{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:11:51Z","timestamp":1785773511318,"version":"3.56.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"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":["Scand J Surg"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We postulated that the preoperative correction of vitamin D levels can significantly reduce the incidence of hunger bone syndrome among patients undergoing parathyroidectomy for primary hyperparathyroidism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a prospective, randomized, open-label study on 102 patients with primary hyperparathyroidism and coexisting vitamin D deficiency who were scheduled to undergo parathyroidectomy. Patients were divided into the following two groups: group I which included 52 patients who did not receive preoperative vitamin D supplementation; and group II which included 50 patients who received cholecalciferol 1000\u20132000\u2009IU daily or 50000\u2009IU weekly until they achieve vitamin D levels &gt;20\u2009ng\/mL (group IIa\u2009=\u200925 patients) or vitamin D levels &gt;30\u2009ng\/mL (group IIb\u2009=\u200925 patients).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The incidence of hunger bone syndrome in group IIb was lower than group I and group IIa (8% versus 16% versus 23%, respectively); however, this difference did not reach the level of statistical significance (p\u2009=\u20090.22). Patients with hunger bone syndrome were significantly younger and had higher serum phosphorus, alkaline phosphatase, magnesium, and bone mineral density at baseline than patients without hunger bone syndrome. On the other hand, patients with hunger bone syndrome had significantly lower 25-hydroxyvitamin D at baseline than patients without hunger bone syndrome (p\u2009=\u20090.001). The ROC curve showed that the baseline level of serum 25-hydroxyvitamin D was not an independent discriminator of hunger bone syndrome (area under curve\u2009=\u20090.21 (95% CI: 0.06\u20130.34); p\u2009=\u20090.011).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Preoperative course of vitamin D supplements has no preventive role on the postoperative incidence of hunger bone syndrome among patients with primary hyperparathyroidism and coexisting vitamin D deficiency undergoing parathyroidectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496920962601","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T03:38:18Z","timestamp":1601955498000},"page":"329-334","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Role of vitamin D supplements in prevention of hungry bone syndrome after successful parathyroidectomy for primary hyperparathyroidism: A prospective study"],"prefix":"10.1177","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5445-6415","authenticated-orcid":false,"given":"Mohamed AbdAlla","family":"Salman","sequence":"first","affiliation":[{"name":"General Surgery Department, Kasralainy School of Medicine, Cairo University, Cairo, 24513, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Rabiee","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0026-0841","authenticated-orcid":false,"given":"Ahmed Abdallah","family":"Salman","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Youssef","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam El-Din","family":"Shaaban","sequence":"additional","affiliation":[{"name":"National Hepatology and Tropical Medicine Research Institute, Gastroenterology and Hepatology, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Ftohy","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Sohag University, Sohag, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim Kamal","family":"Maurice","sequence":"additional","affiliation":[{"name":"General Surgery Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany","family":"Balamoun","sequence":"additional","affiliation":[{"name":"General Surgery Department, Kasralainy School of Medicine, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,6]]},"reference":[{"key":"bibr1-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007255"},{"key":"bibr2-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1359\/JBMR.050910"},{"key":"bibr3-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-1413"},{"key":"bibr4-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111002908"},{"key":"bibr5-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1530\/eje.1.02029"},{"key":"bibr6-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-13662-2_27"},{"key":"bibr7-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-12-0528"},{"key":"bibr8-1457496920962601","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0000000000000327"},{"key":"bibr9-1457496920962601","first-page":"11","volume":"10","author":"Crucelegui 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