{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:01:29Z","timestamp":1781712089983,"version":"3.54.5"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With a demonstrated association between adiposity and parathyroid hormone (PTH) levels, we hypothesized that patients with a higher body mass index (BMI) would have lower rates of postoperative hypoparathyroidism following total thyroidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>retrospective review of patients undergoing total thyroidectomy from 2015 to 2021. Demographics, BMI, surgical indications, and laboratory data including pre- and postoperative PTH values were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 352 patients with complete clinicopathologic data, most were female (n = 272, 77.3%) with an average age of 42.7 (SD+\/\u221219.4). Obese (BMI 30-39.99) was most common BMI group (n = 108, 30.8%), with 11.7% (n = 41) morbidly obese (BMI &gt; 40). Morbidly obese patients had significantly higher postoperative PTH levels than BMI &lt; 18.5 (46.0 vs 19.3\u00a0pg\/mL, P = .004). Patient race was significantly associated with pre- and postoperative PTH ( P = .03, P = .004.) On multivariable analysis, preoperative PTH, race, and BMI were independent predictors of higher postoperative PTH ( P &lt; .05 for all).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Patients with higher BMI and non-white race have relative protection from postoperative hypoparathyroidism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231192065","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T05:23:22Z","timestamp":1690435402000},"page":"9-14","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Obesity Paradox in Thyroid Surgery: Is Higher BMI Protective Against Hypoparathyroidism?"],"prefix":"10.1177","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6493-2128","authenticated-orcid":false,"given":"Tyler","family":"Fields","sequence":"first","affiliation":[{"name":"Department of Surgery, Wellstar Atlanta Medical Center, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Ramonell","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Fazendin","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gillis","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Buczek","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Porterfield","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenessa","family":"Lindeman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"bibr1-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgaa113"},{"key":"bibr2-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-3908"},{"key":"bibr3-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.09.026"},{"key":"bibr4-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2018.07.005"},{"key":"bibr5-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.05.025"},{"key":"bibr6-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.07.025"},{"key":"bibr7-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.09.020"},{"key":"bibr8-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.07.038"},{"key":"bibr9-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-009-9231-x"},{"key":"bibr10-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-14-0063"},{"key":"bibr11-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2005-0216"},{"key":"bibr12-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-010-1383-2"},{"key":"bibr13-00031348231192065","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.04.005"},{"key":"bibr14-00031348231192065","unstructured":"Body mass index - BMI. https:\/\/www.euro.who.int\/en\/health-topics\/disease-prevention\/nutrition\/a-healthy-lifestyle\/body-mass-index-bmi. 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