Introduction: PTH is released from the parathyroid glands behind the thyroid and is the primary regulator of calcium homeostasis. Indications for surgery in hyperparathyroidism remain controversial but can include symptomatic disease, renal stones, impaired renal function, bone involvement or marked reduction in bone density. Due to hypocalcaemia post op, pre-op calcium loading should occur. However not much research has been conducted into this area.
Methods: We retrospectively reviewed notes of patients with hyperparathyroidism secondary to renal failure admitted to a single centre, single surgeon, for parathyroidectomies. The following were determined: calcium preloading (type and dose) in secondary hyperparathyroidism, average calcium level on admission and post op, for preloaded and non-loaded secondary hyperparathyroid cases.This was also determined for primary hyperparathyroidism and renal transplant cases. Notes were also reviewed for oral calcium supplementation or IV calcium supplemenyation (type and average dose), for preloaded/ non preloaded cases, primary cases and new transplants. Length of stay was also reviewed. Statistical differences will be calculated.
Published on: Feb 1, 2016 Pages: 5-7