Franzke T, Frömke C, Jähne J
Abteilung für Allgemein- und Visceralchirurgie, Schwerpunkt endokrine und onkologische Chirurgie, Diakoniekrankenhaus Henriettenstiftung Hannover gGmbH, Marienstraße 72-90, 30171, Hannover, Deutschland.
Chirurg. 2010 Oct;81(10):909-14. doi: 10.1007/s00104-010-1936-0.
Postoperative hypoparathryroidism is the most common complication following thyroid resection. Currently the data about the quality of out-patient management is inadequate.
Between 2003 and 2006 a total of 1,966 resections were performed and retrospectively analyzed.
Of the patients 14% developed temporary hypoparathyroidism and permanent hypoparathyroidism was seen in 0.37%. The extent of resection and female sex were significant risk factors. The recommendation to wean calcium substitution was only performed in 18% of affected patients.
The results demonstrated that the quality of out-patient management in cases of postoperative hypoparathyroidism after thyroid resection is insufficient.