Post-Parathyroidectomy Hypocalcemia Risk Factors Identified
Patients at risk for postoperative hypocalcemia need more vigilant postoperative monitoring.
Patients at risk for postoperative hypocalcemia need more vigilant postoperative monitoring.
Decrease in bone mass is common in the first 6 to 12 months after kidney transplantation.
Hypercalcemia was common among kidney transplant recipients at 3 months, investigators reported.
Use of home dialysis and modalities other than conventional in-center hemodialysis is expected to grow.
Switching from oral to intravenous calcimimetic may lower PTH levels in patients on hemodialysis with poor tolerance.
The mechanism by which hyperuricemia increases SHPT risk is not completely understood.
The indications for parathyroidectomy included uncontrolled pruritus, bone pain, resistance to medical treatment, and intact PTH levels exceeding 1000 pg/mL.
Perioperative management of serum potassium levels is crucial in patients with kidney failure undergoing parathyroidectomy.
The prevalence of vertebral fracture was lower among treated than untreated patients.
The study findings may help guide decision-making for clinicians caring for patients who receive hemodialysis or kidney transplant with severe secondary hyperparathyroidism.