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Postoperative hypoparathyroidism: Prevention is mandatory

  • Samuel Frey
    Affiliations
    Chirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l’Appareil Digestif, CHU de Nantes, France
    Université de Nantes, Quai de Tourville, Nantes, France
    Nantes Université, CHU Nantes, CNRS, INSERM, l’institut du thorax, Nantes, France
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  • Eric Mirallié
    Correspondence
    Correspondig author. Eric Mirallié, Chirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l’Appareil Digestif, Centre Hospitalier Universitaire de Nantes, Hôtel Dieu, Place Alexis Ricordeau, 44093 Nantes, France.
    Affiliations
    Chirurgie Cancérologique, Digestive et Endocrinienne, Institut des Maladies de l’Appareil Digestif, CHU de Nantes, France
    Université de Nantes, Quai de Tourville, Nantes, France
    Search for articles by this author
Published:February 08, 2022DOI:https://doi.org/10.1016/j.surg.2022.01.004
      We thank Dr Hu for insisting on the seriousness of definitive post-thyroidectomy hypoparathyroidism,
      • Hu Y.
      Permanent postoperative hypoparathyroidism: underappreciated impact on long-term quality of life.
      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.
      • Cho N.L.
      • Moalem J.
      • Chen L.
      • Lubitz C.C.
      • Moore Jr., F.D.
      • Ruan D.T.
      Surgeons and patients disagree on the potential consequences from hypoparathyroidism.
      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.
      • Frey S.
      • Figueres L.
      • Pattou F.
      • et al.
      Impact of permanent post-thyroidectomy hypoparathyroidism on self-evaluation of quality of life and voice: results from the national QoL-Hypopara study.
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      References

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        Permanent postoperative hypoparathyroidism: underappreciated impact on long-term quality of life.
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        Impact of permanent post-thyroidectomy hypoparathyroidism on self-evaluation of quality of life and voice: results from the national QoL-Hypopara study.
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