{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T01:49:20Z","timestamp":1776995360612,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T00:00:00Z","timestamp":1506384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine rates of readmission after parathyroidectomy in patients with chronic kidney disease and determine primary etiologies, timing, and risk factors for these unplanned readmissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Nationwide Readmissions Database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The Nationwide Readmissions Database was queried for parathyroidectomy procedures performed in patients with chronic kidney disease between January 2013 and November 2013. Patient\u2010, admission\u2010, and hospital\u2010level characteristics were compared for patients with and without at least 1 unplanned 30\u2010day readmission. Outcomes of interest included rates, etiology, and timing of readmission. Multivariate logistic regression was used to identify predictors of 30\u2010day readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 2756 parathyroidectomies performed in patients with chronic kidney disease with an unplanned readmission rate of 17.2%. Hypocalcemia\/hungry bone syndrome accounted for 40% of readmissions. Readmissions occurred uniformly throughout the 30\u00a0days after discharge, but readmissions for hypocalcemia\/hungry bone syndrome peaked in the first 10\u00a0days and decreased over time. Weight loss\/malnutrition at time of parathyroidectomy and length of stay of 5 to 6\u00a0days conferred increased risk of readmission with adjusted odds ratios (aOR) of 3.31 (95% confidence interval [CI], 1.55\u20107.05; <jats:italic>P<\/jats:italic> =. 002) and 1.87 (95% CI, 1.10\u20103.19; <jats:italic>P<\/jats:italic> =. 02), respectively. Relative to primary hyperparathyroidism, parathyroidectomies performed for secondary hyperparathyroidism (aOR, 2.53; 95% CI, 1.07\u20105.95; <jats:italic>P<\/jats:italic> =. 03) were associated with higher risk of readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Postparathyroidectomy readmission rates for patients with chronic kidney disease are nearly 5 times that of the general population. Careful consideration of postoperative care and electrolyte management is crucial to minimize preventable readmissions in this vulnerable population.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817721154","type":"journal-article","created":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T12:33:47Z","timestamp":1506429227000},"page":"955-965","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Unplanned 30\u2010Day Readmissions after Parathyroidectomy in Patients with Chronic Kidney Disease: A Nationwide Analysis"],"prefix":"10.1002","volume":"157","author":[{"given":"Rocco","family":"Ferrandino","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Roof","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priti","family":"Poojary","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aparna","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinsuk","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven G.","family":"Coca","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish N.","family":"Nadkarni","sequence":"additional","affiliation":[{"name":"Department of Nephrology Icahn School of Medicine at Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marita S.","family":"Teng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161192"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.10370915"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1999.07304.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002009"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2011.00924.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2004.02.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2008010022"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181ee8456"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.08.074"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.08.023"},{"key":"e_1_2_9_12_1","unstructured":"Measures and current data collection periods.https:\/\/www.medicare.gov\/hospitalcompare\/Data\/Data\u2010Updated.html. 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