Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review

Objective:  systematic review assessed the overall incidence of hypoparathyroidism after Total thyroidectomy (TT) for benign goitres. Methods: A systematic search of PubMed, google scholar, Cochrane, and Pakmedinet under PRISMA (preferred reporting items for systematic reviews and Meta-analyses)...

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Main Authors: Muhammad Tahir Ghani, Hafiz Muhammad Ijaz ul Haq, Ibad Ur Rehman, Huma Azam Malik
Format: Article
Language:English
Published: Rawalpindi Medical University 2023-06-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/2058
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author Muhammad Tahir Ghani
Hafiz Muhammad Ijaz ul Haq
Ibad Ur Rehman
Huma Azam Malik
author_facet Muhammad Tahir Ghani
Hafiz Muhammad Ijaz ul Haq
Ibad Ur Rehman
Huma Azam Malik
author_sort Muhammad Tahir Ghani
collection DOAJ
description Objective:  systematic review assessed the overall incidence of hypoparathyroidism after Total thyroidectomy (TT) for benign goitres. Methods: A systematic search of PubMed, google scholar, Cochrane, and Pakmedinet under PRISMA (preferred reporting items for systematic reviews and Meta-analyses) guidelines was performed. All studies during the last 50 years where TT was performed for benign goitres and post-operative hypoparathyroidism was assessed were included.  The total incidence of both transient and permanent hypoparathyroidism was calculated after TT for benign goitres. The risk of bias was also assessed. Results: Twelve studies were included in total including eight retrospective, three prospective observational studies, and one randomized trial. Three studies were from Turkey, 2 from Pakistan, 2 from Greece, and one each from Saudi Arabia, India, Denmark, Egypt, and the USA. 2809 TT were performed for benign goitres. Overall Transient hypoparathyroidism (THP) was noted in 290 (10%) patients while permanent hypoparathyroidism (PHP) was noted in 33(1.17%) patients. The highest incidence of permanent hypoparathyroidism was 17% in one study while the lowest was 0% in three studies. The highest incidence of transient hypoparathyroidism was 28.5% in one study while the lowest incidence was 2.5%. The risk of bias was high. Conclusion: TT for benign goitres is associated with 1.17 % overall risk (range 0%-17%) of PHP and 10% (range 2.5%-28.5%) of THP.
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spelling doaj-art-8ea2aa64585e41fe8368765f19747f9f2025-02-06T08:41:52ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-06-0127210.37939/jrmc.v27i2.2058Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review Muhammad Tahir GhaniHafiz Muhammad Ijaz ul HaqIbad Ur RehmanHuma Azam Malik Objective:  systematic review assessed the overall incidence of hypoparathyroidism after Total thyroidectomy (TT) for benign goitres. Methods: A systematic search of PubMed, google scholar, Cochrane, and Pakmedinet under PRISMA (preferred reporting items for systematic reviews and Meta-analyses) guidelines was performed. All studies during the last 50 years where TT was performed for benign goitres and post-operative hypoparathyroidism was assessed were included.  The total incidence of both transient and permanent hypoparathyroidism was calculated after TT for benign goitres. The risk of bias was also assessed. Results: Twelve studies were included in total including eight retrospective, three prospective observational studies, and one randomized trial. Three studies were from Turkey, 2 from Pakistan, 2 from Greece, and one each from Saudi Arabia, India, Denmark, Egypt, and the USA. 2809 TT were performed for benign goitres. Overall Transient hypoparathyroidism (THP) was noted in 290 (10%) patients while permanent hypoparathyroidism (PHP) was noted in 33(1.17%) patients. The highest incidence of permanent hypoparathyroidism was 17% in one study while the lowest was 0% in three studies. The highest incidence of transient hypoparathyroidism was 28.5% in one study while the lowest incidence was 2.5%. The risk of bias was high. Conclusion: TT for benign goitres is associated with 1.17 % overall risk (range 0%-17%) of PHP and 10% (range 2.5%-28.5%) of THP. https://www.journalrmc.com/index.php/JRMC/article/view/2058
spellingShingle Muhammad Tahir Ghani
Hafiz Muhammad Ijaz ul Haq
Ibad Ur Rehman
Huma Azam Malik
Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
Journal of Rawalpindi Medical College
title Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
title_full Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
title_fullStr Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
title_full_unstemmed Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
title_short Incidence Of Hypoparathyroidism After Total Thyroidectomy for Benign Goitres. A Systematic Review
title_sort incidence of hypoparathyroidism after total thyroidectomy for benign goitres a systematic review
url https://www.journalrmc.com/index.php/JRMC/article/view/2058
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