Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism

We aimed to investigate correlation between perioperative biochemical values and adenoma volume, the effects of perioperative biochemical values and clinicopathological variables on postoperative hypocalcemia after parathyroidectomy. A retrospective study planned in tertiary university hospital on p...

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Main Authors: Hakan Sivgin, Mustafa Sami Bostan
Format: Article
Language:English
Published: Society of Turaz Bilim 2023-03-01
Series:Medicine Science
Subjects:
Online Access:https://www.medicinescience.org/?mno=129691
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author Hakan Sivgin
Mustafa Sami Bostan
author_facet Hakan Sivgin
Mustafa Sami Bostan
author_sort Hakan Sivgin
collection DOAJ
description We aimed to investigate correlation between perioperative biochemical values and adenoma volume, the effects of perioperative biochemical values and clinicopathological variables on postoperative hypocalcemia after parathyroidectomy. A retrospective study planned in tertiary university hospital on patients undergone surgery for primer hyperparathyroidism. Preoperative calcium (first, close to surgery, maximum), PTH (first, close to surgery, maximum), alkaline phosphatase (ALP) and phosphorus (P) values, postoperative calcium (early, late), postoperative PTH (early, late), 24-hour urinary calcium calculation, time from the first diagnosis of elevated calcium until surgery, preoperative hypercalcemia treatments, excised parathyroid gland, histopathologic diagnosis, maximum diameter and volume of the excised parathyroid on histopathologic examination, postoperative intravenous calcium supplement were analyzed. 73 patients were included in the study. The median age of the patients was 54 years (range, 18-82), and 83.6% were female. In univariate analysis, patients who were administrated intravenous (IV) calcium supplement had higher preoperative PTH (p=0.024). adenoma volume correlated moderate with preoperative PTH first (r=0.396, p=0.001), preoperative maximum parathormone (r=0.380, p=0.001), preoperative PTH CS (r=0.432, p [Med-Science 2023; 12(1.000): 271-7]
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spelling doaj.art-54b2f12bee20498b874ebd7bf4bc03d52024-02-12T10:34:08ZengSociety of Turaz BilimMedicine Science2147-06342023-03-01121271710.5455/medscience.2022.11.239129691Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidismHakan Sivgin0Mustafa Sami Bostan1Department of Internal Medicine, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat, TurkeyWe aimed to investigate correlation between perioperative biochemical values and adenoma volume, the effects of perioperative biochemical values and clinicopathological variables on postoperative hypocalcemia after parathyroidectomy. A retrospective study planned in tertiary university hospital on patients undergone surgery for primer hyperparathyroidism. Preoperative calcium (first, close to surgery, maximum), PTH (first, close to surgery, maximum), alkaline phosphatase (ALP) and phosphorus (P) values, postoperative calcium (early, late), postoperative PTH (early, late), 24-hour urinary calcium calculation, time from the first diagnosis of elevated calcium until surgery, preoperative hypercalcemia treatments, excised parathyroid gland, histopathologic diagnosis, maximum diameter and volume of the excised parathyroid on histopathologic examination, postoperative intravenous calcium supplement were analyzed. 73 patients were included in the study. The median age of the patients was 54 years (range, 18-82), and 83.6% were female. In univariate analysis, patients who were administrated intravenous (IV) calcium supplement had higher preoperative PTH (p=0.024). adenoma volume correlated moderate with preoperative PTH first (r=0.396, p=0.001), preoperative maximum parathormone (r=0.380, p=0.001), preoperative PTH CS (r=0.432, p [Med-Science 2023; 12(1.000): 271-7]https://www.medicinescience.org/?mno=129691primer hyperparathyroidismcalcium supplementhypocalcemiaparathormoneadenoma volumehungry bone syndrome
spellingShingle Hakan Sivgin
Mustafa Sami Bostan
Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
Medicine Science
primer hyperparathyroidism
calcium supplement
hypocalcemia
parathormone
adenoma volume
hungry bone syndrome
title Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
title_full Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
title_fullStr Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
title_full_unstemmed Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
title_short Preoperative biochemical values are correlated with adenoma volume, but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
title_sort preoperative biochemical values are correlated with adenoma volume but not predictive factors for hungry bone syndrome in patients with primary hyperparathyroidism
topic primer hyperparathyroidism
calcium supplement
hypocalcemia
parathormone
adenoma volume
hungry bone syndrome
url https://www.medicinescience.org/?mno=129691
work_keys_str_mv AT hakansivgin preoperativebiochemicalvaluesarecorrelatedwithadenomavolumebutnotpredictivefactorsforhungrybonesyndromeinpatientswithprimaryhyperparathyroidism
AT mustafasamibostan preoperativebiochemicalvaluesarecorrelatedwithadenomavolumebutnotpredictivefactorsforhungrybonesyndromeinpatientswithprimaryhyperparathyroidism