Osteoporosis, bone & mineral

A PTH Value at 6 Hours Postsurgery Predicts the Diagnosis of Transient and Permanent Hypoparathyroidism

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Measuring PTH levels at 6 hours postthyroidectomy is an accurate method for predicting which patients are at risk of developing transient and/or permanent hypoparathyroidism.

Study context

Population
Patients undergoing total thyroidectomy, public tertiary care hospital (Jaén, Spain), September 2021–November 2023
Participants
105 patients
Exposure
PTH at 6 hours postsurgery vs corrected calcium at 24 and 48 hours for predicting hypoparathyroidism
Outcome
PTH levels 6 hours postoperatively; corrected calcium (adjusted for total protein) at 24 and 48 hours postsurgery
Follow-up
6 hours postoperatively
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Prediction of hypoparathyroidism by PTH at 6 hours postsurgery <10.10 pg/mL

AUC for transient hypoparathyroidism

0.991

95% CI 0.978–1

AUC for permanent hypoparathyroidism

0.961

95% CI 0.952–0.997

Observational data: associations, not effects.

Original publication

A PTH Value at 6 Hours Postsurgery Predicts the Diagnosis of Transient and Permanent Hypoparathyroidism. J Clin Endocrinol Metab. Published 17 July 2025. doi:10.1210/clinem/dgaf416

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