We thank Dr Hu for insisting on the seriousness of definitive post-thyroidectomy hypoparathyroidism,
1
which indeed represents an underappreciated complication of thyroid and parathyroid
surgery. A few years ago, Cho et al, interrogating hypoparathyroid patients and their
surgeons, demonstrated that the latter constantly underappreciated the quality of
life of these patients.
2
Indeed, unlike recurrent laryngeal nerve palsy, hypoparathyroidism is not an immediately
visible complication and does not strike surgeons. Furthermore, permanent hypoparathyroidism
(PH) is later managed by endocrinologists or nephrologists, which participates to
decrease its visibility by surgeons. Therefore, our study was designed to highlight
the consequences of postsurgical PH to reinforce the recognition of the seriousness
of this complication.
3
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References
- Permanent postoperative hypoparathyroidism: underappreciated impact on long-term quality of life.Surgery. 2022; 171: 1110
- Surgeons and patients disagree on the potential consequences from hypoparathyroidism.Endocr Pract. 2014; 20: 427-446
- Impact of permanent post-thyroidectomy hypoparathyroidism on self-evaluation of quality of life and voice: results from the national QoL-Hypopara study.Ann Surg. 2021; 274: 851-858
- Self-assessment of voice outcomes after total thyroidectomy using the Voice Handicap Index questionnaire: results of a prospective multicenter study.Surgery. 2020; 167: 129-136
- Outcome of protracted hypoparathyroidism after total thyroidectomy.Br J Surg. 2010; 97: 1687-1695
Article info
Publication history
Published online: February 08, 2022
Accepted:
January 5,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
