This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Predicting the need for calcium and calcitriol supplementation after total thyroidectomy: results of a prospective, randomized study. Surgery 2012; 152: 1059–1067.

Published: 4th March 2013

Authors: Cayo AK, Yen TWF, Misustin SM, Wall K, Wilson SD, Evans DB et al. et al.

Conclusion

Some 143 patients had PTH level measured one day after surgery. If PTH >10pg/ml, expectant treatment was adequate. Patients with PTH <10pg/ml were randomized to one of two treatments or a control group. Half of this group required treatment for hypocalcaemia, but the number of patients was too small to assess whether calcium alone, or with calcitriol was better.

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