{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:51:33Z","timestamp":1747183893271,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T00:00:00Z","timestamp":1592265600000},"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":["Clinical Endocrinology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the use of preoperative vitamin D levels and postoperative vitamin D supplementation among endocrinologists for the prevention of post\u2010thyroidectomy hypocalcaemia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Endocrinologist members of the American Thyroid Association (ATA) were contacted via email to complete a 21\u2010question survey, which included both questions about demographic information, and preventing and managing postoperative hypocalcaemia after thyroidectomy. Univariate and multivariate analysis was performed to determine the respondents' use of preoperative vitamin D levels, dose and duration of preoperative vitamin D repletion, decision to delay surgery for low vitamin D levels in the case of a benign or malignant disease, and routine prescription of postoperative calcium or vitamin D supplementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>225 endocrinologists who were ATA members responded to the questionnaire. When compared to endocrinologists practicing in other countries, those that practice in the United States were 2.5 times more likely to check preoperative vitamin D levels (95% CI[1.404, 4.535], <jats:italic>P<\/jats:italic>\u00a0=\u00a0.002), significantly more likely to replete vitamin D deficient patients with high\u2010dose vitamin D (ie \u226550K\u00a0IU\/week), 4.458 times more likely to prescribe prophylactic supplemental calcium (95% CI[2.446, 8.126]; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001) and 3.48 more likely to prescribe supplemental vitamin D (95% CI [1.906, 6.355]; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001). Endocrinologists who have been in practice for &gt;10\u00a0years were also 1.915 times more likely to prescribe supplemental vitamin D (95% CI (1.080, 3.395); <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0263). Physicians that treat &gt;50 thyroidectomy cases\/year were 2.083 more likely to recommend a vitamin D repletion duration of &gt;1\u00a0month than those that treat \u226450 cases\/year ([1.036, 4.190], <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0395). Lastly, if the patient has low preoperative vitamin D levels, 47.05% of respondents chose to delay surgery in a benign disease, while only 11.61% of respondents would do so in a case of malignant disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Approximately one\u2010half of surveyed endocrinologists reported using preoperative vitamin D levels to assess a patient's risk for post\u2010thyroidectomy hypocalcaemia. Endocrinologists practicing in the United States, compared to those practicing in other countries, were more likely to both test for preoperative vitamin D levels and to recommend prophylactic post\u2010thyroidectomy calcium and vitamin D supplementation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.14259","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T14:49:27Z","timestamp":1590763767000},"page":"598-604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The use of vitamin D in preventing post\u2010thyroidectomy hypocalcemia: An endocrinologist survey study"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9778-3720","authenticated-orcid":false,"given":"Heinrich","family":"Pinardo","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Boston Medical Center Boston MA USA<!--Query ID=\"q6\" Text=\"AUTHOR: Please check that authors and their affiliations are correct.\"-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel J.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Boston Medical Center Boston MA USA<!--Query ID=\"q6\" Text=\"AUTHOR: Please check that authors and their affiliations are correct.\"-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Hashemi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Boston Medical Center Boston MA USA<!--Query ID=\"q6\" Text=\"AUTHOR: Please check that authors and their affiliations are correct.\"-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"DePietro","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Boston Medical Center Boston MA USA<!--Query ID=\"q6\" Text=\"AUTHOR: Please check that authors and their affiliations are correct.\"-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth N.","family":"Pearce","sequence":"additional","affiliation":[{"name":"Department of Medicine Section of Endocrinology, Diabetes, Nutrition &amp; Weight Management Boston Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Ananthakrishnan","sequence":"additional","affiliation":[{"name":"Department of Medicine Section of Endocrinology, Diabetes, Nutrition &amp; Weight Management Boston Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara M.","family":"Alexanian","sequence":"additional","affiliation":[{"name":"Department of Medicine Section of Endocrinology, Diabetes, Nutrition &amp; Weight Management Boston Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devin W.","family":"Steenkamp","sequence":"additional","affiliation":[{"name":"Department of Medicine Section of Endocrinology, Diabetes, Nutrition &amp; Weight Management Boston Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob Pieter","family":"Noordzij","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Boston Medical Center Boston MA USA<!--Query ID=\"q6\" Text=\"AUTHOR: Please check that authors and their affiliations are correct.\"-->"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0803050"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S129910"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.06.298"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.3398"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4137\/CMED.S13002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9384"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814561209"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2015-8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0309"},{"volume-title":"Dietary Reference Intakes for Calcium and Vitamin D","year":"2011","author":"Ross AC","key":"e_1_2_9_11_1"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0954-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsbmb.2013.11.003"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.115.120873"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2011-130243"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-13-0435"},{"issue":"7","key":"e_1_2_9_17_1","first-page":"1","article-title":"Vitamin D testing: what's the right answer? Labs grapple with confusing analytics, evidence","volume":"35","author":"Rollins G","year":"2009","journal-title":"Cl Lab News"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/475023a"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-010-1437-x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2012-0283"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102394"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815617126"},{"key":"e_1_2_9_23_1","unstructured":"East and South East England Specialist Pharmacy Services.Vitamin D deficiency and insufficiency \u2010 using appropriate available products;2014.http:\/\/www.medicinesresources.nhs.uk\/en\/Communities\/NHS\/SPS\u2010E\u2010and\u2010SE\u2010England\/Medicines\u2010Information\/North\u2010London\u2010Regional\u2010MI\u2010Network\/Vitamin\u2010D\u2010deficiency\u2010and\u2010insufficiency\u2010using\u2010appropriate\u2010available\u2010products\/. Accessed November 25 2019."},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010565"}],"container-title":["Clinical Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcen.14259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cen.14259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cen.14259","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cen.14259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T17:07:29Z","timestamp":1693588049000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cen.14259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,16]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1111\/cen.14259"],"URL":"https:\/\/doi.org\/10.1111\/cen.14259","archive":["Portico"],"relation":{},"ISSN":["0300-0664","1365-2265"],"issn-type":[{"type":"print","value":"0300-0664"},{"type":"electronic","value":"1365-2265"}],"subject":[],"published":{"date-parts":[[2020,6,16]]},"assertion":[{"value":"2020-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}