| Effect of vitamin D deficiency on hypocalcaemia after total thyroidectomy due to benign goitre. | |
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MedLine Citation:
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PMID: 23201328 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION: The purpose of this study was to analyse the relationship between preoperative serum levels of vitamin D and postoperative hypocalcaemia after total thyroidectomy. MATERIAL AND METHODS: A prospective observational study was conducted on 113 patients treated by total thyroidectomy due to benign disease. Preoperative vitamin D serum levels and postoperative albumin-corrected calcium and parathormone (PTH) levels were determined. Sensitivity, specificity, positive predictive value and negative predictive value of vitamin D and PTH levels, respectively, in the diagnosis of postoperative hypocalcaemia were calculated. RESULTS: Hypocalcaemia was diagnosed in 44 (38.9%) patients. Vitamin D levels were significantly higher in the group of patients with normal postoperative calcium (median: 25.4pg/mL; range: 4-60), compared to those who developed hypocalcaemia (median: 16.4pg/mL; range: 6.3-46.9) (P=.001). Postoperative hypocalcaemia was more frequent in patients with vitamin D < 30ng/mL (39/78) (50%), than among those with normal levels (5/35) (14.2%) (P=.001). Sensitivity, specificity, positive predictive value and negative predictive value were 88% and 68%, 43% and 82%, 50% and 71%, and 85% and 80% for vitamin D and PTH, respectively. Vitamin D and PTH showed independent prognostic values on the risk of hypocalcaemia. The OR associated with vitamin D < 30ng/mL was 4.25 (95% CI: 1.31-13.78) (P=.016), and the OR of PTH<13pg/mL was 15.4 (95% CI: 4.83-49.1) (P<.001). CONCLUSION: Vitamin D deficiency is a risk factor of hypocalcaemia after total thyroidectomy for benign goitre. The vitamin D level provides independent prognostic information, which is complementary to that given by PTH. |
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Authors:
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Manuel Díez; Cristina Vera; Tomás Ratia; Lucía Diego; Fernando Mendoza; Paloma Guillamot; Rosario San Román; José M Mugüerza; Angel Rodríguez; Carlos Medina; Beatriz Gómez; Javier Granell |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-29 |
Journal Detail:
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Title: Cirugia espanola Volume: - ISSN: 1578-147X ISO Abbreviation: Cir Esp Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-12-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1254104 Medline TA: Cir Esp Country: - |
Other Details:
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Languages: ENG; SPA Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved. |
Affiliation:
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Servicio de Cirugía General, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá de Henares, Madrid, España. Electronic address: mdiez.hupa@salud.madrid.org. |
Vernacular Title:
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Efecto de la deficiencia de vitamina D sobre la hipocalcemia tras tiroidectomía total por bocio benigno. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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