{"id":"https://openalex.org/W2043917811","doi":"https://doi.org/10.4103/0022-3859.109479","title":"Post total thyroidectomy hypocalcemia: A novel multi-factorial scoring system to enable its prediction to facilitate an early discharge","display_name":"Post total thyroidectomy hypocalcemia: A novel multi-factorial scoring system to enable its prediction to facilitate an early discharge","publication_year":2013,"publication_date":"2013-01-01","ids":{"openalex":"https://openalex.org/W2043917811","doi":"https://doi.org/10.4103/0022-3859.109479","mag":"2043917811","pmid":"https://pubmed.ncbi.nlm.nih.gov/23525051"},"language":"en","primary_location":{"id":"doi:10.4103/0022-3859.109479","doi":"https://doi.org/10.4103/0022-3859.109479","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0022-3859.109479","pdf_url":null,"source":{"id":"https://openalex.org/S80339509","display_name":"Journal of Postgraduate Medicine","issn_l":"0022-3859","issn":["0022-3859","0972-2823"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Postgraduate Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4103/0022-3859.109479","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018627152","display_name":"P. V. Pradeep","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210141553","display_name":"Narayan Medical College and Hospital","ror":"https://ror.org/03tr4r126","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210141553"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"PV Pradeep","raw_affiliation_strings":["Department of Endocrine Surgery, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Endocrine Surgery, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India","institution_ids":["https://openalex.org/I4210141553"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108958814","display_name":"K. Ramalingam","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K Ramalingam","raw_affiliation_strings":["Department of Biochemistry, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biochemistry, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112079139","display_name":"B. Jayashree","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210141553","display_name":"Narayan Medical College and Hospital","ror":"https://ror.org/03tr4r126","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210141553"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"B Jayashree","raw_affiliation_strings":["Department of Endocrine Surgery, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Endocrine Surgery, Narayana Medical College & Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India","institution_ids":["https://openalex.org/I4210141553"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.1868,"has_fulltext":false,"cited_by_count":23,"citation_normalized_percentile":{"value":0.90976577,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"59","issue":"1","first_page":"4","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-thyroidectomy","display_name":"total thyroidectomy","score":0.8859999775886536},{"id":"https://openalex.org/keywords/postoperative-hypocalcemia","display_name":"postoperative hypocalcemia","score":0.9070000052452087},{"id":"https://openalex.org/keywords/parathyroid-hormone","display_name":"parathyroid hormone","score":0.8949999809265137},{"id":"https://openalex.org/keywords/25-hydroxyvitamin-d","display_name":"25-hydroxyvitamin D","score":0.8930000066757202},{"id":"https://openalex.org/keywords/parathyroid-gland-preservation","display_name":"parathyroid preservation","score":0.8989999890327454},{"id":"https://openalex.org/keywords/multinodular-goiter","display_name":"multinodular goiter","score":0.9449999928474426},{"id":"https://openalex.org/keywords/thyroid-cancer","display_name":"thyroid cancer","score":0.5899999737739563},{"id":"https://openalex.org/keywords/hyperthyroidism","display_name":"hyperthyroidism","score":0.7879999876022339},{"id":"https://openalex.org/keywords/risk-prediction","display_name":"risk prediction","score":0.4869999885559082},{"id":"https://openalex.org/keywords/parathyroid-hormone-replacement-therapy","display_name":"parathyroid hormone replacement therapy","score":0.39899998903274536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9508386850357056},{"id":"https://openalex.org/C2777074255","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Thyroidectomy","level":3,"score":0.7192599773406982},{"id":"https://openalex.org/C2993294228","wikidata":"https://www.wikidata.org/wiki/Q13632630","display_name":"Thyroid carcinoma","level":3,"score":0.6048211455345154},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5965791344642639},{"id":"https://openalex.org/C2777195454","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Euthyroid","level":3,"score":0.5896877646446228},{"id":"https://openalex.org/C124490489","wikidata":"https://www.wikidata.org/wiki/Q7936963","display_name":"Vitamin D and neurology","level":2,"score":0.5733639597892761},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.48408615589141846},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.46954163908958435},{"id":"https://openalex.org/C519063684","wikidata":"https://www.wikidata.org/wiki/Q706","display_name":"Calcium","level":2,"score":0.4370962083339691},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4358954429626465},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.425855427980423},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.394499808549881},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3934626281261444},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002112","descriptor_name":"Calcifediol","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D002118","descriptor_name":"Calcium","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006042","descriptor_name":"Goiter","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006996","descriptor_name":"Hypocalcemia","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D006996","descriptor_name":"Hypocalcemia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006996","descriptor_name":"Hypocalcemia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010281","descriptor_name":"Parathyroid Hormone","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011184","descriptor_name":"Postoperative Period","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013965","descriptor_name":"Thyroidectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.4103/0022-3859.109479","doi":"https://doi.org/10.4103/0022-3859.109479","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0022-3859.109479","pdf_url":null,"source":{"id":"https://openalex.org/S80339509","display_name":"Journal of Postgraduate Medicine","issn_l":"0022-3859","issn":["0022-3859","0972-2823"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Postgraduate Medicine","raw_type":"journal-article"},{"id":"pmid:23525051","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23525051","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of postgraduate medicine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7bf1edcca8414de291462bbd426a5dd7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/7bf1edcca8414de291462bbd426a5dd7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Postgraduate Medicine, Vol 59, Iss 1, Pp 4-8 (2013)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/0022-3859.109479","doi":"https://doi.org/10.4103/0022-3859.109479","is_oa":true,"landing_page_url":"https://doi.org/10.4103/0022-3859.109479","pdf_url":null,"source":{"id":"https://openalex.org/S80339509","display_name":"Journal of Postgraduate Medicine","issn_l":"0022-3859","issn":["0022-3859","0972-2823"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Postgraduate Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W146771213","https://openalex.org/W1597383000","https://openalex.org/W1973874480","https://openalex.org/W1977824762","https://openalex.org/W1978049977","https://openalex.org/W1981565562","https://openalex.org/W1981696963","https://openalex.org/W2006930299","https://openalex.org/W2014611646","https://openalex.org/W2020514620","https://openalex.org/W2023003864","https://openalex.org/W2031525892","https://openalex.org/W2043355472","https://openalex.org/W2047270377","https://openalex.org/W2065414030","https://openalex.org/W2066711787","https://openalex.org/W2079386429","https://openalex.org/W2082591533","https://openalex.org/W2104525838","https://openalex.org/W2117402085","https://openalex.org/W2144398472","https://openalex.org/W2346214778"],"related_works":["https://openalex.org/W3122272432","https://openalex.org/W2946700066","https://openalex.org/W2887045659","https://openalex.org/W2031398543","https://openalex.org/W3013374869","https://openalex.org/W3111913513","https://openalex.org/W4361015535","https://openalex.org/W7218711510","https://openalex.org/W4413139313","https://openalex.org/W7114799759"],"abstract_inverted_index":{"CONTEXT:":[0],"No":[1],"single":[2],"factor":[3],"can":[4,295],"predict":[5,46,299],"the":[6,79,162],"occurrence":[7],"of":[8,42,78,84,88,188,228,249,260,264,268,288],"post":[9,27],"total":[10,63],"thyroidectomy":[11,64],"(TT)":[12],"hypocalcemia.":[13],"AIMS:":[14],"This":[15],"study":[16],"was":[17,121,133,145,149,158,194,243],"conducted":[18],"to":[19,34,45,119,160,298,303],"look":[20],"at":[21,98,103,151,212,219,231],"various":[22],"factors":[23,44,289],"usually":[24],"implicated":[25],"in":[26,196,276],"TT":[28,282],"clinically":[29],"significant":[30,163],"hypocalcemia":[31],"(CSH)":[32],"and":[33,68,91,101,110,142,170,182,225,237,262,274,285],"develop":[35],"a":[36,40,258,286],"scoring":[37],"system":[38],"using":[39],"combination":[41,287],"these":[43,125],"CSH.":[47,192,278],"SETTINGS":[48],"AND":[49,57],"DESIGN:":[50],"Prospective":[51],"study,":[52],"tertiary":[53],"care":[54],"center.":[55],"MATERIALS":[56],"METHODS:":[58],"145":[59],"patients,":[60],"who":[61],"underwent":[62],"for":[65],"benign":[66],"goiters":[67],"early":[69,186],"carcinoma":[70,187],"thyroid":[71],"(":[72],"<":[73],"T2/N0/M0),":[74],"were":[75,113,167],"included.":[76],"Age":[77],"patient,":[80],"presence,":[81],"or":[82],"absence":[83],"hyperthyroidism,":[85],"pre-operative":[86,200],"levels":[87],"serum":[89,217],"calcium":[90,102,201,218],"25":[92,204],"OH":[93,205],"vitamin":[94,206],"D,":[95],"post-operative":[96,210],"iPTH":[97,211],"8":[99,126,213],"hours":[100,214,221,308],"12":[104,220],"hours,":[105],"intra-operative":[106],"parathyroid":[107,229],"preservation":[108],"status,":[109],"nodule":[111,238],"size":[112,239],"studied.":[114],"CSH":[115,193,280],"prediction":[116,291],"score":[117,248,267,292],"(0":[118],"8)":[120],"designed":[122],"based":[123],"on":[124],"factors.":[127],"STATISTICAL":[128],"ANALYSIS:":[129],"SPSS":[130],"13":[131],"software":[132],"used.":[134,146],"For":[135],"comparison":[136],"between":[137],"groups'":[138],"independent":[139],"samples":[140],"T-test":[141],"Chi-square":[143],"test":[144],"Statistical":[147],"significance":[148],"set":[150],"P<0.05.":[152],"A":[153],"logistic":[154],"regression":[155],"analysis":[156],"model":[157],"built":[159],"assess":[161],"predictors.":[164],"RESULTS:":[165],"There":[166],"22":[168],"males":[169],"123":[171],"females.":[172],"64.82%":[173],"had":[174,179,184,252,271],"euthyroid":[175],"multinodular":[176],"goiters,":[177],"24.82%":[178],"toxic":[180],"MNG,":[181],"10.34%":[183],"an":[185],"thyroid.":[189],"30.34%":[190],"developed":[191],"observed":[195],"patients":[197,305],"with":[198,257],"low":[199,203,209,216],"(P=0.008),":[202],"D":[207],"(P=0.001),":[208,215],"after":[222,281,309],"surgery":[223,232],"(P=0.001)":[224],"lesser":[226],"number":[227],"identification":[230],"(P=0.001).":[233],"Patient":[234],"age":[235],"(P=0.2)":[236],"(P":[240],"-":[241],"0.17)":[242],"not":[244],"significant.":[245],"Hypocalcemia":[246],"risk":[247],">":[250,293],"3":[251],"91%":[253],"sensitivity,":[254],"84%":[255],"specificity":[256,273],"PPV":[259,275],"71%":[261],"NPV":[263],"95%,":[265],"whereas":[266],"\u2265":[269],"4":[270],"100%":[272],"predicting":[277],"CONCLUSIONS:":[279],"is":[283],"multi-factorial,":[284],"(Hypocalcemia":[290],"3)":[294],"be":[296],"used":[297],"it":[300],"so":[301],"as":[302],"discharge":[304],"within":[306],"24":[307],"surgery.":[310]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
