
Main Authors: Obiarinze, Ruth, Fazendin, Jessica, Iyer, Pallavi, Lindeman, Brenessa, Chen, Herbert
Format: Article
Language:English
Subjects:
25-Hydroxyvitamin D
Adolescent
Adult
Calcitriol
Calcium
Child
Children
Humans
Hypocalcemia
Hypoparathyroidism
ioPTH
Laboratories
Outpatients
Parathyroid
Parathyroid Hormone
Patients
Pediatric surgery
Pediatrics
Surgery
Thyroid
Thyroid cancer
Thyroidectomy
Young Adult
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Summary:We hypothesize that intraoperative parathyroid hormone (ioPTH) measurement after a total thyroidectomy predicts children at risk for hypoparathyroidism and allow for outpatient procedure. Between 2015 and 2019, we reviewed all patients under the age of 21 undergoing a thyroidectomy (total or lobectomy). Based on the ioPTH concentration, the patients were treated by the following protocol: a) PTH ≥20 pg/mL: no treatment; b) PTH = 10–19 pg/mL: 1000 mg calcium orally TID; c) PTH = 5–9 pg/mL: calcitriol 250 μg orally BID plus 1000 mg calcium orally TID; or d) PTH
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2021.02.009