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The developement of the nomogram emphasizes the relevance of serum calcium concentration 1 month after total thyroidectomy as prognostic factor for the recovery of the parathyroid function in patients with protracted hypoparathyroidism. A sensible interpretation of this finding is that, by providing a more aggressive medical replacement therapy (parathyroid splinting), the ischemic non-functional parathyroid glands have a better chance to regain their secretory capacity as they rest after surgery in an environment of normal-high serum calcium concentration.
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