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Postoperative hypocalcemia - the difference a definition makes

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Mehanna, Hisham M., Jain, Anurag, Randeva, Harpal S., Watkinson, John and Shaha, Ashok (2010) Postoperative hypocalcemia - the difference a definition makes. Head & Neck, Vol.32 (No.3). pp. 279-283. doi:10.1002/hed.21175

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Official URL: http://dx.doi.org/10.1002/hed.21175

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Abstract

Background
Review of the literature reveals considerable variability in the definitions and criteria used for reporting postoperative hypocalcemia. The lack of standardization prevents a meaningful comparison of results and performance locally with the national standard. It also prevents the pooling of data when performing meta-analysis, and may affect the comparison of research results.

Methods
A literature review was performed to identify the different definitions used to define hypocalcemia in post-thyroidectomy patients. We analyzed the incidence of hypocalcemia in the same cohort of 202 post thyroidectomy patients using these definitions.

Results
The reported hypocalcemia rates varied from 0% to 46% for the same cohort depending on the definition of hypocalcemia used. Only one-third of biochemically hypocalcemic patients requested calcium supplementation.

Conclusion
This study demonstrates the need for more uniformity and standardization in the definitions used for reporting hypocalcemia rates. © 2009 Wiley Periodicals, Inc. Head Neck, 2010

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Head & Neck
Publisher: John Wiley & Sons Ltd.
ISSN: 1043-3074
Official Date: March 2010
Dates:
DateEvent
March 2010Published
Volume: Vol.32
Number: No.3
Page Range: pp. 279-283
DOI: 10.1002/hed.21175
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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