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Revista de Osteoporosis y Metabolismo Mineral

versión On-line ISSN 2173-2345versión impresa ISSN 1889-836X


HUGUET, I et al. Postoperative thyroid hypocalcemia diagnosis and management protocol. Rev Osteoporos Metab Miner [online]. 2020, vol.12, n.2, pp.71-76.  Epub 05-Oct-2020. ISSN 2173-2345.


Transient hypocalcaemia due to hypoparathyroidism is the most frequent complication of cervical surgery (thyroid and parathyroid) and also of reoperations. If mild, hypocalcaemia attributed to hypoparathyroidism is associated with few symptoms or with severe symptoms such as seizures, heart failure, or laryngospasm, in severe cases. Both transient and permanent hypoparathyroidism can have important repercussions on the health of patients. Establishing appropriate protocols are required to prevent, assess and treat these conditions.

Material and methods:

A systematic bibliographic search was carried out in of available evidence from articles in English and Spanish with inclusion dates until May 2019. Recommendations were made based on the GRADE system (Grading of Recommendations, Assessment, Development and Evaluation).

Results and conclusions:

We propose a consensus for patient management of those who are going to undergo thyroid or parathyroid surgery, with different sections for the different stages of the process. This is intended to help clinical decisionmaking, assist in the discharge process and make referrals to outpatient consultations, thus optimizing resources.

Palabras clave : hypoparathyroidism; hypocalcemia; thyroidectomy.

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