摘要

The main objective of this study is to investigate the outcome between surgical procedures and the risk of development of hypoparathyroidism followed by surgical procedure in patients with thyroid disorders.We analyzed the data acquired from Taiwan's Bureau of National Health Insurance (BNHI) research database from 1998 to 2011 and found 9316 patients with thyroid surgery. Cox regression model was used to calculate the hazard ratio (HR).A count of 314 cases (3.4%) of hypoparathyroidism was identified. The 9 years cumulated incidence of hypoparathyroidism was the highest in patient undergone bilateral total thyroidectomy (13.5%) and the lowest in the patient with unilateral subtotal thyroidectomy (1.2%). However, in the patients who had undergone unilateral subtotal, the risk was the highest in bilateral total (HR: 11.86), followed by radical thyroidectomy with unilateral neck lymph node dissection (HR: 8.56), unilateral total (HR, 4.39), and one side total and another side subtotal (HR: 2.80).The extent of thyroid resection determined the risk of development of hypoparathyroidism. It is suggested that the association of these factors is investigated in future studies.
原文英語
頁(從 - 到)e8245
期刊Medicine
96
發行號43
DOIs
出版狀態已發佈 - 十月 1 2017

指紋

Hypoparathyroidism
Thyroidectomy
Thyroid Gland
National Health Programs
Lymph Node Excision
Taiwan
Proportional Hazards Models
Neck
Databases
Incidence
Research

ASJC Scopus subject areas

  • Medicine(all)

引用此文

The impact of different surgical procedures on hypoparathyroidism after thyroidectomy. / Chen, Kuan Chen; Iqbal, Usman; Nguyen, Phung Anh; Hsu, Chung Huei; Huang, Chen Ling; Hsu, Yi Hsin Elsa; Atique, Suleman; Islam, Md Mohaimenul; Li, Yu Chuan Jack; Jian, Wen Shan.

於: Medicine, 卷 96, 編號 43, 01.10.2017, p. e8245.

研究成果: 雜誌貢獻文章

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AU - Li, Yu Chuan Jack

AU - Jian, Wen Shan

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