{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T14:25:48Z","timestamp":1784903148746,"version":"3.55.0"},"reference-count":58,"publisher":"The Endocrine Society","issue":"4","license":[{"start":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T00:00:00Z","timestamp":1611360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Whether preoperative vitamin D deficiency (VDD) contributes to postoperative hypoparathyroidism (hypoPT) risk is unknown.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This work aimed to meta-analyze the best available evidence regarding the association between preoperative vitamin D status and hypoPT risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A comprehensive literature search was conducted in PubMed, CENTRAL, and Scopus databases, up to October 31, 2020. Study selection included patients undergoing thyroidectomy with preoperative vitamin D status and postoperative hypoPT data. Two researchers independently extracted data from eligible studies. Data were expressed as risk ratio (RR) with 95% CI. The I2 index was employed for heterogeneity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty-nine studies were included in the quantitative analysis (61\u2005915 cases with transient and 5712 with permanent hypoPT). Patients with VDD demonstrated a higher risk for transient hypoPT compared with those with preoperative vitamin D sufficiency (RR 1.92, 95% CI, 1.50-2.45, I2\u2005=\u200585%). These results remained significant for patients with preoperative 25-hydroxyvitamin D concentrations less than or equal to 20 ng\/mL (mild VDD; RR 1.46, 95% CI, 1.10-1.94, I2\u2005=\u200588%) and less than or equal to 10 ng\/mL (severe VDD; RR 1.98, 95% CI 1.42-2.76, I2\u2005=\u200585%). The risk of permanent hypoPT was increased only in cases with severe VDD (RR 2.45, 95% CI, 1.30-4.63, I2\u2005=\u200545%). No difference was evident in subgroup analysis according to study design or quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Patients with preoperative VDD are at increased risk of transient hypoPT following thyroidectomy. The risk for permanent hypoPT is increased only for those with severe VDD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1210\/clinem\/dgab039","type":"journal-article","created":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T23:40:40Z","timestamp":1611445240000},"page":"1209-1224","source":"Crossref","is-referenced-by-count":30,"title":["Preoperative Vitamin D Deficiency is a Risk Factor for Postthyroidectomy Hypoparathyroidism: A Systematic Review and Meta-Analysis of Observational Studies"],"prefix":"10.1210","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1790-3380","authenticated-orcid":false,"given":"Konstantina D","family":"Vaitsi","sequence":"first","affiliation":[{"name":"Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"},{"name":"Department of Endocrinology, Police Medical Center of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Anagnostis","sequence":"additional","affiliation":[{"name":"Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"},{"name":"Department of Endocrinology, Police Medical Center of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavroula","family":"Veneti","sequence":"additional","affiliation":[{"name":"1st Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodosios S","family":"Papavramidis","sequence":"additional","affiliation":[{"name":"1st Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios G","family":"Goulis","sequence":"additional","affiliation":[{"name":"Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2021,1,23]]},"reference":[{"issue":"7","key":"2021032609293979200_CIT0001","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1089\/thy.2017.0309","article-title":"American Thyroid Association statement on postoperative hypoparathyroidism: diagnosis, prevention, and management in adults","volume":"28","author":"Orloff","year":"2018","journal-title":"Thyroid."},{"issue":"6","key":"2021032609293979200_CIT0002","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1210\/jc.2015-3908","article-title":"Epidemiology and diagnosis of hypoparathyroidism","volume":"101","author":"Clarke","year":"2016","journal-title":"J Clin Endocrinol Metab."},{"issue":"4","key":"2021032609293979200_CIT0003","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1002\/bjs.9384","article-title":"Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia","volume":"101","author":"Edafe","year":"2014","journal-title":"Br J Surg."},{"issue":"7","key":"2021032609293979200_CIT0004","doi-asserted-by":"crossref","first-page":"2341","DOI":"10.1210\/jc.2012-1170","article-title":"Secretory capacity of the parathyroid glands after total thyroidectomy in normocalcemic subjects","volume":"97","author":"Anastasiou","year":"2012","journal-title":"J Clin Endocrinol Metab."},{"issue":"1","key":"2021032609293979200_CIT0005","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s12020-019-02087-5","article-title":"Should total thyroidectomies be performed by high-volume endocrine surgeons? 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