A nomogram to predict the likelihood of permanent hypoparathyroidism after - Evidencio
A nomogram to predict the likelihood of permanent hypoparathyroidism after total thyroidectomy
Current nomogram was developed to examine the ability of delayed high-normal serum calcium and detectable iPTH to predict permanent hypoparathyroidism in patients under replacement therapy for postoperative hypocalcemia.

High-normal serum calcium and low but detectable iPTH concentrations at 1 month after TT were associated with better outcome of protracted hypoparathyroidism. A nomogram combining both variables may guide medical treatment and monitoring of post-thyroidectomy prolonged hypoparathyroidism.
Research authors: Antonio Sitges-Serra, Joaquín Gómez, Marcin Barczynsky, Leyre Lorente-Poch, Maurizio Iacobone, Juan Sancho
Version: 1.4
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Probability of recovery of the parathyroid function is:

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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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This algorithm is provided for educational, training and information purposes. It must not be used to support medical decision making, or to provide medical or diagnostic services. Read our full disclaimer.

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