Rate of Incidental Parathyroidectomy in a Pediatric Population

Objective Incidental parathyroidectomy is a relatively common occurrence in thyroid surgery, which may lead to hypoparathyroidism and postoperative hypocalcemia, but it is not well studied in children. The objectives of this study were to determine the rate of incidental parathyroidectomy, identify...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Grace Sahyouni, Beth Osterbauer MPH, Soyun Park, Connie Paik, Juliana Austin MD, MCR, Gabriel Gomez MD, Daniel Kwon MD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/e5c85a463f6b44058bf74e5484bb0754
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e5c85a463f6b44058bf74e5484bb0754
record_format	dspace
spelling	oai:doaj.org-article:e5c85a463f6b44058bf74e5484bb07542021-11-15T22:33:22ZRate of Incidental Parathyroidectomy in a Pediatric Population2473-974X10.1177/2473974X211059070https://doaj.org/article/e5c85a463f6b44058bf74e5484bb07542021-11-01T00:00:00Zhttps://doi.org/10.1177/2473974X211059070https://doaj.org/toc/2473-974XObjective Incidental parathyroidectomy is a relatively common occurrence in thyroid surgery, which may lead to hypoparathyroidism and postoperative hypocalcemia, but it is not well studied in children. The objectives of this study were to determine the rate of incidental parathyroidectomy, identify potential risk factors, and investigate postoperative complications in children undergoing thyroidectomy. Study Design Retrospective cohort study. Setting Patients who underwent thyroidectomy over a 10-year period at a tertiary children’s hospital. Methods Pathology reports were reviewed to determine incidental parathyroid gland tissue. Additional data collected included patient demographics, type of procedure, underlying thyroid pathology, as well as immediate and long-term postoperative clinical outcomes. Results Of 209 patients, 65 (31%) had incidental parathyroidectomy. Several variables were associated with incidental parathyroidectomy on univariable analysis. However, in the final multivariable model, only thyroidectomy with lymph node dissection was associated with increased odds of having incidental parathyroidectomy (odds ratio, 3.3; P = .04; 95% CI, 1.1-9.8). After a median follow up of 1 year, a significantly higher percentage of patients with incidental parathyroidectomy had evidence of long-term hypoparathyroidism (9/62 [15%] vs 3/144 [2%], P = .001). Conclusion Incidental parathyroidectomy was relatively common in our pediatric thyroidectomy population, which may be a result of several anatomic, clinical, and surgeon-related factors. Close attention to parathyroid preservation with meticulous surgical technique is the most practical method of preventing long-term hypoparathyroidism and hypocalcemia.Grace SahyouniBeth Osterbauer MPHSoyun ParkConnie PaikJuliana Austin MD, MCRGabriel Gomez MDDaniel Kwon MDSAGE PublishingarticleOtorhinolaryngologyRF1-547SurgeryRD1-811ENOTO Open, Vol 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Grace Sahyouni Beth Osterbauer MPH Soyun Park Connie Paik Juliana Austin MD, MCR Gabriel Gomez MD Daniel Kwon MD Rate of Incidental Parathyroidectomy in a Pediatric Population
description	Objective Incidental parathyroidectomy is a relatively common occurrence in thyroid surgery, which may lead to hypoparathyroidism and postoperative hypocalcemia, but it is not well studied in children. The objectives of this study were to determine the rate of incidental parathyroidectomy, identify potential risk factors, and investigate postoperative complications in children undergoing thyroidectomy. Study Design Retrospective cohort study. Setting Patients who underwent thyroidectomy over a 10-year period at a tertiary children’s hospital. Methods Pathology reports were reviewed to determine incidental parathyroid gland tissue. Additional data collected included patient demographics, type of procedure, underlying thyroid pathology, as well as immediate and long-term postoperative clinical outcomes. Results Of 209 patients, 65 (31%) had incidental parathyroidectomy. Several variables were associated with incidental parathyroidectomy on univariable analysis. However, in the final multivariable model, only thyroidectomy with lymph node dissection was associated with increased odds of having incidental parathyroidectomy (odds ratio, 3.3; P = .04; 95% CI, 1.1-9.8). After a median follow up of 1 year, a significantly higher percentage of patients with incidental parathyroidectomy had evidence of long-term hypoparathyroidism (9/62 [15%] vs 3/144 [2%], P = .001). Conclusion Incidental parathyroidectomy was relatively common in our pediatric thyroidectomy population, which may be a result of several anatomic, clinical, and surgeon-related factors. Close attention to parathyroid preservation with meticulous surgical technique is the most practical method of preventing long-term hypoparathyroidism and hypocalcemia.
format	article
author	Grace Sahyouni Beth Osterbauer MPH Soyun Park Connie Paik Juliana Austin MD, MCR Gabriel Gomez MD Daniel Kwon MD
author_facet	Grace Sahyouni Beth Osterbauer MPH Soyun Park Connie Paik Juliana Austin MD, MCR Gabriel Gomez MD Daniel Kwon MD
author_sort	Grace Sahyouni
title	Rate of Incidental Parathyroidectomy in a Pediatric Population
title_short	Rate of Incidental Parathyroidectomy in a Pediatric Population
title_full	Rate of Incidental Parathyroidectomy in a Pediatric Population
title_fullStr	Rate of Incidental Parathyroidectomy in a Pediatric Population
title_full_unstemmed	Rate of Incidental Parathyroidectomy in a Pediatric Population
title_sort	rate of incidental parathyroidectomy in a pediatric population
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/e5c85a463f6b44058bf74e5484bb0754
work_keys_str_mv	AT gracesahyouni rateofincidentalparathyroidectomyinapediatricpopulation AT bethosterbauermph rateofincidentalparathyroidectomyinapediatricpopulation AT soyunpark rateofincidentalparathyroidectomyinapediatricpopulation AT conniepaik rateofincidentalparathyroidectomyinapediatricpopulation AT julianaaustinmdmcr rateofincidentalparathyroidectomyinapediatricpopulation AT gabrielgomezmd rateofincidentalparathyroidectomyinapediatricpopulation AT danielkwonmd rateofincidentalparathyroidectomyinapediatricpopulation
_version_	1718426817191215104

Rate of Incidental Parathyroidectomy in a Pediatric Population

Ejemplares similares