{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:12:27Z","timestamp":1784635947630,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,14]],"date-time":"2018-02-14T00:00:00Z","timestamp":1518566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is a common perception that total thyroidectomy causes weight gain beyond expected age\u2010related changes, even when thyroid replacement therapy induces a euthyroid state. The aim of this study was to determine whether patients who underwent total thyroidectomy for a wide spectrum of conditions experienced weight gain following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively studied 107 consecutive total thyroidectomy patients treated between January 2013 and June 2014. Medical records were reviewed to determine underlying pathology, thyroid status, use of antithyroid drugs and preoperative weight. Follow\u2010up data were obtained from 79 patients at least 10 months post\u2010operatively to determine current weight, the type of clinician managing thyroid replacement therapy and patient satisfaction with post\u2010thyroidectomy management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort was 73% female, with a mean age of 55.8 \u00b1 15.7 years and a mean preoperative weight of 78.8 \u00b1 17.5 kg. Commonest pathologies were multinodular goitre, Graves' disease, thyroid cancer and Hashimoto's thyroiditis. Preoperatively, 63.2% of patients were hyperthyroid. Mean weight change at follow\u2010up was a non\u2010significant increase of 0.06 \u00b1 6.9 kg (<jats:italic>P<\/jats:italic> = 0.094). Weight change was not significant regardless of preoperative thyroid function status. This study did not demonstrate any significant differences in clinical characteristics (including post\u2010operative thyroid\u2010stimulating hormone) between the group with &gt;2% weight gain and those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study did not reveal significant weight gain following thyroidectomy for a wide spectrum of pathologies. Specifically, preoperative hyperthyroidism, female gender and use of antithyroid medications do not predict weight gain after thyroid surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14421","type":"journal-article","created":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T00:32:46Z","timestamp":1518654766000},"page":"162-166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Body weight change is unpredictable after total thyroidectomy"],"prefix":"10.1111","volume":"88","author":[{"given":"Ron","family":"Glick","sequence":"first","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Chang","sequence":"additional","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Michail","sequence":"additional","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6984-7275","authenticated-orcid":false,"given":"Jonathan W.","family":"Serpell","sequence":"additional","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Grodski","sequence":"additional","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6679-274X","authenticated-orcid":false,"given":"James C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Monash University Endocrine Surgery Unit The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.4.389"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2002431"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-269"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-7_Part_2-199310011-00004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2010.0393"},{"key":"e_1_2_7_7_1","first-page":"529","article-title":"Weight gain in patients after therapy for hyperthyroidism","volume":"93","author":"Brunova J","year":"2003","journal-title":"S. 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