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									<identifier>oai:www.peertechzpublications.org:10.17352/2455-5495.000007</identifier>
									<datestamp>2016-02-01</datestamp>
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										<dc:title>
										Parathyroidectomies: Pre and Post Op Usage of Calcium Supplementation and Effect on Calcium Levels
										</dc:title><dc:creator>Goonewardene SS</dc:creator><dc:creator>Ready A</dc:creator><dc:description>&lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt; PTH is released from the parathyroid glands behind the thyroid and is the primary regulator of calcium homeostasis. Indications for surgery in hyperparathyroidism remain controversial but&amp;nbsp; can&amp;nbsp; include&amp;nbsp; symptomatic&amp;nbsp; disease,&amp;nbsp; renal&amp;nbsp; stones,&amp;nbsp; impaired&amp;nbsp; renal&amp;nbsp; function,&amp;nbsp; bone&amp;nbsp; involvement&amp;nbsp; or marked&amp;nbsp; reduction&amp;nbsp; in&amp;nbsp; bone&amp;nbsp; density.&amp;nbsp; Due&amp;nbsp; to&amp;nbsp; hypocalcaemia&amp;nbsp; post&amp;nbsp; op,&amp;nbsp; pre-op&amp;nbsp; calcium&amp;nbsp; loading&amp;nbsp; should occur. However not much research has been conducted into this area. &lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; We retrospectively reviewed notes of patients with hyperparathyroidism secondary to renal failure admitted to a single centre, single surgeon, for parathyroidectomies. The following were determined: calcium preloading (type and dose) in secondary hyperparathyroidism, average calcium level&amp;nbsp; on&amp;nbsp; admission&amp;nbsp; and&amp;nbsp; post&amp;nbsp; op,&amp;nbsp; for&amp;nbsp; preloaded&amp;nbsp; and&amp;nbsp; non-loaded&amp;nbsp; secondary&amp;nbsp; hyperparathyroid&amp;nbsp; cases.This&amp;nbsp; was&amp;nbsp; also&amp;nbsp; determined&amp;nbsp; for&amp;nbsp; primary&amp;nbsp; hyperparathyroidism&amp;nbsp; and&amp;nbsp; renal&amp;nbsp; transplant&amp;nbsp; cases.&amp;nbsp; Notes&amp;nbsp; were also&amp;nbsp; reviewed&amp;nbsp; for&amp;nbsp; oral&amp;nbsp; calcium&amp;nbsp; supplementation&amp;nbsp; or&amp;nbsp; IV&amp;nbsp; calcium&amp;nbsp; supplemenyation&amp;nbsp; (type&amp;nbsp; and&amp;nbsp; average dose), for preloaded/ non preloaded cases, primary cases and new transplants. Length of stay was also reviewed. Statistical differences will be calculated. &lt;/p&gt;</dc:description>
										<dc:publisher>Archives of Renal Diseases and Management - Peertechz Publications</dc:publisher>
										<dc:date>2016-02-01</dc:date>
										<dc:type>Research Article</dc:type>
										<dc:identifier>https://doi.org/10.17352/2455-5495.000007</dc:identifier>
										<dc:language>en</dc:language>
										<dc:rights>Copyright © Goonewardene SS et al.</dc:rights>
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