Title
Prevention of Hypocalcemia in Patients Undergoing Total Thyroidectomy Plus Central Neck Dissection
Phase 2 Study of Routine Oral Calcium and Vitamine D Supplements to Prevent Hypocalcemia After Total Thyroidectomy in Papillary Thyroid Carcinoma Patients
Phase
Phase 2Lead Sponsor
University of UlsanStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
HypocalcemiaIntervention/Treatment
vitamin d3 calcium ...Study Participants
200the increased risk of hypocalcemia following total thyroidectomy plus central neck dissection can be minimized by routine administration of oral calcium and vitamin D supplements during the early postoperative period.
Of patients with differentiated papillary thyroid carcinoma, group D underwent total thyroidectomy alone and groups A-C underwent total thyroidectomy plus CND. The latter were randomized to oral calcium (3 g/day) plus vitamin D (1 mcg/day) (group A, n = 49), calcium alone (group B, n = 49), or no supplements (group C, n = 50). Hypocalcemic symptoms, serum calcium, and parathyroid hormone (PTH) levels were compared among the groups.
calcium carbonate (3 g/day, 1 g every 8 h)
calcium supplementation took 3 g/day oral calcium (1 g every 8 h) plus 1 mcg/day vitamin D (0.5 mcg every 12 h), beginning on the night of surgery and continuing for 14 days.
No supplements after total thyroidectomy and central neck dissection
No central neck dissection group (total thyroidectomy alone)
Oral calcium plus vitamin D supplements after total thyroidectomy and central neck dissection
Oral calcium alone supplement after total thyroidectomy and central neck dissection
Inclusion Criteria: Differentiated papillary thyroid carcinoma Undergoing total thyroidectomy plus central neck dissection Exclusion Criteria: Previous thyroid or neck surgery Patients with parathyroid diseases Other thyroid malignancies Early loss of follow-up without proper evaluation of postoperative serum calcium levels and symptoms