Table 2.
Comparison of demographic, clinical, and biochemical parameters between those who did or did not achieve remission beyond 6 months.
Late recovery (beyond 6 months) (n = 19) | Persistent PoSH without evidence of late recovery (n = 35) | P value | |
---|---|---|---|
Median age (IQR) | 39.6 (27.2–51.9) | 47.3 (29.5–68.9) | 0.113 |
Gender F/M | 18/1 | 28/7 | 0.145 |
Pre-op diagnosis % (n) | |||
Cancer/suspected cancer | 31.6% (6) | 48.6% (17) | 0.393 |
Hyperthyroidism | 52.6% (10) | 34.3 % (12) | |
Thyroid nodule | 15.8% (3) | 17.1% (6) | |
Pathology, % (n) | |||
Benign | 68.4% (13) | 51.4% (18) | 0.228 |
Malignant | 31.6% (6) | 48.6% (17) | |
Type of surgery, % (n) | |||
CT | 0% | 2.9% (1) | 0.600 |
CT+CND | 0% | 5.7% (2) | |
TT | 73.7% (14) | 62.9% (22) | |
TT+CND | 26.3% (5) | 28.6% (10) | |
Adjusted calcium day 1 (mmol/L) (IQR) (n) | 1.95 (1.84-2.05) (n = 19) | 2.01 (1.93-2.08) (n = 35) | 0.198 |
Adjusted calcium day 2 to 2 weeks (mmol/L) (IQR) (n) | 1.93 (1.85–2.02) (n = 19) | 1.99 (1.90–2.15) (n =34) | 0.185 |
Adjusted calcium 2 weeks to 3 months (mmol/L) (IQR) (n) | 2.23 (2.13–2.31) (n =18) | 2.18 (2.0– 2.27) (n =34) | 0.240 |
Adjusted calcium 3–6 months (mmol/L) (IQR) (n) | 2.20 (2.11–2.22) (n = 16) | 2.19 (2.02–2.26) (n = 31) | 0.928 |
Adjusted calcium >6 months (mmol/L) (IQR) (n) | 2.17 (2.07–2.26) (n = 16) | 2.09 (1.97–2.18) (n = 31) | 0.048 |
PTH day 1 (pmol/L) (IQR) (n) | 0.9 (0.7–1.4) (n = 13) | 0.8 (0.5–1.0) (n = 26) | 0.435 |
PTH day 2 to 2 weeks (pmol/L) (IQR) (n) | 0.8 (0.5–1.6) (n = 16) | 0.9 (0.6–1.2) (n =27) | 0.554 |
PTH 2 weeks to 3 months (pmol/L) (IQR) (n) | 2.2 (1.5–3.6) (n = 15) | 1.4 (0.8–2.2) (n = 28) | 0.072 |
PTH 3–6 months (pmol/L) (IQR) (n) | 2.3 (1.8–3.8) (n =14) | 1.8 (0.8–2.5) (n = 23) | 0.071 |
PTH ≥6 months (pmol/L) (IQR) (n) | 2.6 (2.3–3.0) (n = 15) | 1.8 (1.2–3.0) (n = 25) | 0.016 |
PTH ≥1.6 pmol/L at >6 months | 15/15 | 16/25 | 0.008 |
Magnesium day 1 (mmol/L) (IQR) (n) | 0.68 (0.57–0.69) (n = 6) | 0.71 (0.67–0.77) (n =13) | 0.127 |
Magnesium day 2 – 2 weeks (mmol/L) (IQR) (n) | 0.66 (0.59–0.75) (n = 6) | 0.74 (0.68–0.79) (n = 19) | 0.198 |
Magnesium 2 weeks to 3 months (mmol/L) (IQR) (n) | 0.77 (0.71–0.81) (n = 6) | 0.8 (0.76–0.84) (n = 19) | 0.246 |
Magnesium 3–6 months (mmol/L) (IQR) (n) | 0.81 (0.75–0.86) (n = 6) | 0.8 (0.76–0.87) (n = 17) | 1.0 |
Magnesium >6 months (mmol/L) (IQR) (n) | 0.82 (0.76–0.87) (n = 11) | 0.8 (0.76–0.85) (n = 29) | 0.720 |
Creatinine at surgery (µmol/L) (IQR) (n) | 63 (52–78) (n = 19) | 67 (55–80) (n = 34) | 0.388 |
Creatinine >6 months (µmol/L) (IQR) (n) | 70 (62–78) (n = 19) | 72 (64–85) (n = 34) | 0.220 |
CND, central node dissection; CT, completion thyroidectomy; F/M, female/male; IQR, inter-quartile range; PoSH, post-surgical hypoparathyroidism; PTH, parathyroid hormone; TT, total thyroidectomy.