Selective calcium and calcitriol supplementation based on postoperative parathyroid hormone levels was not superior to routine prophylactic supplementation.
2
The study involved 258 patients undergoing total thyroidectomy at three tertiary hospitals in Colombia.
3
Symptomatic hypocalcemia occurred in 9% of patients, with rates of 8% in the PTH-guided group and 11% in the routine group.
4
Postoperative supplementation was required less often with the selective strategy, reducing the proportion of patients needing it by about 65 percentage points.
5
Adverse events and complications were similar between both groups, with no cases of acute kidney failure reported.
